NP / PA
Texomacare
Texomacare was paid $2.35M by Medicaid between Jan 2018 and Nov 2024, across 34 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.
33Billing provider infoTEXOMACARE
MADILL, OK 73446
MADILL, OK 73446
33aNPI1407800857assigned 05/20/2006
33bProvider typePhysician Assistant
28Total paid$2.35M
24GClaims37,015
24DCodes billed34
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Physician Assistant providers in Oklahoma
Rank by total paid#6 of 21
Median peer was paid$181K
This provider vs. median13×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official EVANS, TODD controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 3,610 | $183K | |
| 2019 | 4,915 | $272K | |
| 2020 | 4,033 | $252K | |
| 2021 | 5,865 | $405K | |
| 2022 | 8,446 | $542K | |
| 2023 | 6,651 | $444K | |
| 2024incomplete | 3,495 | $252K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 43% | 15,449 | 14,454 | $1.02M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 40% | 10,926 | 10,371 | $943K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.9% | 958 | 958 | $92K |
| 99442 | 1.8% | 523 | 497 | $41K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.6% | 967 | 962 | $37K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.6% | 810 | 803 | $36K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.2% | 2,025 | 2,006 | $29K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.2% | 444 | 443 | $28K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.0% | 244 | 240 | $24K |
| 87428 | <1% | 795 | 790 | $23K | |
| 99443 | <1% | 158 | 152 | $15K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,202 | 1,190 | $15K |
22 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 527 | $15K |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 715 | $8K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 84 | $8K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 70 | $6K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 224 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 85 | $3K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 25 | $2K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 214 | $2K |
| 87807 | <1% | 64 | $752.07 | |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 65 | $741.05 |
| 90756 | <1% | 29 | $540.58 | |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 32 | $297.94 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 14 | $275.24 |
| 36415 | Collection of venous blood by venipuncture | <1% | 40 | $230.98 |
| 99173 | <1% | 41 | $103.08 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 17 | $75.48 |
| 81001 | <1% | 14 | $39.57 | |
| 90686 | <1% | 106 | $18.94 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 12 | $5.46 |
| 90734 | 0% | 31 | $0.00 | |
| 96160 | 0% | 91 | $0.00 | |
| 90651 | 0% | 14 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialEVANS, TODD (VP)
Parent organizationTEXOMACARE
| Provider | Location | Paid |
|---|---|---|
| Mcallen Hospitalist Group, PLLC | Edinburg, TX | $7.40M |
| Texomacare | Denison, TX | $5.95M |
| Northwest Texas Wyatt Clinic PLLC | Amarillo, TX | $4.39M |
| Northern Nevada Medical Group, LLC | Sparks, NV | $2.60M |
| Mid Atlantic Medicine LLC | Washington, DC | $1.84M |
| ST. Mary's Physician Associates, LLC | Enid, OK | $1.76M |
| Las Vegas Medical Group LLC | Las Vegas, NV | $1.36M |
| Aiken Professional Association, LLC | Aiken, SC | $1.35M |
| Northwest Urgent Care, PLLC | Amarillo, TX | $1.02M |
| Texomacare Specialty Physicians | Denison, TX | $644K |
| Eastern Pennsylvania Physician Alliance LLC | Clarion, PA | $636K |
| NWTX Physician Network, PLLC | Amarillo, TX | $475K |
| Heart Clinic, PLLC | Mcallen, TX | $385K |
| Laredo Physicians Group | Laredo, TX | $365K |
| Nevada Urgent Care Network LLC | Sparks, NV | $211K |
| Uhs of Desert Springs, INC. | Henderson, NV | $151K |
| Manatee Cardiology Associates, LLC | Bradenton, FL | $23K |
| Wellington Physician Alliances INC | Wellington, FL | $14K |
| Manatee Physician Alliance, LLC | Bradenton, FL | $14K |
| Mary Alice Cowan, MD, PLLC | Houston, TX | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.