Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

TEXOMACARE

NPI: 1407800857 · MADILL, OK 73446 · Physician Assistant · NPI assigned 05/20/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official EVANS, TODD controls 20+ related entities in our dataset. Read more

$2.35M
Total Medicaid Paid
37,015
Total Claims
35,358
Beneficiaries
34
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialEVANS, TODD (VP)
Parent OrganizationTEXOMACARE
NPI Enumeration Date05/20/2006

Related Entities

Other providers sharing the same authorized official: EVANS, TODD

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 3,495 $252K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15,449 14,454 $1.02M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,926 10,371 $943K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 958 958 $92K
99442 523 497 $41K
90460 Immunization administration through 18 years of age via any route, first or only component 967 962 $37K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 810 803 $36K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,025 2,006 $29K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 444 443 $28K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 244 240 $24K
87428 795 790 $23K
99443 158 152 $15K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,202 1,190 $15K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 527 523 $15K
J1040 Injection, methylprednisolone acetate, 80 mg 715 712 $8K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 84 84 $8K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 70 69 $6K
99308 Subsequent nursing facility care, per day, straightforward 224 218 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 85 85 $3K
99215 Prolong outpt/office vis 25 24 $2K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 214 208 $2K
87807 64 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 65 65 $741.05
90756 29 29 $540.58
J1010 Injection, methylprednisolone acetate, 1 mg 32 32 $297.94
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 14 14 $275.24
36415 Collection of venous blood by venipuncture 40 40 $230.98
99173 41 41 $103.08
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 17 17 $75.48
81001 14 13 $39.57
90686 106 106 $18.94
J1100 Injection, dexamethasone sodium phosphate, 1 mg 12 12 $5.46
90734 31 31 $0.00
96160 91 91 $0.00
90651 14 14 $0.00