Medicaid Provider Spending

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

TEXOMACARE SPECIALTY PHYSICIANS

NPI: 1548541733 · DENISON, TX 75020 · Physician Assistant · NPI assigned 09/01/2011

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

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

$644K
Total Medicaid Paid
21,272
Total Claims
16,548
Beneficiaries
13
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialEVANS, TODD (VP)
NPI Enumeration Date09/01/2011

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
TEXOMACARE MADILL OK $2.35M
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
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 1,640 $4K
2019 1,880 $4K
2020 2,150 $34K
2021 4,737 $138K
2022 4,635 $173K
2023 4,011 $189K
2024 2,219 $103K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99233 Prolong inpt eval add15 m 3,789 1,446 $228K
90792 Psychiatric diagnostic evaluation with medical services 1,073 1,036 $123K
99239 Hospital discharge day management, more than 30 minutes 1,225 1,159 $85K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,690 1,580 $54K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,217 1,185 $46K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 451 434 $39K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 10,877 9,031 $37K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 336 220 $15K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 308 301 $10K
99232 Subsequent hospital care, per day, moderate complexity 176 75 $5K
99231 Subsequent hospital care, per day, straightforward or low complexity 99 54 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 15 12 $316.86
81000 16 15 $31.47