NP / PA
Texomacare Specialty Physicians
Texomacare Specialty Physicians was paid $644K by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 35% of everything it billed.
33Billing provider infoTEXOMACARE SPECIALTY PHYSICIANS
DENISON, TX 75020
DENISON, TX 75020
33aNPI1548541733assigned 09/01/2011
33bProvider typePhysician Assistant
28Total paid$644K
24GClaims21,272
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Physician Assistant providers in Texas
Rank by total paid#44 of 161
Median peer was paid$43K
This provider vs. median15×
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 | 1,640 | $4K | |
| 2019 | 1,880 | $4K | |
| 2020 | 2,150 | $34K | |
| 2021 | 4,737 | $138K | |
| 2022 | 4,635 | $173K | |
| 2023 | 4,011 | $189K | |
| 2024incomplete | 2,219 | $103K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 35% | 3,789 | 1,446 | $228K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 19% | 1,073 | 1,036 | $123K |
| 99239 | Hospital discharge day management, more than 30 minutes | 13% | 1,225 | 1,159 | $85K |
| 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 | 8.4% | 1,690 | 1,580 | $54K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 7.1% | 1,217 | 1,185 | $46K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 6.1% | 451 | 434 | $39K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 5.8% | 10,877 | 9,031 | $37K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 2.4% | 336 | 220 | $15K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.6% | 308 | 301 | $10K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 176 | 75 | $5K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 99 | 54 | $2K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 15 | 12 | $316.86 |
1 more codes
| 81000 | <1% | 16 | $31.47 |
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)
| 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 |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.