Physician
East Texas Border Health Clinic
East Texas Border Health Clinic was paid $1.57M by Medicaid between Jun 2018 and Dec 2024, across 53 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 73% of everything it billed.
33Billing provider infoEAST TEXAS BORDER HEALTH CLINIC
MARSHALL, TX 75670
MARSHALL, TX 75670
33aNPI1558329797assigned 05/03/2006
33bProvider typeFamily Medicine Physician
28Total paid$1.57M
24GClaims40,801
24DCodes billed53
24AFirst – last monthJun 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Texas
Rank by total paid#70 of 1,204
Median peer was paid$31K
This provider vs. median51×
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 ROADCAP, CARLA controls 13+ 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 | 251 | $7K | |
| 2019 | 51 | $5K | |
| 2020 | 5,795 | $120K | |
| 2021 | 14,285 | $417K | |
| 2022 | 10,005 | $422K | |
| 2023 | 7,312 | $385K | |
| 2024incomplete | 3,102 | $213K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 73% | 9,709 | 8,432 | $1.14M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 5,904 | 5,339 | $235K |
| 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 | 7.0% | 2,337 | 2,255 | $110K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 1.7% | 790 | 755 | $26K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.4% | 378 | 193 | $22K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 808 | 723 | $11K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 912 | 853 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 115 | 109 | $4K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 598 | 282 | $4K |
| 81025 | <1% | 858 | 782 | $3K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 352 | 331 | $2K |
| CP003 | <1% | 237 | 215 | $2K |
41 more codes
| 90832 | Psychotherapy session, about 30 minutes | <1% | 28 | $1K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 25 | $1K |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 94 | $976.46 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 13 | $906.08 |
| 81003 | <1% | 734 | $494.46 | |
| 99406 | <1% | 287 | $293.62 | |
| 90756 | <1% | 61 | $182.72 | |
| 97803 | <1% | 116 | $131.36 | |
| 3044F | <1% | 166 | $80.00 | |
| 99000 | <1% | 12 | $54.00 | |
| 90686 | <1% | 95 | $53.44 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 210 | $15.75 |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 473 | $0.57 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 3,371 | $0.00 |
| 3077F | 0% | 579 | $0.00 | |
| 4064F | 0% | 27 | $0.00 | |
| 4145F | 0% | 140 | $0.00 | |
| 3028F | 0% | 1,298 | $0.00 | |
| 3078F | 0% | 720 | $0.00 | |
| 1159F | 0% | 79 | $0.00 | |
| 3050F | 0% | 13 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 12 | $0.00 |
| 3079F | 0% | 844 | $0.00 | |
| 3075F | 0% | 265 | $0.00 | |
| 3074F | 0% | 959 | $0.00 | |
| 2010F | 0% | 1,312 | $0.00 | |
| 3351F | 0% | 671 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 771 | $0.00 |
| 3352F | 0% | 83 | $0.00 | |
| 1034F | 0% | 291 | $0.00 | |
| 3008F | 0% | 1,323 | $0.00 | |
| 96127 | 0% | 579 | $0.00 | |
| 1000F | 0% | 64 | $0.00 | |
| 3080F | 0% | 238 | $0.00 | |
| 3048F | 0% | 142 | $0.00 | |
| 3049F | 0% | 41 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 69 | $0.00 |
| 2000F | 0% | 1,327 | $0.00 | |
| 2001F | 0% | 169 | $0.00 | |
| 3011F | 0% | 89 | $0.00 | |
| 1036F | 0% | 13 | $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 officialROADCAP, CARLA (CEO)
| Provider | Location | Paid |
|---|---|---|
| East Texas Border Health Clinic | Texarkana, TX | $10.88M |
| East Texas Border Health Clinic | Marshall, TX | $8.24M |
| East Texas Border Health Clinic | Texarkana, AR | $7.40M |
| East Texas Border Health Clinic | Atlanta, TX | $7.38M |
| East Texas Border Health Clinic | Texarkana, TX | $5.56M |
| East Texas Border Health Clinic | Marshall, TX | $2.59M |
| East Texas Border Health Clinic | Texarkana, AR | $2.44M |
| East Texas Border Health Clinic | Marshall, TX | $840K |
| East Texas Border Health Clinic | Texarkana, TX | $724K |
| East Texas Border Health Clinic | Marshall, TX | $528K |
| East Texas Border Health Clinic | Texarkana, TX | $81K |
| East Texas Border Health Clinic | Atlanta, TX | $7K |
| East Texas Border Health Clinic | Longview, TX | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.