Medicaid Provider Spending

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

EAST TEXAS BORDER HEALTH CLINIC

NPI: 1558329797 · MARSHALL, TX 75670 · Family Medicine Physician · NPI assigned 05/03/2006

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

Authorized official ROADCAP, CARLA controls 13+ related entities in our dataset. Read more

$1.57M
Total Medicaid Paid
40,801
Total Claims
36,746
Beneficiaries
53
Codes Billed
2018-06
First Month
2024-12
Last Month

Provider Details

Authorized OfficialROADCAP, CARLA (CEO)
NPI Enumeration Date05/03/2006

Related Entities

Other providers sharing the same authorized official: ROADCAP, CARLA

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 251 $7K
2019 51 $5K
2020 5,795 $120K
2021 14,285 $417K
2022 10,005 $422K
2023 7,312 $385K
2024 3,102 $213K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 9,709 8,432 $1.14M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,904 5,339 $235K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,337 2,255 $110K
G0467 Federally 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 790 755 $26K
90834 Psychotherapy, 45 minutes with patient 378 193 $22K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 808 723 $11K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 912 853 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 115 109 $4K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 598 282 $4K
81025 858 782 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 352 331 $2K
CP003 237 215 $2K
90832 Psychotherapy, 30 minutes with patient 28 24 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 25 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 94 94 $976.46
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 13 12 $906.08
81003 734 677 $494.46
99406 287 272 $293.62
90756 61 61 $182.72
97803 116 109 $131.36
3044F 166 159 $80.00
99000 12 12 $54.00
90686 95 91 $53.44
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 210 199 $15.75
J1050 Injection, medroxyprogesterone acetate, 1 mg 473 436 $0.57
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 3,371 3,070 $0.00
3077F 579 539 $0.00
4064F 27 26 $0.00
4145F 140 136 $0.00
3028F 1,298 1,188 $0.00
3078F 720 679 $0.00
1159F 79 75 $0.00
3050F 13 13 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 12 12 $0.00
3079F 844 813 $0.00
3075F 265 256 $0.00
3074F 959 910 $0.00
2010F 1,312 1,199 $0.00
3351F 671 625 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 771 689 $0.00
3352F 83 78 $0.00
1034F 291 271 $0.00
3008F 1,323 1,197 $0.00
96127 579 550 $0.00
1000F 64 62 $0.00
3080F 238 218 $0.00
3048F 142 136 $0.00
3049F 41 37 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 69 62 $0.00
2000F 1,327 1,212 $0.00
2001F 169 159 $0.00
3011F 89 82 $0.00
1036F 13 12 $0.00