Physician
East Texas Border Health Clinic
East Texas Border Health Clinic was paid $5.56M by Medicaid between Nov 2020 and Dec 2024, across 56 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 64% of everything it billed.
33Billing provider infoEAST TEXAS BORDER HEALTH CLINIC
TEXARKANA, TX 75503
TEXARKANA, TX 75503
33aNPI1598366718assigned 11/04/2020
33bProvider typeFamily Medicine Physician
28Total paid$5.56M
24GClaims145,135
24DCodes billed56
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Texas
Rank by total paid#15 of 1,204
Median peer was paid$31K
This provider vs. median180×
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 | |
|---|---|---|---|
| 2020 | 8,849 | $8K | |
| 2021 | 34,131 | $820K | |
| 2022 | 33,023 | $1.42M | |
| 2023 | 36,302 | $1.74M | |
| 2024incomplete | 32,830 | $1.57M |
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 | 64% | 34,452 | 29,360 | $3.58M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 18,833 | 16,577 | $676K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.5% | 5,438 | 5,156 | $363K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.8% | 5,119 | 4,844 | $325K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.1% | 2,530 | 2,429 | $171K |
| 99381 | 1.9% | 1,318 | 1,252 | $106K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.4% | 3,441 | 3,299 | $80K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.4% | 2,713 | 2,452 | $77K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 629 | 612 | $45K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 6,538 | 3,122 | $44K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 8,274 | 7,727 | $32K |
| 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 | <1% | 499 | 477 | $24K |
44 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,366 | $17K |
| 87807 | <1% | 1,455 | $9K | |
| 88720 | <1% | 1,283 | $3K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 39 | $2K |
| 99383 | <1% | 34 | $2K | |
| 92552 | <1% | 1,022 | $490.28 | |
| 90619 | <1% | 46 | $381.92 | |
| 81003 | <1% | 396 | $378.88 | |
| 97803 | <1% | 739 | $104.40 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,849 | $38.25 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 5,889 | $14.17 |
| 96160 | <1% | 33 | $13.52 | |
| 90461 | <1% | 1,324 | $0.77 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 4,569 | $0.17 |
| 96161 | <1% | 15 | $0.09 | |
| 90474 | <1% | 1,303 | $0.06 | |
| 90670 | <1% | 2,913 | $0.01 | |
| 90715 | 0% | 153 | $0.00 | |
| 90681 | 0% | 1,814 | $0.00 | |
| 99173 | 0% | 1,105 | $0.00 | |
| 90710 | 0% | 1,748 | $0.00 | |
| 4120F | 0% | 3,591 | $0.00 | |
| 90633 | 0% | 1,924 | $0.00 | |
| 90700 | 0% | 510 | $0.00 | |
| 3028F | 0% | 2,450 | $0.00 | |
| 90648 | 0% | 1,443 | $0.00 | |
| 4124F | 0% | 1,164 | $0.00 | |
| 3210F | 0% | 16 | $0.00 | |
| 90734 | 0% | 124 | $0.00 | |
| 90473 | 0% | 18 | $0.00 | |
| 90723 | 0% | 941 | $0.00 | |
| 3008F | 0% | 3,667 | $0.00 | |
| 90698 | 0% | 837 | $0.00 | |
| 90696 | 0% | 531 | $0.00 | |
| 90697 | 0% | 1,448 | $0.00 | |
| 2010F | 0% | 3,001 | $0.00 | |
| 90686 | 0% | 303 | $0.00 | |
| 90677 | 0% | 1,179 | $0.00 | |
| 90651 | 0% | 159 | $0.00 | |
| 2000F | 0% | 1,810 | $0.00 | |
| 96127 | 0% | 29 | $0.00 | |
| 97802 | 0% | 42 | $0.00 | |
| 4140F | 0% | 20 | $0.00 | |
| 36416 | 0% | 49 | $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 | Marshall, TX | $2.59M |
| East Texas Border Health Clinic | Texarkana, AR | $2.44M |
| East Texas Border Health Clinic | Marshall, TX | $1.57M |
| 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.