Clinic
East Texas Family Healthcare PLLC
East Texas Family Healthcare PLLC was paid $413K by Medicaid between Oct 2019 and Dec 2024, across 6 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.
33Billing provider infoEAST TEXAS FAMILY HEALTHCARE PLLC
KIRBYVILLE, TX 75956
KIRBYVILLE, TX 75956
33aNPI1629087630assigned 08/07/2006
33bProvider typeRural Health Clinic/Center
28Total paid$413K
24GClaims5,139
24DCodes billed6
24AFirst – last monthOct 2019 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Texas
Rank by total paid#116 of 225
Median peer was paid$428K
This provider vs. median1.0×
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.
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 | |
|---|---|---|---|
| 2019 | 56 | $0.00 | |
| 2020 | 305 | $16K | |
| 2021 | 1,322 | $98K | |
| 2022 | 1,470 | $125K | |
| 2023 | 873 | $70K | |
| 2024incomplete | 1,113 | $103K |
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 | 99% | 4,750 | 3,670 | $408K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 58 | 52 | $4K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 88 | 64 | $967.98 |
| 87428 | <1% | 21 | 18 | $529.85 | |
| 97803 | <1% | 103 | 80 | $183.75 | |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 119 | 94 | $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 officialRATH, KALYAN (OWNER)
| Provider | Location | Paid |
|---|---|---|
| East Texas Family Healthcare PLLC | Newton, TX | $1.10M |
| East Texas Family Healthcare, PLLC | Jasper, TX | $244K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.