Physician
Texomacare
Texomacare was paid $5.95M by Medicaid between Jan 2018 and Dec 2024, across 86 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 26% of everything it billed.
33Billing provider infoTEXOMACARE
DENISON, TX 75020
DENISON, TX 75020
33aNPI1740233592assigned 05/19/2006
33bProvider typeInternal Medicine Physician
28Total paid$5.95M
24GClaims179,952
24DCodes billed86
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Texas
Rank by total paid#8 of 1,028
Median peer was paid$10K
This provider vs. median572×
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 | 1,439 | $54K | |
| 2019 | 711 | $41K | |
| 2020 | 9,687 | $225K | |
| 2021 | 55,311 | $1.58M | |
| 2022 | 58,413 | $1.99M | |
| 2023 | 47,239 | $1.70M | |
| 2024incomplete | 7,152 | $366K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 31,027 | 27,774 | $1.55M |
| 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 | 15% | 13,349 | 12,488 | $869K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.9% | 5,854 | 5,799 | $472K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.2% | 5,466 | 5,099 | $427K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.5% | 31,593 | 13,711 | $325K |
| 99223 | Prolong inpt eval add15 m | 5.2% | 2,914 | 2,791 | $310K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 5.0% | 558 | 547 | $295K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.3% | 8,521 | 7,531 | $256K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.1% | 2,826 | 2,798 | $242K |
| 59514 | 3.3% | 348 | 323 | $198K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.0% | 8,711 | 8,366 | $121K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.6% | 1,028 | 1,005 | $94K |
74 more codes
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.5% | 2,049 | $90K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 1.2% | 677 | $69K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.0% | 2,721 | $60K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 879 | $52K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 536 | $47K |
| 90461 | <1% | 7,115 | $42K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 4,914 | $41K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 328 | $37K |
| 59430 | <1% | 378 | $35K | |
| 87428 | <1% | 668 | $35K | |
| 76801 | <1% | 403 | $35K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 485 | $28K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 430 | $25K |
| 81002 | <1% | 8,754 | $25K | |
| 87081 | <1% | 3,333 | $19K | |
| 99234 | <1% | 178 | $17K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 412 | $16K |
| 87807 | <1% | 1,412 | $16K | |
| 99460 | <1% | 197 | $15K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 237 | $9K |
| 76818 | <1% | 99 | $8K | |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 63 | $7K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 85 | $7K |
| 83655 | <1% | 638 | $7K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 676 | $4K |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 62 | $4K |
| 92567 | <1% | 312 | $4K | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 228 | $3K |
| 92587 | <1% | 1,739 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 302 | $3K |
| 81025 | <1% | 397 | $3K | |
| 99381 | <1% | 40 | $3K | |
| 99000 | <1% | 280 | $3K | |
| 90715 | <1% | 104 | $2K | |
| 0001A | <1% | 57 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 20 | $2K |
| 83789 | <1% | 84 | $2K | |
| 80053 | Comprehensive metabolic panel | <1% | 232 | $2K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 199 | $1K |
| 99307 | <1% | 60 | $1K | |
| 0072A | <1% | 32 | $1K | |
| 92551 | <1% | 256 | $1K | |
| 0071A | <1% | 29 | $1K | |
| 82950 | <1% | 303 | $1K | |
| 0002A | <1% | 24 | $964.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 44 | $698.84 |
| 90473 | <1% | 61 | $691.57 | |
| 81003 | <1% | 348 | $556.83 | |
| 84439 | <1% | 66 | $430.69 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 32 | $298.70 |
| 90686 | <1% | 3,685 | $188.38 | |
| 80061 | Lipid panel | <1% | 25 | $130.21 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 637 | $126.00 |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,700 | $57.19 |
| 85018 | <1% | 46 | $43.69 | |
| 94760 | <1% | 40 | $16.99 | |
| 99173 | <1% | 1,987 | $12.49 | |
| 36416 | <1% | 1,568 | $10.68 | |
| 90671 | <1% | 312 | $1.31 | |
| 90619 | <1% | 31 | $0.10 | |
| 90734 | <1% | 63 | $0.01 | |
| 90672 | <1% | 174 | $0.01 | |
| 90680 | 0% | 2,330 | $0.00 | |
| 90696 | 0% | 141 | $0.00 | |
| 90723 | 0% | 2,636 | $0.00 | |
| 90647 | 0% | 2,789 | $0.00 | |
| S3620 | Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) | 0% | 58 | $0.00 |
| 90716 | 0% | 13 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 27 | $0.00 |
| 90651 | 0% | 17 | $0.00 | |
| 90670 | 0% | 3,670 | $0.00 | |
| 90700 | 0% | 183 | $0.00 | |
| 90633 | 0% | 1,523 | $0.00 | |
| 90710 | 0% | 1,124 | $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 officialEVANS, TODD (VP)
| Provider | Location | Paid |
|---|---|---|
| Mcallen Hospitalist Group, PLLC | Edinburg, TX | $7.40M |
| 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 |
| Texomacare Specialty Physicians | Denison, TX | $644K |
| 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.