Medicaid Provider Spending

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

EAST TEXAS FAMILY HEALTHCARE, PLLC

NPI: 1770754335 · JASPER, TX 75951 · Family Medicine Physician · NPI assigned 03/21/2008

$244K
Total Medicaid Paid
12,295
Total Claims
11,684
Beneficiaries
45
Codes Billed
2018-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRATH, KALYAN (OWNER)
NPI Enumeration Date03/21/2008

Related Entities

Other providers sharing the same authorized official: RATH, KALYAN

ProviderCityStateTotal Paid
EAST TEXAS FAMILY HEALTHCARE PLLC NEWTON TX $1.10M
EAST TEXAS FAMILY HEALTHCARE PLLC KIRBYVILLE TX $413K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 345 $533.77
2019 111 $1K
2020 300 $1K
2021 116 $378.12
2022 62 $96.20
2023 5,446 $115K
2024 5,915 $126K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,532 1,311 $41K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 399 387 $34K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 445 435 $34K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 381 374 $31K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 360 346 $27K
87631 328 304 $24K
87428 626 599 $16K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 716 702 $9K
99443 163 140 $6K
90472 Immunization administration, each additional vaccine (list separately) 494 479 $6K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 397 389 $4K
99000 436 402 $3K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 162 139 $3K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 369 349 $2K
T1015 Clinic visit/encounter, all-inclusive 15 15 $1K
87807 84 81 $838.20
96110 Developmental screening, with scoring and documentation, per standardized instrument 109 104 $716.49
97803 1,147 1,118 $707.70
96160 554 540 $632.15
81003 188 176 $276.07
81025 25 24 $146.79
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 13 13 $144.49
90473 103 103 $108.64
99490 Ccm add 20min 119 119 $96.20
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 255 244 $88.60
90656 12 12 $17.48
90677 132 129 $0.89
90697 42 42 $0.07
90619 42 42 $0.04
90632 14 14 $0.03
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 63 63 $0.00
90710 25 25 $0.00
90670 38 38 $0.00
81002 15 12 $0.00
0013A 15 15 $0.00
90633 32 31 $0.00
90715 32 32 $0.00
36415 Collection of venous blood by venipuncture 467 432 $0.00
96161 519 506 $0.00
S9451 Exercise classes, non-physician provider, per session 1,182 1,156 $0.00
90680 104 104 $0.00
36416 99 96 $0.00
90732 14 14 $0.00
0012A 13 13 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 15 15 $0.00