Physician
East Texas Family Healthcare, PLLC
East Texas Family Healthcare, PLLC was paid $244K by Medicaid between Feb 2018 and Dec 2024, across 45 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 17% of everything it billed.
33Billing provider infoEAST TEXAS FAMILY HEALTHCARE, PLLC
JASPER, TX 75951
JASPER, TX 75951
33aNPI1770754335assigned 03/21/2008
33bProvider typeFamily Medicine Physician
28Total paid$244K
24GClaims12,295
24DCodes billed45
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Texas
Rank by total paid#268 of 1,204
Median peer was paid$31K
This provider vs. median7.9×
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 | |
|---|---|---|---|
| 2018 | 345 | $533.77 | |
| 2019 | 111 | $1K | |
| 2020 | 300 | $1K | |
| 2021 | 116 | $378.12 | |
| 2022 | 62 | $96.20 | |
| 2023 | 5,446 | $115K | |
| 2024incomplete | 5,915 | $126K |
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 | 17% | 1,532 | 1,311 | $41K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 14% | 399 | 387 | $34K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 14% | 445 | 435 | $34K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 13% | 381 | 374 | $31K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 360 | 346 | $27K |
| 87631 | 9.8% | 328 | 304 | $24K | |
| 87428 | 6.3% | 626 | 599 | $16K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.5% | 716 | 702 | $9K |
| 99443 | 2.6% | 163 | 140 | $6K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.3% | 494 | 479 | $6K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.8% | 397 | 389 | $4K |
| 99000 | 1.3% | 436 | 402 | $3K |
33 more codes
| 99214 | Doctor's office visit, returning patient (more involved) | 1.1% | 162 | $3K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 369 | $2K |
| T1015 | A visit at a community health center or clinic (one all-in rate) | <1% | 15 | $1K |
| 87807 | <1% | 84 | $838.20 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 109 | $716.49 |
| 97803 | <1% | 1,147 | $707.70 | |
| 96160 | <1% | 554 | $632.15 | |
| 81003 | <1% | 188 | $276.07 | |
| 81025 | <1% | 25 | $146.79 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 13 | $144.49 |
| 90473 | <1% | 103 | $108.64 | |
| 99490 | Ccm add 20min | <1% | 119 | $96.20 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 255 | $88.60 |
| 90656 | <1% | 12 | $17.48 | |
| 90677 | <1% | 132 | $0.89 | |
| 90697 | <1% | 42 | $0.07 | |
| 90619 | <1% | 42 | $0.04 | |
| 90632 | <1% | 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 | 0% | 63 | $0.00 |
| 90710 | 0% | 25 | $0.00 | |
| 90670 | 0% | 38 | $0.00 | |
| 81002 | 0% | 15 | $0.00 | |
| 0013A | 0% | 15 | $0.00 | |
| 90633 | 0% | 32 | $0.00 | |
| 90715 | 0% | 32 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 467 | $0.00 |
| 96161 | 0% | 519 | $0.00 | |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 1,182 | $0.00 |
| 90680 | 0% | 104 | $0.00 | |
| 36416 | 0% | 99 | $0.00 | |
| 90732 | 0% | 14 | $0.00 | |
| 0012A | 0% | 13 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 15 | $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 | Kirbyville, TX | $413K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.