Clinic
East Texas Border Health Clinic
East Texas Border Health Clinic was paid $528K by Medicaid between Jan 2021 and Dec 2024, across 31 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 67% of everything it billed.
33Billing provider infoEAST TEXAS BORDER HEALTH CLINIC
MARSHALL, TX 75670
MARSHALL, TX 75670
33aNPI1780295741assigned 08/13/2020
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$528K
24GClaims12,489
24DCodes billed31
24AFirst – last monthJan 2021 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Texas
Rank by total paid#152 of 248
Median peer was paid$796K
This provider vs. median0.7×
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 | |
|---|---|---|---|
| 2021 | 4,266 | $100K | |
| 2022 | 3,222 | $137K | |
| 2023 | 3,235 | $165K | |
| 2024incomplete | 1,766 | $125K |
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 | 67% | 3,600 | 3,142 | $352K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 2,993 | 2,657 | $120K |
| 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 | 3.7% | 315 | 295 | $20K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.6% | 633 | 568 | $14K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.4% | 1,156 | 520 | $8K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 1.1% | 208 | 194 | $6K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 651 | 588 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 78 | 71 | $3K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 49 | 45 | $2K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 13 | 12 | $504.92 |
| 99406 | <1% | 46 | 42 | $68.34 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 13 | 12 | $56.45 |
19 more codes
| 81003 | <1% | 44 | $32.13 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 782 | $0.00 |
| 3028F | 0% | 282 | $0.00 | |
| 3078F | 0% | 98 | $0.00 | |
| 4145F | 0% | 33 | $0.00 | |
| 3077F | 0% | 96 | $0.00 | |
| 4120F | 0% | 85 | $0.00 | |
| 3074F | 0% | 130 | $0.00 | |
| 3351F | 0% | 140 | $0.00 | |
| 2000F | 0% | 274 | $0.00 | |
| 2010F | 0% | 278 | $0.00 | |
| 3008F | 0% | 260 | $0.00 | |
| 3079F | 0% | 98 | $0.00 | |
| 96127 | 0% | 52 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 13 | $0.00 |
| 3075F | 0% | 17 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 23 | $0.00 |
| 3080F | 0% | 14 | $0.00 | |
| 3011F | 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 officialROADCAP, CARLA (CEO)
Parent organizationEAST TEXAS BORDER HEALTH CLINIC
| 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 | Texarkana, TX | $5.56M |
| 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 | 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.