Clinic
East Texas Border Health Clinic
East Texas Border Health Clinic was paid $207K by Medicaid between Oct 2018 and Oct 2021, across 30 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 78% of everything it billed.
33Billing provider infoEAST TEXAS BORDER HEALTH CLINIC
MARSHALL, TX 75670
MARSHALL, TX 75670
33aNPI1811485055assigned 04/24/2018
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$207K
24GClaims7,919
24DCodes billed30
24AFirst – last monthOct 2018 – Oct 2021
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Texas
Rank by total paid#182 of 248
Median peer was paid$796K
This provider vs. median0.3×
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 | 17 | $3K | |
| 2019 | 36 | $6K | |
| 2020 | 2,691 | $71K | |
| 2021 | 5,175 | $128K |
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 | 78% | 1,236 | 971 | $162K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 766 | 658 | $38K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.8% | 85 | 71 | $4K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | 12 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 141 | 138 | $832.60 |
| 81025 | <1% | 238 | 233 | $578.64 | |
| 81003 | <1% | 344 | 239 | $250.61 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 129 | 126 | $180.38 |
| 1159F | 0% | 163 | 149 | $0.00 | |
| 3028F | 0% | 360 | 305 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 538 | 459 | $0.00 |
| 3078F | 0% | 343 | 301 | $0.00 |
18 more codes
| 0502F | 0% | 329 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 15 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 19 | $0.00 |
| 2001F | 0% | 248 | $0.00 | |
| 2010F | 0% | 447 | $0.00 | |
| 3079F | 0% | 67 | $0.00 | |
| 3074F | 0% | 416 | $0.00 | |
| 3351F | 0% | 328 | $0.00 | |
| 3008F | 0% | 597 | $0.00 | |
| 2000F | 0% | 630 | $0.00 | |
| 3292F | 0% | 16 | $0.00 | |
| 0501F | 0% | 130 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 79 | $0.00 |
| 96127 | 0% | 173 | $0.00 | |
| 3353F | 0% | 13 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 16 | $0.00 |
| 3044F | 0% | 18 | $0.00 | |
| 3075F | 0% | 23 | $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 officialENGEL, TRACEY (ENROLLMENT SPECIALIST)