NP / PA
Mark L Eldore MD PLLC
Mark L Eldore MD PLLC was paid $158K by Medicaid between Jan 2018 and Oct 2024, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoMARK L ELDORE MD PLLC
ATHENS, TX 75752
ATHENS, TX 75752
33aNPI1831107028assigned 08/03/2006
33bProvider typeFamily Nurse Practitioner
28Total paid$158K
24GClaims6,082
24DCodes billed13
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Texas
Rank by total paid#61 of 344
Median peer was paid$14K
This provider vs. median11×
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 | 122 | $4K | |
| 2019 | 38 | $1K | |
| 2020 | 831 | $27K | |
| 2021 | 1,619 | $42K | |
| 2022 | 1,777 | $46K | |
| 2023 | 1,469 | $32K | |
| 2024incomplete | 226 | $6K |
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 | 37% | 2,103 | 1,839 | $58K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 17% | 490 | 438 | $27K |
| 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 | 16% | 681 | 593 | $26K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 13% | 866 | 707 | $20K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 12% | 866 | 707 | $20K |
| 76801 | 1.6% | 67 | 67 | $3K | |
| 87210 | 1.4% | 602 | 494 | $2K | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 113 | 77 | $1K |
| 81025 | <1% | 151 | 129 | $934.19 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 66 | 37 | $300.38 |
| 99000 | <1% | 32 | 27 | $215.54 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 14 | 12 | $174.12 |
1 more codes
| 81003 | <1% | 31 | $43.47 |
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 officialELDORE, MARK (OWNER)