Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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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
33aNPI1831107028assigned 08/03/2006
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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
2018122$4K
201938$1K
2020831$27K
20211,619$42K
20221,777$46K
20231,469$32K
2024incomplete226$6K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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)