Clinic
Gulf Coast Health Center INC
Gulf Coast Health Center INC was paid $8.34M by Medicaid between Jan 2018 and Dec 2024, across 49 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 82% of everything it billed.
33Billing provider infoGULF COAST HEALTH CENTER INC
PORT ARTHUR, TX 77640
PORT ARTHUR, TX 77640
33aNPI1912904897assigned 07/07/2005
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$8.34M
24GClaims89,674
24DCodes billed49
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Texas
Rank by total paid#32 of 248
Median peer was paid$796K
This provider vs. median10×
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 | 763 | $138K | |
| 2019 | 653 | $112K | |
| 2020 | 4,144 | $432K | |
| 2021 | 18,911 | $1.71M | |
| 2022 | 24,945 | $2.28M | |
| 2023 | 24,658 | $2.09M | |
| 2024incomplete | 15,600 | $1.57M |
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 | 82% | 44,840 | 37,170 | $6.81M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 25,684 | 22,086 | $1.00M |
| 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 | 3.2% | 6,925 | 6,302 | $265K |
| D0999 | Unspecified diagnostic procedure, by report | 1.4% | 682 | 623 | $115K |
| 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% | 1,966 | 1,744 | $63K |
| 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% | 715 | 692 | $22K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 483 | 437 | $19K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 441 | 385 | $8K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 195 | 190 | $6K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 237 | 211 | $6K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 850 | 826 | $5K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 102 | 96 | $4K |
37 more codes
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,058 | $4K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 120 | $3K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 78 | $2K |
| 97169 | <1% | 94 | $2K | |
| S0620 | Routine ophthalmological examination including refraction; new patient | <1% | 28 | $773.50 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 257 | $450.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,063 | $182.00 |
| V2025 | Deluxe frame | <1% | 12 | $98.45 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 12 | $83.04 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 13 | $52.90 |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 487 | $0.57 |
| D1120 | Dental cleaning, child | 0% | 51 | $0.00 |
| 3077F | 0% | 33 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 199 | $0.00 |
| 1160F | 0% | 354 | $0.00 | |
| 1159F | 0% | 446 | $0.00 | |
| 90734 | 0% | 41 | $0.00 | |
| 81025 | 0% | 127 | $0.00 | |
| 3078F | 0% | 18 | $0.00 | |
| 90710 | 0% | 16 | $0.00 | |
| D1110 | Prophylaxis - adult | 0% | 13 | $0.00 |
| D0603 | 0% | 129 | $0.00 | |
| D1330 | 0% | 155 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 467 | $0.00 |
| 3079F | 0% | 148 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 71 | $0.00 |
| 3080F | 0% | 14 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 138 | $0.00 |
| 1170F | 0% | 237 | $0.00 | |
| 3074F | 0% | 101 | $0.00 | |
| D0120 | Dental checkup, returning patient | 0% | 12 | $0.00 |
| 1126F | 0% | 429 | $0.00 | |
| 3075F | 0% | 50 | $0.00 | |
| 1125F | 0% | 19 | $0.00 | |
| 90686 | 0% | 18 | $0.00 | |
| 90651 | 0% | 33 | $0.00 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 13 | $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 officialTHIGPEN, MARSHA (EXECUTIVE DIRECTOR)