Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TX › Borger › NPI 1942898846
Clinic

GPCH, LLC

GPCH, LLC was paid $964K by Medicaid between Sep 2021 and Dec 2024, across 20 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 infoGPCH, LLC
BORGER, TX 79007
33aNPI1942898846assigned 01/06/2021
28Total paid$964K
24GClaims15,345
24DCodes billed20
24AFirst – last monthSep 2021 – Dec 2024
Compared with peers

Next to other Rural Health Clinic/Center providers in Texas

Rank by total paid#75 of 225
Median peer was paid$428K
This provider vs. median2.3×

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

$0$50K$100K2018201920202021202220232024
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
2021206$2K
20226,119$217K
20235,860$315K
2024incomplete3,160$429K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 82% 8,704 6,713 $789K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 9.4% 972 927 $90K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 7.3% 816 813 $71K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1.3% 163 162 $12K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 18 18 $1K
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 <1% 13 12 $230.13
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 1,324 1,319 $29.80
90472 Immunization administration, each additional vaccine (list separately) <1% 1,627 987 $0.06
90677 0% 227 226 $0.00
90680 0% 383 381 $0.00
90697 0% 120 120 $0.00
90474 0% 48 48 $0.00
8 more codes
90670 0% 448 $0.00
90633 0% 159 $0.00
90648 0% 73 $0.00
90710 0% 70 $0.00
90700 0% 109 $0.00
90734 0% 12 $0.00
90715 0% 14 $0.00
90713 0% 45 $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 officialBATES, DONALD (CEO)
Same official

Other billing entities under BATES, DONALD

Full network →
ProviderLocationPaid
GPCH, LLCBorger, TX$476K
GPCH, LLCFritch, TX$130K
The Eye Clinic Group L.L.C.Hendersonville, TN$221.59

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.