Clinic
East Texas Family Healthcare PLLC
East Texas Family Healthcare PLLC was paid $1.10M by Medicaid between Jan 2020 and Dec 2024, across 11 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.
33Billing provider infoEAST TEXAS FAMILY HEALTHCARE PLLC
NEWTON, TX 75966
NEWTON, TX 75966
33aNPI1972512986assigned 08/07/2006
33bProvider typeRural Health Clinic/Center
28Total paid$1.10M
24GClaims14,890
24DCodes billed11
24AFirst – last monthJan 2020 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Texas
Rank by total paid#64 of 225
Median peer was paid$428K
This provider vs. median2.6×
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 | |
|---|---|---|---|
| 2020 | 940 | $53K | |
| 2021 | 4,838 | $344K | |
| 2022 | 4,855 | $368K | |
| 2023 | 2,536 | $193K | |
| 2024incomplete | 1,721 | $139K |
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 | 99% | 13,571 | 9,648 | $1.08M |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 393 | 297 | $9K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 68 | 54 | $2K |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 65 | 65 | $989.23 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 47 | 44 | $965.69 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 14 | 13 | $87.52 |
| 87428 | <1% | 13 | 13 | $73.49 | |
| 97803 | 0% | 292 | 278 | $0.00 | |
| 96160 | 0% | 38 | 37 | $0.00 | |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 322 | 300 | $0.00 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 67 | 63 | $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 officialRATH, KALYAN (OWNER)
| Provider | Location | Paid |
|---|---|---|
| East Texas Family Healthcare PLLC | Kirbyville, TX | $413K |
| East Texas Family Healthcare, PLLC | Jasper, TX | $244K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.