Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

EAST TEXAS FAMILY HEALTHCARE PLLC

NPI: 1972512986 · NEWTON, TX 75966 · Rural Health Clinic/Center · NPI assigned 08/07/2006

$1.10M
Total Medicaid Paid
14,890
Total Claims
10,812
Beneficiaries
11
Codes Billed
2020-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRATH, KALYAN (OWNER)
NPI Enumeration Date08/07/2006

Related Entities

Other providers sharing the same authorized official: RATH, KALYAN

ProviderCityStateTotal Paid
EAST TEXAS FAMILY HEALTHCARE PLLC KIRBYVILLE TX $413K
EAST TEXAS FAMILY HEALTHCARE, PLLC JASPER TX $244K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 940 $53K
2021 4,838 $344K
2022 4,855 $368K
2023 2,536 $193K
2024 1,721 $139K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 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 393 297 $9K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 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 65 65 $989.23
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 47 44 $965.69
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 14 13 $87.52
87428 13 13 $73.49
97803 292 278 $0.00
96160 38 37 $0.00
S9451 Exercise classes, non-physician provider, per session 322 300 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 67 63 $0.00