Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Arkansas for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Arkansas only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Arkansas (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

East Texas Border Health Clinic (NPI 1093186249)

East Texas Border Health Clinic is a federally qualified health center (fqhc) provider located in Texarkana, Arkansas. This profile covers 0 Medicare and 35 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	East Texas Border Health Clinic
Address	1205 E 35th St
City	Texarkana
State	AR
ZIP	71854
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	October 14, 2015

Payer Source	Total Paid
Medicaid	$2.4M
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

35 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	13,410	$170	$2.3M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	5,960	$20	$95.3K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	550	$20	$10.4K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	340	$30	$9.9K
G0467	Federally 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…	530	$20	$8.4K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	130	$20	$2.9K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	290	$10	$1.7K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	70	$1	$280
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	140	$1	$280
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	40	$10	$200

Showing 1–10 of 35

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Arkansas providers billing the same CPT/HCPCS codes.

Claims Volume vs. Arkansas Distribution

East Texas Border Health Clinic — 0 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arkansas

Full comparison — all codes billed, vs. Arkansas median

35 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	181	530	4,960	$70	$2.6M
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	245	430	760	$80	$675.9K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	764	1,520	550	$40	$128.7K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	168	230	480	$60	$94.8K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	79	170	300	$100	$94.6K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	191	1,740	550	$30	$88.8K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	165	230	470	$40	$67.2K
G0467	Federally 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…	65	120	740	$20	$29K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	231	360	240	$30	$27.7K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	370	460	80	$40	$18.2K

Showing 1–10 of 35

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
East Texas Border Health Clinic	TX	Federally Qualified Health Center (FQHC)	$0	$10.9M
East Texas Border Health Clinic	AR	Federally Qualified Health Center (FQHC)	$0	$7.4M
Phillip Glasgow	AR	Family Medicine Physician	$267.9K	$0
Jared Anderson	TX	Pain Medicine (Anesthesiology) Physician	$132.5K	$0
Laura Wagner	TX	Family Nurse Practitioner	$34.9K	$0
Jennifer Shipp	TX	Family Nurse Practitioner	$5.7K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southwest Arkansas Counseling And Mental Health Center, Inc	AR	Community/Behavioral Health Agency	$0	$15.5M
Special Health Resources For Texas, Inc.	AR	Federally Qualified Health Center (FQHC)	$0	$3.9M
Home Delivery Incontinent Supplies Co Inc	AR	Durable Medical Equipment & Medical Supplies	$0	$3.9M
Dierksen Of Texarkana Arkansas LLC	AR	Community Based Hospice Care Agency	$0	$3.2M
Smiles Of Arkansas Dental Center, PLLC	AR	General Practice Dentistry	$0	$2.9M
Texarkana Resources For The Disabled, Inc.	AR	Developmentally Disabled Services Day Training Agency	$0	$2.7M
Southern Caregivers Of Texarkana, LLC	AR	In Home Supportive Care Agency	$0	$2.2M
University Of Arkansas For Medical Sciences	AR	Family Medicine Physician	$0	$1.5M
Kanayo Okeke-eweni	AR	Family Medicine Physician	$279K	$0
Daniel Tucker	AR	Family Medicine Physician	$276.2K	$0

East Texas Border Health Clinic — Billing Profile & Reimbursement Data

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East Texas Border Health Clinic — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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