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 Texas for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Texas 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. Texas (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.

Tejas Next Health (NPI 1528585577)

Field	Value
Entity Type	Organization
Organization	Tejas Next Health
Address	1009 N Georgetown St
City	Round Rock
State	TX
ZIP	78664
Taxonomy	General Practice Physician
NPI Enumerated	August 29, 2017

Payer Source	Total Paid
Medicaid	$15M
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1017	Targeted case management, each 15 minutes	20,100	$750	$15M
1101F	No Summary found for this code	19,980	$0	$0
97750	The provider evaluates the patient’s physical performance, such as the musculoskeletal and functional capacity of the patient, through tests and activities of daily living. The provider assesses the…	20,070	$0	$0
98960	A nonphysician qualified healthcare professional uses a standard curriculum to educate a patient about their disease or disorder and how to manage it more effectively. This code represents each 30…	6,140	$0	$0
T1016	Case management, each 15 minutes	51,500	$0	$0
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	210	$0	$0
T2023	Targeted case management; per month	3,700	$0	$0

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Texas Distribution

Tejas Next Health — 0 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. Texas median

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1017	Targeted case management, each 15 minutes	50	220	4,700	$90	$1.4M
T1016	Case management, each 15 minutes	2	20	940	$60	$1.2M
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	3	10	30	$120	$13.9K
98960	A nonphysician qualified healthcare professional uses a standard curriculum to educate a patient about their disease or disorder and how to manage it more effectively. This code represents each 30…	5	50	130	$1	$10.1K
97750	The provider evaluates the patient’s physical performance, such as the musculoskeletal and functional capacity of the patient, through tests and activities of daily living. The provider assesses the…	1	20	70	$1	$4.4K
1101F	No Summary found for this code	1	160	90	$0	$0
T2023	Targeted case management; per month	1	10	3,700	$0	$0

Nearby Providers

Other providers in the same ZIP code as Tejas Next Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Curative Labs Inc.	TX	Clinical Medical Laboratory	$0	$20.2M
Lone Star Circle Of Care	TX	Federally Qualified Health Center (FQHC)	$0	$18M
Bluebonnet Trails Community Mhmr Center	TX	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$16.1M
Round Rock Surgery Center LLC	TX	Ambulatory Surgical Clinic/Center	$6.6M	$1.9K
Quick Labs Texas LLC	TX	Clinical Medical Laboratory	$1.5M	$1.5K
Ara/st. David's Imaging, LP	TX	Radiology Clinic/Center	$1.2M	$8.8K
Michael Cosimeno	TX	Podiatrist	$130.4K	$0
Anthony Henry	TX	Allergy & Immunology Physician	$73.5K	$0
John Eckford	TX	Surgery Physician	$31.1K	$0

Tejas Next Health — Billing Profile & Reimbursement Data

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Tejas Next Health — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References