Providers
ERNESTO MALAVE, M.D.
NPI 1609985852, individual, Killeen, TX, Family Medicine
1
Evidence tier
documented action, then payment
- Listed on the Medicare revocation list since September 10, 2024.
- Medicaid still paid claims in 1 later month, $1,001 in total.
score 93 of 100, rank 393, $1K at stake
Public list actions
Medicare revocation effective September 10, 2024, barred from re-enrolling until September 10, 2034
424.535(a)(9) failure to report and 424.535(a)(3) felonies and 424.535(a)(2) provider or supplier conduct (exclusion), Practitioner - Family Practice, TX
OIG exclusion August 20, 2025 under section 1128a1
Physician (MD, DO), Family Practice, Harker Heights, TX
Paid after the action
Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.
| list | identity check | action date | window closed | months paid after | first | last | paid after | 12 months before |
|---|---|---|---|---|---|---|---|---|
| Medicare revocation list 424.535(a)(9) failure to report and 424.535(a)(3) felonies and 424.535(a)(2) provider or supplier conduct (exclusion) | Exact NPI, name verified | Sep 10, 2024 | Sep 10, 2034 | 1 | Oct 2024 | Oct 2024 | $1K | $20K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | ERNESTO MALAVE, M.D. |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | August 30, 2006, last updated August 28, 2025 |
| Practice location | 2300 CLEAR CREEK RD STE 104, Killeen, TX 76549-4985, 254-432-4028 |
| Mailing address | PO BOX 938, Killeen, TX 76540-0938 |
| Specialties | Family Medicine (207Q00000X, primary, license J7063 TX) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
Medicaid, largest codes
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $76K | 98% | $50 | $60 (top 5% from $133) | 37th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $2K | 2% | $31 | $44 (top 5% from $110) | too few months to rank |
Medicare Part B 2024, largest codes
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 376 | 156 | $25K | $220 | $118 | 1.9x | 2.3x (90th percentile 3.8x) |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 41 | 41 | $5K | $138 | $114 | 1.2x | 2.3x (90th percentile 4.1x) |
A submitted charge many times the allowed amount is common and lawful; it matters when it is far above what other providers submit for the same code.
In this area
5 providers in Bell County, TX carry an indicator in the public record, with $0 at stake between them. The most common is part of a provider network, on 5 of them.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | BAYOU HOMECARE LP Temple, TX, ranked 1547 | $0 |
|
| 3 | HP TEMPLE OPCO, LLC Temple, TX, ranked 3491 | $0 |
|
| 3 | STATE OF TEXAS VETERANS LAND BOARD Temple, TX, ranked 3982 | $0 |
|
| 3 | FIRST ATLANTIC HOMECARE SERVICES CORPORATION Temple, TX, ranked 4106 | $0 |
|
| 3 | NORTHEAST TEXAS HOME HEALTH AGENCY LTD Temple, TX, ranked 5135 | $0 |
|
Recent enforcement in TX
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJCivil settlementAug 26, 2026
Dallas medical clinic to pay $7.5 million to resolve COVID-19 testing overbilling allegations
Aymancare billed the federal government's HRSA Uninsured Program for separate evaluation and management services in addition to COVID-19 specimen collection and testing at pop-up testing sites when no such separate services were performed.
DOJConvictedAug 12, 2026
Scammer pharmacist guilty in $20 million healthcare kickback scheme
Thomas paid over $2 million in kickbacks to the owner of a Houston clinic in exchange for referrals of DOL-OWCP insured patients prescribed high-reimbursement compounded medications, which his pharmacy then billed to DOL-OWCP, receiving more than $20 million in reimbursements.
DOJIndictedJun 24, 2026
U.S. Attorney Announces Major Health Care Fraud Cases in Western District of Texas
Charles is alleged to have received illegal kickbacks for referring patients to San Antonio area hospice companies, causing over $9 million in Medicare claims, while Dr. Duncan settled allegations of billing Medicare and TRICARE for an unapproved amniotic-based product and Trevor's Place settled allegations of submitting inflated TRICARE claims for services not provided.
DOJIndictedJun 23, 2026
Nine charged in SDTX as part of national health care fraud takedown
Nine defendants were indicted in the Southern District of Texas for operating pill mill clinics and a pharmacy that unlawfully distributed controlled substances, billing Medicaid $16 million for mental health services for minors that did not occur, and billing Medicare and TRICARE approximately $906 million for medically unnecessary amniotic wound allografts procured through kickbacks.
DOJChargedJun 23, 2026
Northern District of Texas Charges 13 Health Care Fraudsters for Loss Over $360 Million
Thirteen defendants in the Northern District of Texas were charged in seven cases involving more than $365 million in fraudulent billing to federally-funded programs and other insurers, including laboratory and genetic testing claims procured through kickbacks, transcranial magnetic stimulation treatments billed to TRICARE, medically unnecessary EEG testing, and hospice services never provided.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.