Providers
RACHEL MCCLOSKEY, NP
NPI 1720581929, individual, Texas City, TX, Nurse Practitioner, Gerontology
5
Evidence tier
informational
score 29 of 100, rank 11960, $4K at stake
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | RACHEL MCCLOSKEY, NP (also RACHEL JONES) |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | March 14, 2018, last updated April 2, 2026 |
| Practice location | 6807 EMMETT F LOWRY EXPY STE 108, Texas City, TX 77591-2547, 409-945-5444 |
| Specialties | Nurse Practitioner, Gerontology (363LG0600X, primary, license AP136723 TX) Nurse Practitioner, Adult Health (363LA2200X, license AP136723 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 | |
|---|---|---|---|---|---|---|---|
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | $4K | 73% | $10 | $30 (top 5% from $134) | 15th percentile | |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $1K | 27% | $5.84 | $21 (top 5% from $84) | 10th percentile |
In this area
7 providers in Galveston County, TX carry an indicator in the public record, with $2.6M at stake between them. The most common is paid after a public list action, on 2 of them, followed by part of a provider network on 2. 2 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | JANIS FOWLER-GULDE Hitchcock, TX, ranked 372 | $2K |
|
| 1 | VITAVIA TELEMEDICINE PLLC League City, TX, ranked 411 | $562 |
|
| 3 | DEMPSEY SPEARS Texas City, TX, ranked 1572 | $7K |
|
| 3 | INTEGRITY HOSPICE LLC League City, TX, ranked 2081 | $0 |
|
| 3 | RJ MERIDIAN CARE OF GALVESTON,LLC Galveston, TX, ranked 2316 | $0 |
|
| 4 | MAHALAKSHMI RAMCHANDRA Dickinson, TX, ranked 7622 | $2.5M |
|
| 5 | SYED ZAIDI Friendswood, TX, ranked 11552 | $141K |
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.