Clinic
Lone Star Community Health Center, INC.
Lone Star Community Health Center, INC. was paid $1.98M by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 96% of everything it billed.
33Billing provider infoLONE STAR COMMUNITY HEALTH CENTER, INC.
WILLIS, TX 77318
WILLIS, TX 77318
33aNPI1013380708assigned 11/04/2015
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$1.98M
24GClaims19,521
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Texas
Rank by total paid#89 of 248
Median peer was paid$796K
This provider vs. median2.5×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official HARWELL, KAREN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,657 | $173K | |
| 2019 | 1,213 | $140K | |
| 2020 | 984 | $77K | |
| 2021 | 4,221 | $358K | |
| 2022 | 4,500 | $443K | |
| 2023 | 3,129 | $303K | |
| 2024incomplete | 3,817 | $489K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 96% | 9,630 | 8,905 | $1.91M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.0% | 3,559 | 3,350 | $40K |
| G0467 | Community health center visit, returning patientFederally 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 time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | <1% | 305 | 285 | $10K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 348 | 332 | $9K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 370 | 368 | $7K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 336 | 335 | $5K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 72 | 72 | $1K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 12 | 12 | $788.52 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 103 | 101 | $226.15 |
| 81025 | <1% | 277 | 272 | $145.23 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 19 | 18 | $60.00 |
| 96160 | <1% | 150 | 150 | $43.60 |
16 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 87 | $24.00 |
| 90686 | <1% | 627 | $18.46 | |
| 81002 | <1% | 56 | $17.52 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 32 | $12.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 14 | $8.14 |
| 90651 | <1% | 62 | $0.01 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 847 | $0.00 |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 15 | $0.00 |
| 3078F | 0% | 56 | $0.00 | |
| 90710 | 0% | 12 | $0.00 | |
| 90715 | 0% | 24 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 1,883 | $0.00 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 346 | $0.00 |
| 90656 | 0% | 86 | $0.00 | |
| 3074F | 0% | 96 | $0.00 | |
| 3008F | 0% | 97 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialHARWELL, KAREN (CHIEF EXECUTIVE OFFICER)
Parent organizationLONE STAR COMMUNITY HEALTH CENTER, INC.
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.