Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

LONE STAR COMMUNITY HEALTH CENTER, INC.

NPI: 1013380708 · WILLIS, TX 77318 · Federally Qualified Health Center (FQHC) · NPI assigned 11/04/2015

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official HARWELL, KAREN controls 20+ related entities in our dataset. Read more

$1.98M
Total Medicaid Paid
19,521
Total Claims
18,133
Beneficiaries
28
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHARWELL, KAREN (CHIEF EXECUTIVE OFFICER)
Parent OrganizationLONE STAR COMMUNITY HEALTH CENTER, INC.
NPI Enumeration Date11/04/2015

Related Entities

Other providers sharing the same authorized official: HARWELL, KAREN

ProviderCityStateTotal Paid
LONE STAR COMMUNITY HEALTH CENTER, INC. CONROE TX $31.01M
APOGEE MEDICAL GROUP, DELAWARE, INC DOVER DE $7.94M
APOGEE MEDICAL GROUP OHIO INC CHILLICOTHE OH $4.30M
APOGEE MEDICAL GROUP, MICHIGAN, PC SCOTTSDALE AZ $2.60M
APOGEE MEDICAL GROUP NEW MEXICO INC SCOTTSDALE AZ $2.52M
APOGEE MEDICAL GROUP VIRGINIA, PC SCOTTSDALE AZ $2.14M
APOGEE MEDICAL GROUP NORTH CAROLINA SCOTTSDALE AZ $2.10M
APOGEE MEDICAL GROUP KENTUCKY PSC CORBIN KY $1.88M
APOGEE MEDICAL GROUP, NEW YORK, PC SCOTTSDALE AZ $1.55M
APOGEE MEDICAL GROUP INDIANA PC GOSHEN IN $1.43M
LONE STAR COMMUNITY HEALTH CENTER, INC. SPRING TX $1.25M
APOGEE MEDICAL GROUP GEORGIA CARROLLTON GA $1.23M
APOGEE MEDICAL GROUP, LOUISIANA, INC. SCOTTSDALE AZ $1.07M
LONE STAR COMMUNITY HEALTH CENTER, INC. HUNTSVILLE TX $643K
APOGEE MEDICAL GROUP INC SCOTTSDALE AZ $383K
APOGEE MEDICAL GROUP IOWA PC SCOTTSDALE AZ $362K
APOGEE MEDICAL GROUP MAINE PC BANGOR ME $255K
LONE STAR COMMUNITY HEALTH CENTER, INC. CONROE TX $229K
APOGEE MEDICAL GROUP PC ASTORIA OR $165K
APOGEE MEDICAL GROUP OF NEW JERSEY PA SCOTTSDALE AZ $161K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,657 $173K
2019 1,213 $140K
2020 984 $77K
2021 4,221 $358K
2022 4,500 $443K
2023 3,129 $303K
2024 3,817 $489K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 9,630 8,905 $1.91M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,559 3,350 $40K
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 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 305 285 $10K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 348 332 $9K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 370 368 $7K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 336 335 $5K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 72 72 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 12 12 $788.52
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 103 101 $226.15
81025 277 272 $145.23
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 19 18 $60.00
96160 150 150 $43.60
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 87 86 $24.00
90686 627 621 $18.46
81002 56 41 $17.52
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 32 32 $12.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 14 14 $8.14
90651 62 61 $0.01
90472 Immunization administration, each additional vaccine (list separately) 847 497 $0.00
J1050 Injection, medroxyprogesterone acetate, 1 mg 15 15 $0.00
3078F 56 54 $0.00
90710 12 12 $0.00
90715 24 24 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,883 1,856 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 346 345 $0.00
90656 86 86 $0.00
3074F 96 94 $0.00
3008F 97 95 $0.00