COMMUNITY HEALTH CENTERS OF SOUTH CENTRAL TEXAS INC.

NPI: 1063894855 · LOCKHART, TX 78644 · Federally Qualified Health Center (FQHC) · NPI assigned 06/29/2015

$708K

Total Medicaid Paid

4,004

Total Claims

3,332

Beneficiaries

Codes Billed

2019-10

First Month

2024-09

Last Month

Provider Details

Authorized Official	DE LA PAZ, RAFAEL (CEO)
Parent Organization	COMMUNITY HEALTH CENTERS OF SOUTH CENTRAL TEXAS INC.
NPI Enumeration Date	06/29/2015

Other providers sharing the same authorized official: DE LA PAZ, RAFAEL

Provider	City	State	Total Paid
COMMUNITY HEALTH CENTERS OF SOUTH CENTRAL TEXAS, INC.	GONZALES	TX	$8.05M
COMMUNITY HEALTH CENTERS OF SOUTH CENTRAL TEXAS INC	VICTORIA	TX	$1.65M
COMMUNITY HEALTH CENTERS OF SOUTH CENTRAL TEXAS INC.	ELGIN	TX	$1.37M
COMMUNITY HEALTH CENTERS OF SOUTH CENTRAL TEXAS INC	SEGUIN	TX	$1.22M
COMMUNITY HEALTH CENTERS OF SOUTH CENTRAL TEXAS, INC	LULING	TX	$789K
COMMUNITY HEALTH CENTERS OF SOUTH CENTRAL TEXAS INC.	BASTROP	TX	$583K
COMMUNITY HEALTH CENTERS OF SOUTH CENTRAL TEXAS, INC.	BASTROP	TX	$125K

Code	Description	Claims	Beneficiaries	Total Paid
T1015	Clinic visit/encounter, all-inclusive	2,405	1,949	$602K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1,117	946	$93K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	251	231	$7K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	41	39	$5K
90460	Immunization administration through 18 years of age via any route, first or only component	24	12	$13.75
36415	Collection of venous blood by venipuncture	80	76	$2.00
99000		61	55	$0.00
90686		25	24	$0.00