Spring Branch Community Health Center
Spring Branch Community Health Center was paid $7.38M by Medicaid between Jul 2018 and Dec 2024, across 61 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 78% of everything it billed.
33Billing provider infoSPRING BRANCH COMMUNITY HEALTH CENTER
HOUSTON, TX 77055
HOUSTON, TX 77055
33aNPI1093186728assigned 10/07/2015
33bProvider typeCommunity Health Worker
28Total paid$7.38M
24GClaims87,857
24DCodes billed61
24AFirst – last monthJul 2018 – Dec 2024
Compared with peers
Next to other Community Health Worker providers in Texas
Rank by total paid#2 of 14
Median peer was paid$763K
This provider vs. median9.7×
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.
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 | 701 | $78K | |
| 2019 | 513 | $55K | |
| 2020 | 3,464 | $222K | |
| 2021 | 15,468 | $1.12M | |
| 2022 | 14,204 | $1.14M | |
| 2023 | 22,536 | $2.07M | |
| 2024incomplete | 30,971 | $2.70M |
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 | 78% | 33,474 | 26,477 | $5.74M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 18,130 | 13,833 | $890K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.6% | 2,280 | 2,212 | $193K |
| 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 | 1.8% | 1,958 | 1,827 | $131K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.5% | 1,885 | 1,839 | $113K |
| 99381 | 1.0% | 515 | 509 | $77K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 765 | 718 | $64K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 600 | 587 | $43K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 743 | 732 | $43K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 385 | 374 | $27K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 277 | 264 | $25K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 408 | 295 | $16K |
49 more codes
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 78 | $10K |
| 99385 | <1% | 47 | $7K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 39 | $1K |
| 96161 | <1% | 2,304 | $416.58 | |
| 59430 | <1% | 591 | $285.39 | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 476 | $207.22 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,163 | $143.05 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 3,819 | $95.56 |
| 97169 | <1% | 24 | $90.00 | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 170 | $83.54 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,381 | $77.01 |
| 90671 | <1% | 824 | $0.01 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 1,399 | $0.00 |
| 90651 | 0% | 162 | $0.00 | |
| 90697 | 0% | 511 | $0.00 | |
| 90696 | 0% | 26 | $0.00 | |
| 90680 | 0% | 1,097 | $0.00 | |
| 90698 | 0% | 183 | $0.00 | |
| 90686 | 0% | 1,913 | $0.00 | |
| 87430 | 0% | 343 | $0.00 | |
| 90656 | 0% | 345 | $0.00 | |
| 81005 | 0% | 223 | $0.00 | |
| 90723 | 0% | 163 | $0.00 | |
| 90716 | 0% | 39 | $0.00 | |
| 76801 | 0% | 30 | $0.00 | |
| 87807 | 0% | 62 | $0.00 | |
| 90688 | 0% | 88 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 45 | $0.00 |
| 96127 | 0% | 50 | $0.00 | |
| 88720 | 0% | 32 | $0.00 | |
| 90381 | 0% | 17 | $0.00 | |
| 90619 | 0% | 29 | $0.00 | |
| 90461 | 0% | 1,873 | $0.00 | |
| 81025 | 0% | 220 | $0.00 | |
| 90670 | 0% | 1,009 | $0.00 | |
| 90633 | 0% | 547 | $0.00 | |
| 90715 | 0% | 692 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 521 | $0.00 |
| 90648 | 0% | 493 | $0.00 | |
| 86328 | 0% | 522 | $0.00 | |
| 90700 | 0% | 92 | $0.00 | |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 0% | 354 | $0.00 |
| 90710 | 0% | 188 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 157 | $0.00 |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 31 | $0.00 |
| 82948 | 0% | 22 | $0.00 | |
| 90380 | 0% | 14 | $0.00 | |
| 90678 | 0% | 15 | $0.00 | |
| 90707 | 0% | 14 | $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 officialTUJILLO, MARLEN (CHIEF EXECUTIVE OFFICER)