Medicaid Provider Spending

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

LONE STAR CIRCLE OF CARE

NPI: 1144815549 · PFLUGERVILLE, TX 78660 · Federally Qualified Health Center (FQHC) · NPI assigned 03/08/2021

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

Authorized official CALVIN, JONATHAN controls 20+ related entities in our dataset. Read more

$3.15M
Total Medicaid Paid
48,719
Total Claims
42,223
Beneficiaries
53
Codes Billed
2021-04
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCALVIN, JONATHAN (CEO)
NPI Enumeration Date03/08/2021

Related Entities

Other providers sharing the same authorized official: CALVIN, JONATHAN

ProviderCityStateTotal Paid
LONE STAR CIRCLE OF CARE ROUND ROCK TX $18.03M
LONE STAR CIRCLE OF CARE GEORGETOWN TX $15.40M
LONE STAR CIRCLE OF CARE AUSTIN TX $13.07M
LONE STAR CIRCLE OF CARE ROUND ROCK TX $12.14M
LONE STAR CIRCLE OF CARE AUSTIN TX $12.02M
LONE STAR CIRCLE OF CARE HUTTO TX $10.39M
LONE STAR CIRCLE OF CARE BASTROP TX $7.22M
LONE STAR CIRCLE OF CARE HARKER HEIGHTS TX $6.11M
LONE STAR CIRCLE OF CARE CEDAR PARK TX $6.00M
LONE STAR CIRCLE OF CARE ROUND ROCK TX $5.19M
LONE STAR CIRCLE OF CARE GEORGETOWN TX $4.47M
LONE STAR CIRCLE OF CARE AUSTIN TX $4.30M
LONE STAR CIRCLE OF CARE HARKER HEIGHTS TX $4.27M
LONE STAR CIRCLE OF CARE TEMPLE TX $3.86M
LONE STAR CIRCLE OF CARE CEDAR PARK TX $3.64M
LONE STAR CIRCLE OF CARE AUSTIN TX $2.62M
LONE STAR CIRCLE OF CARE AUSTIN TX $2.33M
LONE STAR CIRCLE OF CARE GEORGETOWN TX $1.45M
LONE STAR CIRCLE OF CARE MARBLE FALLS TX $1.41M
LONE STAR CIRCLE OF CARE AUSTIN TX $728K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 5,251 $333K
2022 16,860 $1.02M
2023 15,422 $1.06M
2024 11,186 $735K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 15,889 13,266 $2.60M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,134 5,529 $184K
90832 Psychotherapy, 30 minutes with patient 2,357 1,431 $98K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,316 1,295 $66K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,058 1,035 $62K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 941 921 $50K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 745 661 $45K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 312 295 $16K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,030 1,666 $5K
99000 2,262 2,150 $5K
87428 97 95 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 140 133 $4K
90791 Psychiatric diagnostic evaluation 52 51 $4K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 155 149 $3K
90834 Psychotherapy, 45 minutes with patient 38 34 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 238 232 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3,567 3,464 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12 12 $721.92
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 57 56 $458.70
90686 1,106 1,095 $428.58
90651 92 83 $415.24
90472 Immunization administration, each additional vaccine (list separately) 3,539 2,222 $275.64
90677 280 269 $271.95
92551 788 778 $166.77
81002 45 44 $43.80
90460 Immunization administration through 18 years of age via any route, first or only component 17 17 $41.25
96160 337 294 $18.99
90474 122 120 $10.38
90619 39 39 $0.22
36415 Collection of venous blood by venipuncture 591 571 $0.00
3008F 218 200 $0.00
1036F 59 55 $0.00
90697 163 163 $0.00
36416 337 328 $0.00
90696 25 25 $0.00
90680 233 230 $0.00
96127 214 201 $0.00
3074F 185 171 $0.00
90656 143 143 $0.00
1126F 40 38 $0.00
90716 12 12 $0.00
90670 664 654 $0.00
99173 1,105 1,073 $0.00
90710 182 179 $0.00
90715 26 25 $0.00
3725F 55 49 $0.00
90633 326 321 $0.00
1160F 89 83 $0.00
3078F 167 153 $0.00
90648 29 29 $0.00
90734 57 57 $0.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 13 13 $0.00
90461 21 14 $0.00