Heart of Texas Community Health Center, INC
Heart of Texas Community Health Center, INC was paid $92.63M by Medicaid between Jan 2018 and Dec 2024, across 147 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 72% of everything it billed.
33Billing provider infoHEART OF TEXAS COMMUNITY HEALTH CENTER, INC
WACO, TX 76707
WACO, TX 76707
33aNPI1164409926assigned 12/22/2005
33bProvider typeCase Manager/Care Coordinator
28Total paid$92.63M
24GClaims1,086,497
24DCodes billed147
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in Texas
Rank by total paid#1 of 58
Median peer was paid$671K
This provider vs. median138×
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 BALLEW, ANNETTE controls 13+ 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 | 2,946 | $403K | |
| 2019 | 2,687 | $377K | |
| 2020 | 59,096 | $4.63M | |
| 2021 | 288,458 | $21.81M | |
| 2022 | 271,196 | $22.44M | |
| 2023 | 247,031 | $22.41M | |
| 2024incomplete | 215,083 | $20.57M |
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 | 72% | 364,198 | 270,786 | $67.03M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.9% | 159,506 | 131,612 | $6.36M |
| D0999 | Unspecified diagnostic procedure, by report | 6.5% | 26,702 | 23,622 | $6.01M |
| 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 | 3.6% | 64,674 | 58,242 | $3.31M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.7% | 22,898 | 20,699 | $1.60M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.5% | 24,005 | 20,131 | $1.38M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.4% | 19,800 | 19,484 | $1.25M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.2% | 16,131 | 15,789 | $1.07M |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 12,343 | 12,005 | $885K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 9,858 | 6,840 | $665K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 13,407 | 12,900 | $410K |
| 99460 | <1% | 3,949 | 3,905 | $308K |
135 more codes
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 5,313 | $303K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 2,650 | $282K |
| 59430 | <1% | 3,906 | $225K | |
| G0467 | Community health center visit, returning patient | <1% | 5,966 | $169K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 293 | $168K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 3,955 | $145K |
| 99462 | <1% | 2,458 | $93K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,174 | $91K |
| D0120 | Dental checkup, returning patient | <1% | 11,504 | $89K |
| 87801 | Infectious agent detection by nucleic acid; amplified probe, multiple organisms | <1% | 2,578 | $64K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 801 | $63K |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | <1% | 60 | $43K |
| 99223 | Prolong inpt eval add15 m | <1% | 370 | $40K |
| 90837 | Psychotherapy session, about an hour | <1% | 426 | $39K |
| 99219 | <1% | 586 | $39K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 511 | $38K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 598 | $33K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 615 | $28K |
| 54150 | <1% | 303 | $23K | |
| 0001A | <1% | 1,651 | $22K | |
| 0002A | <1% | 1,224 | $22K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 4,273 | $22K |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 1,504 | $20K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 482 | $19K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,342 | $16K |
| 80053 | Comprehensive metabolic panel | <1% | 2,321 | $15K |
| 81001 | <1% | 3,957 | $15K | |
| 59514 | <1% | 32 | $15K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 450 | $14K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,958 | $13K |
| 0071A | <1% | 469 | $13K | |
| 0072A | <1% | 384 | $12K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,239 | $11K |
| 80061 | Lipid panel | <1% | 1,166 | $10K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 129 | $10K |
| 99383 | <1% | 140 | $9K | |
| 99384 | <1% | 137 | $9K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 126 | $8K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 195 | $7K |
| 81025 | <1% | 1,172 | $7K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 352 | $6K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,386 | $6K |
| 0011A | <1% | 704 | $5K | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 573 | $5K |
| 0012A | <1% | 321 | $5K | |
| D0330 | Panoramic radiographic image | <1% | 2,281 | $5K |
| 0004A | <1% | 120 | $4K | |
| D1120 | Dental cleaning, child | <1% | 4,696 | $4K |
| 90670 | <1% | 9,034 | $4K | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 187 | $3K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 187 | $3K |
| 86592 | <1% | 1,238 | $3K | |
| D0274 | Bitewings - four radiographic images | <1% | 3,275 | $3K |
| 0054A | <1% | 122 | $3K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 6,215 | $2K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 40 | $2K |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 450 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 1,155 | $2K |
| 11981 | <1% | 42 | $2K | |
| 80050 | General health panel | <1% | 83 | $2K |
| D1110 | Prophylaxis - adult | <1% | 2,066 | $2K |
| 0064A | <1% | 40 | $2K | |
| 0124A | <1% | 66 | $2K | |
| 81002 | <1% | 1,686 | $1K | |
| D1206 | Topical application of fluoride varnish | <1% | 8,504 | $1K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 33 | $1K |
| 90677 | <1% | 1,871 | $1K | |
| 86762 | <1% | 195 | $1K | |
| 99221 | <1% | 25 | $1K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 213 | $1K |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit | <1% | 58 | $1K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 103,434 | $946.60 |
| 90656 | <1% | 68 | $936.42 | |
| 76801 | <1% | 26 | $935.92 | |
| 87340 | <1% | 162 | $917.76 | |
| 82950 | <1% | 132 | $871.94 | |
| D1351 | Sealant - per tooth | <1% | 8,488 | $825.00 |
| 86803 | <1% | 131 | $683.89 | |
| D0272 | Bitewings - two radiographic images | <1% | 4,406 | $633.74 |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 43 | $612.36 |
| 0051A | <1% | 36 | $488.35 | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 24 | $472.67 |
| 0052A | <1% | 67 | $360.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 2,353 | $297.51 |
| 90461 | <1% | 26,036 | $257.94 | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 333 | $201.02 |
| 0031A | <1% | 32 | $198.73 | |
| 90480 | <1% | 143 | $150.31 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 26 | $127.98 |
| 82728 | <1% | 12 | $103.05 | |
| 90686 | <1% | 15,264 | $62.06 | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 107 | $41.00 |
| 84439 | <1% | 13 | $37.90 | |
| D0140 | Limited oral evaluation - problem focused | <1% | 42 | $37.56 |
| 81003 | <1% | 41 | $20.00 | |
| 90619 | <1% | 1,948 | $10.03 | |
| 90621 | <1% | 330 | $1.70 | |
| 90620 | <1% | 41 | $0.29 | |
| 90623 | <1% | 27 | $0.11 | |
| 90651 | <1% | 3,960 | $0.03 | |
| 90715 | <1% | 1,659 | $0.01 | |
| 90710 | <1% | 6,060 | $0.01 | |
| 90734 | <1% | 1,729 | $0.01 | |
| 90744 | 0% | 1,680 | $0.00 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | 0% | 1,103 | $0.00 |
| 90680 | 0% | 9,532 | $0.00 | |
| D0603 | 0% | 11,637 | $0.00 | |
| D0601 | 0% | 1,292 | $0.00 | |
| D0602 | 0% | 2,044 | $0.00 | |
| 90697 | 0% | 5,424 | $0.00 | |
| 91307 | 0% | 556 | $0.00 | |
| 91306 | 0% | 14 | $0.00 | |
| 90723 | 0% | 17 | $0.00 | |
| 90698 | 0% | 2,776 | $0.00 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 0% | 1,002 | $0.00 |
| 90381 | 0% | 91 | $0.00 | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 172 | $0.00 |
| 99318 | 0% | 16 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 55 | $0.00 |
| 90716 | 0% | 46 | $0.00 | |
| D0210 | Intraoral - complete series of radiographic images | 0% | 15 | $0.00 |
| 90657 | 0% | 18 | $0.00 | |
| 90700 | 0% | 2,415 | $0.00 | |
| 90633 | 0% | 6,738 | $0.00 | |
| 90648 | 0% | 2,041 | $0.00 | |
| D0145 | Oral evaluation for a patient under three years of age | 0% | 2,666 | $0.00 |
| 90707 | 0% | 49 | $0.00 | |
| 90661 | 0% | 1,861 | $0.00 | |
| 90671 | 0% | 2,382 | $0.00 | |
| 0353U | 0% | 200 | $0.00 | |
| 91300 | 0% | 250 | $0.00 | |
| 99307 | 0% | 68 | $0.00 | |
| 91308 | 0% | 13 | $0.00 | |
| 91312 | 0% | 32 | $0.00 | |
| 90662 | 0% | 12 | $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 officialBALLEW, ANNETTE (CFO)
| Provider | Location | Paid |
|---|---|---|
| Heart of Texas Community Health Center, INC | Waco, TX | $1.46M |
| Heart of Texas Community Health Center, INC | Waco, TX | $505K |
| Heart of Texas Community Health Center, INC. | Waco, TX | $361K |
| Heart of Texas Community Health Center, INC. | Bellmead, TX | $243K |
| Heart of Texas Community Health Center, INC. | Waco, TX | $212K |
| Heart of Texas Community Health Center, INC | Mc Gregor, TX | $142K |
| Heart of Texas Community Health Center, INC. | Waco, TX | $134K |
| Heart of Texas Community Health Center, INC | Waco, TX | $69K |
| Heart of Texas Community Health Center, INC | Waco, TX | $68K |
| Mclennan County Medical Education and Research Foundation | Waco, TX | $59K |
| Heart of Texas Community Health Center, INC | Waco, TX | $40K |
| Heart of Texas Community Health Center, INC | Waco, TX | $20K |
| Heart of Texas Community Health Center, INC | Waco, TX | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.