Clinic
Community Action Corporation of South Texas
Community Action Corporation of South Texas was paid $6.08M by Medicaid between Apr 2019 and Dec 2024, across 67 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 80% of everything it billed.
33Billing provider infoCOMMUNITY ACTION CORPORATION OF SOUTH TEXAS
KINGSVILLE, TX 78363
KINGSVILLE, TX 78363
33aNPI1164868998assigned 05/20/2013
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$6.08M
24GClaims171,953
24DCodes billed67
24AFirst – last monthApr 2019 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Texas
Rank by total paid#41 of 248
Median peer was paid$796K
This provider vs. median7.6×
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 | |
|---|---|---|---|
| 2019 | 63 | $12K | |
| 2020 | 4,496 | $235K | |
| 2021 | 36,455 | $1.55M | |
| 2022 | 45,689 | $1.58M | |
| 2023 | 50,034 | $1.54M | |
| 2024incomplete | 35,216 | $1.17M |
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 | 80% | 30,616 | 21,913 | $4.89M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 18,028 | 14,872 | $768K |
| D0999 | Unspecified diagnostic procedure, by report | 2.6% | 924 | 792 | $159K |
| 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 | 2.1% | 2,821 | 2,313 | $126K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 820 | 789 | $36K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 742 | 711 | $33K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 658 | 622 | $27K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 457 | 444 | $22K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 195 | 193 | $10K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 68 | 58 | $3K |
| 0001A | <1% | 86 | 84 | $2K | |
| 0002A | <1% | 55 | 50 | $2K |
55 more codes
| 92552 | <1% | 3,249 | $1K | |
| D0120 | Dental checkup, returning patient | <1% | 253 | $666.58 |
| 0072A | <1% | 13 | $440.00 | |
| 0071A | <1% | 19 | $200.00 | |
| 90658 | <1% | 99 | $193.78 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 796 | $147.59 |
| 87428 | <1% | 555 | $50.25 | |
| D1206 | Topical application of fluoride varnish | <1% | 72 | $45.67 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,720 | $16.41 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 212 | $0.33 |
| D1120 | Dental cleaning, child | <1% | 27 | $0.20 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 102 | $0.20 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,357 | $0.05 |
| 99173 | <1% | 3,439 | $0.01 | |
| 1159F | <1% | 20,503 | $0.01 | |
| 90686 | <1% | 726 | $0.01 | |
| 2010F | <1% | 12,543 | $0.01 | |
| 99050 | <1% | 114 | $0.01 | |
| 3028F | 0% | 2,023 | $0.00 | |
| 1160F | 0% | 20,038 | $0.00 | |
| 1033F | 0% | 401 | $0.00 | |
| 3078F | 0% | 405 | $0.00 | |
| S5000 | Prescription drug, generic | 0% | 48 | $0.00 |
| 1003F | 0% | 226 | $0.00 | |
| 90756 | 0% | 67 | $0.00 | |
| 90670 | 0% | 127 | $0.00 | |
| 99051 | 0% | 29 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 17 | $0.00 |
| S0119 | Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) | 0% | 42 | $0.00 |
| 90633 | 0% | 12 | $0.00 | |
| 2001F | 0% | 14,888 | $0.00 | |
| 3008F | 0% | 18,707 | $0.00 | |
| 1170F | 0% | 533 | $0.00 | |
| 1220F | 0% | 3,090 | $0.00 | |
| 2000F | 0% | 1,098 | $0.00 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 131 | $0.00 |
| 1000F | 0% | 1,242 | $0.00 | |
| 1126F | 0% | 1,598 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 839 | $0.00 |
| 3037F | 0% | 917 | $0.00 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 0% | 35 | $0.00 |
| 90651 | 0% | 39 | $0.00 | |
| D1330 | 0% | 208 | $0.00 | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 0% | 385 | $0.00 |
| 90688 | 0% | 326 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 34 | $0.00 |
| 3074F | 0% | 592 | $0.00 | |
| 1125F | 0% | 201 | $0.00 | |
| D0601 | 0% | 137 | $0.00 | |
| 3079F | 0% | 104 | $0.00 | |
| 87807 | 0% | 32 | $0.00 | |
| 99406 | 0% | 47 | $0.00 | |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | 0% | 35 | $0.00 |
| 1036F | 0% | 18 | $0.00 | |
| 36416 | 0% | 13 | $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 officialAWALT, ANN (EXECUTIVE DIRECTOR)
Parent organizationCOMMUNITY ACTION CORPORATION OF SOUTH TEXAS
| Provider | Location | Paid |
|---|---|---|
| Community Action Corporation of South Texas | Alice, TX | $35.13M |
| Community Action Corporation of South Texas | Falfurrias, TX | $4.97M |
| Community Action Corporation of South Texas | Beeville, TX | $3.24M |
| Community Action Corporation of South Texas | Alice, TX | $2.50M |
| Community Action Corporation of South Texas | Alice, TX | $689K |
| Community Action Corporation of South Texas | Mathis, TX | $582K |
| Community Action Corporation of South Texas | Sinton, TX | $571K |
| Community Action Corporation of South Texas | Sinton, TX | $242K |
| Community Action Corporation of South Texas | Benavides, TX | $119K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.