Clinic
Community Health Centers of South Central Texas, INC.
Community Health Centers of South Central Texas, INC. was paid $8.05M by Medicaid between Mar 2019 and Dec 2024, across 59 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 76% of everything it billed.
33Billing provider infoCOMMUNITY HEALTH CENTERS OF SOUTH CENTRAL TEXAS, INC.
GONZALES, TX 78629
GONZALES, TX 78629
33aNPI1285650424assigned 07/14/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$8.05M
24GClaims80,355
24DCodes billed59
24AFirst – last monthMar 2019 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Texas
Rank by total paid#33 of 248
Median peer was paid$796K
This provider vs. median10×
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 | 79 | $19K | |
| 2020 | 4,482 | $484K | |
| 2021 | 20,111 | $1.93M | |
| 2022 | 22,372 | $2.16M | |
| 2023 | 21,714 | $2.26M | |
| 2024incomplete | 11,597 | $1.19M |
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 | 76% | 28,255 | 21,355 | $6.11M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.5% | 13,059 | 11,000 | $602K |
| D0999 | Unspecified diagnostic procedure, by report | 3.9% | 1,245 | 1,121 | $314K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.2% | 3,459 | 3,128 | $180K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.1% | 1,437 | 860 | $86K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.0% | 882 | 555 | $83K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.0% | 1,224 | 1,105 | $81K |
| 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% | 1,548 | 1,369 | $79K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 789 | 744 | $79K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 965 | 911 | $72K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 865 | 810 | $65K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 1,185 | 798 | $57K |
47 more codes
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 6,204 | $44K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 559 | $38K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 299 | $37K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 530 | $32K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 996 | $15K |
| G0467 | Community health center visit, returning patient | <1% | 431 | $15K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,669 | $15K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 943 | $11K |
| 99384 | <1% | 113 | $9K | |
| 90461 | <1% | 2,104 | $7K | |
| 99383 | <1% | 39 | $3K | |
| 81025 | <1% | 632 | $3K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 413 | $3K |
| 81003 | <1% | 2,113 | $3K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 50 | $3K |
| 90651 | <1% | 613 | $2K | |
| 90686 | <1% | 721 | $1K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 49 | $921.19 |
| D1110 | Prophylaxis - adult | <1% | 138 | $640.34 |
| 87807 | <1% | 76 | $400.00 | |
| D0274 | Bitewings - four radiographic images | <1% | 173 | $371.75 |
| D0120 | Dental checkup, returning patient | <1% | 422 | $337.82 |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 337 | $153.51 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 95 | $145.90 |
| 90715 | <1% | 220 | $109.91 | |
| 90734 | <1% | 250 | $52.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 62 | $43.36 |
| 99000 | <1% | 351 | $43.20 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 98 | $34.04 |
| D0272 | Bitewings - two radiographic images | <1% | 41 | $24.00 |
| 85018 | <1% | 99 | $3.98 | |
| 90670 | 0% | 451 | $0.00 | |
| 90710 | 0% | 108 | $0.00 | |
| D1120 | Dental cleaning, child | 0% | 79 | $0.00 |
| D0330 | Panoramic radiographic image | 0% | 15 | $0.00 |
| 99490 | Ccm add 20min | 0% | 91 | $0.00 |
| 90648 | 0% | 12 | $0.00 | |
| 90671 | 0% | 49 | $0.00 | |
| 90680 | 0% | 62 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 2,904 | $0.00 |
| D0603 | 0% | 278 | $0.00 | |
| 90634 | 0% | 192 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 218 | $0.00 |
| D0602 | 0% | 72 | $0.00 | |
| 90696 | 0% | 41 | $0.00 | |
| 90688 | 0% | 14 | $0.00 | |
| 90697 | 0% | 16 | $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 officialDE LA PAZ, RAFAEL (CEO)
| Provider | Location | Paid |
|---|---|---|
| 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. | Lockhart, TX | $708K |
| Community Health Centers of South Central Texas INC. | Bastrop, TX | $583K |
| Community Health Centers of South Central Texas, INC. | Bastrop, TX | $125K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.