Clinic
Lone Star Circle of Care
Lone Star Circle of Care was paid $7.22M by Medicaid between Jan 2018 and Dec 2024, across 92 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 67% of everything it billed.
33Billing provider infoLONE STAR CIRCLE OF CARE
BASTROP, TX 78602
BASTROP, TX 78602
33aNPI1306236187assigned 01/30/2015
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$7.22M
24GClaims129,380
24DCodes billed92
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Texas
Rank by total paid#36 of 248
Median peer was paid$796K
This provider vs. median9.1×
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 CALVIN, JONATHAN controls 20+ 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 | 262 | $8K | |
| 2019 | 403 | $7K | |
| 2020 | 9,233 | $411K | |
| 2021 | 39,438 | $1.99M | |
| 2022 | 30,724 | $1.77M | |
| 2023 | 26,263 | $1.72M | |
| 2024incomplete | 23,057 | $1.31M |
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 | 67% | 32,345 | 25,994 | $4.85M |
| D0999 | Unspecified diagnostic procedure, by report | 7.6% | 2,832 | 2,643 | $549K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.3% | 13,096 | 11,446 | $528K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.5% | 3,400 | 3,347 | $250K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.4% | 2,805 | 2,727 | $245K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.8% | 2,613 | 2,556 | $201K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.9% | 1,753 | 1,597 | $136K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.0% | 1,279 | 1,228 | $74K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 1,898 | 1,435 | $68K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 1,144 | 885 | $56K |
| 99381 | <1% | 459 | 442 | $52K | |
| 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% | 922 | 838 | $45K |
80 more codes
| 90791 | Psychiatric diagnostic evaluation | <1% | 502 | $38K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 3,970 | $21K |
| 90619 | <1% | 169 | $17K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 172 | $17K |
| 99000 | <1% | 5,010 | $14K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 100 | $14K |
| 90837 | Psychotherapy session, about an hour | <1% | 142 | $9K |
| 87428 | <1% | 249 | $8K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 546 | $5K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 123 | $3K |
| 0001A | <1% | 99 | $3K | |
| 90651 | <1% | 693 | $3K | |
| 99383 | <1% | 30 | $3K | |
| 0002A | <1% | 53 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 8,016 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 198 | $2K |
| 99382 | <1% | 16 | $1K | |
| G0467 | Community health center visit, returning patient | <1% | 63 | $1K |
| 90686 | <1% | 3,513 | $857.44 | |
| 81002 | <1% | 909 | $830.31 | |
| 81025 | <1% | 716 | $655.08 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 8,551 | $473.51 |
| 92551 | <1% | 1,595 | $414.17 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 28 | $300.51 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 126 | $261.88 |
| 90621 | <1% | 37 | $225.37 | |
| D0330 | Panoramic radiographic image | <1% | 239 | $223.80 |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 322 | $222.53 |
| 90715 | <1% | 231 | $193.99 | |
| 0011A | <1% | 14 | $149.08 | |
| 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% | 26 | $144.84 |
| 90716 | <1% | 243 | $68.00 | |
| D0274 | Bitewings - four radiographic images | <1% | 886 | $65.76 |
| D1110 | Prophylaxis - adult | <1% | 73 | $54.88 |
| D0120 | Dental checkup, returning patient | <1% | 731 | $54.82 |
| 90474 | <1% | 1,008 | $43.24 | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 1,892 | $41.16 |
| 90707 | <1% | 268 | $39.20 | |
| 90633 | <1% | 1,161 | $30.40 | |
| 90744 | <1% | 802 | $30.00 | |
| 90656 | <1% | 123 | $17.47 | |
| D1206 | Topical application of fluoride varnish | <1% | 202 | $13.23 |
| 90473 | <1% | 162 | $7.84 | |
| 96160 | <1% | 180 | $2.25 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 27 | $1.00 |
| 36416 | 0% | 1,738 | $0.00 | |
| 90698 | 0% | 1,198 | $0.00 | |
| 3008F | 0% | 1,024 | $0.00 | |
| D0603 | 0% | 2,045 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 1,140 | $0.00 |
| 1126F | 0% | 619 | $0.00 | |
| 90696 | 0% | 268 | $0.00 | |
| 90697 | 0% | 342 | $0.00 | |
| 90680 | 0% | 1,557 | $0.00 | |
| 3074F | 0% | 750 | $0.00 | |
| 90677 | 0% | 514 | $0.00 | |
| D1351 | Sealant - per tooth | 0% | 83 | $0.00 |
| 96161 | 0% | 13 | $0.00 | |
| 3079F | 0% | 62 | $0.00 | |
| 96127 | 0% | 290 | $0.00 | |
| 91307 | 0% | 30 | $0.00 | |
| 1036F | 0% | 407 | $0.00 | |
| 91301 | 0% | 16 | $0.00 | |
| D0602 | 0% | 25 | $0.00 | |
| 1125F | 0% | 19 | $0.00 | |
| 3075F | 0% | 27 | $0.00 | |
| 90723 | 0% | 18 | $0.00 | |
| D0145 | Oral evaluation for a patient under three years of age | 0% | 757 | $0.00 |
| 90670 | 0% | 1,932 | $0.00 | |
| 90648 | 0% | 390 | $0.00 | |
| 90700 | 0% | 422 | $0.00 | |
| 3078F | 0% | 714 | $0.00 | |
| D1120 | Dental cleaning, child | 0% | 800 | $0.00 |
| 90710 | 0% | 523 | $0.00 | |
| 90734 | 0% | 403 | $0.00 | |
| 99173 | 0% | 1,938 | $0.00 | |
| 3725F | 0% | 255 | $0.00 | |
| 91300 | 0% | 185 | $0.00 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 99 | $0.00 |
| 91308 | 0% | 15 | $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 officialCALVIN, JONATHAN (CEO)
| Provider | Location | 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 | 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 | Pflugerville, TX | $3.15M |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.