Clinic
Lone Star Community Health Center, INC.
Lone Star Community Health Center, INC. was paid $31.01M by Medicaid between Jan 2018 and Dec 2024, across 114 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 73% of everything it billed.
33Billing provider infoLONE STAR COMMUNITY HEALTH CENTER, INC.
CONROE, TX 77304
CONROE, TX 77304
33aNPI1326045774assigned 06/30/2005
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$31.01M
24GClaims473,389
24DCodes billed114
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Texas
Rank by total paid#5 of 248
Median peer was paid$796K
This provider vs. median39×
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 HARWELL, KAREN 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 | 14,633 | $1.51M | |
| 2019 | 12,365 | $1.36M | |
| 2020 | 27,125 | $1.56M | |
| 2021 | 121,059 | $6.81M | |
| 2022 | 101,140 | $6.50M | |
| 2023 | 90,603 | $5.54M | |
| 2024incomplete | 106,464 | $7.72M |
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 | 73% | 133,144 | 113,913 | $22.65M |
| D0999 | Unspecified diagnostic procedure, by report | 7.8% | 12,184 | 10,413 | $2.42M |
| 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% | 59,587 | 51,701 | $2.32M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.9% | 9,718 | 8,796 | $909K |
| 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 | 2.0% | 8,186 | 7,747 | $630K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.3% | 11,575 | 10,538 | $397K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 5,914 | 5,824 | $262K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 3,453 | 3,352 | $189K |
| 99381 | <1% | 1,633 | 1,601 | $188K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,585 | 1,546 | $164K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 4,041 | 4,004 | $148K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 3,605 | 3,516 | $140K |
102 more codes
| G0467 | Community health center visit, returning patient | <1% | 3,004 | $91K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,097 | $85K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 2,197 | $58K |
| 99384 | <1% | 715 | $54K | |
| 99383 | <1% | 625 | $48K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 504 | $41K |
| 99385 | <1% | 289 | $39K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 980 | $37K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 281 | $31K |
| 97169 | <1% | 893 | $23K | |
| 90837 | Psychotherapy session, about an hour | <1% | 497 | $19K |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | <1% | 32 | $16K |
| 59430 | <1% | 933 | $7K | |
| 99382 | <1% | 97 | $7K | |
| 87428 | <1% | 5,536 | $6K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 4,039 | $5K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 173 | $4K |
| 81025 | <1% | 6,896 | $2K | |
| 0011A | <1% | 378 | $2K | |
| 90633 | <1% | 2,745 | $1K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 5,230 | $1K |
| 81002 | <1% | 8,107 | $1K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 12 | $1K |
| D1110 | Prophylaxis - adult | <1% | 939 | $945.73 |
| 90651 | <1% | 1,880 | $931.15 | |
| D0120 | Dental checkup, returning patient | <1% | 4,428 | $868.07 |
| 99201 | <1% | 17 | $834.73 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,345 | $816.92 |
| 0064A | <1% | 45 | $800.00 | |
| 0012A | <1% | 65 | $701.95 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,301 | $645.64 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 20,700 | $639.72 |
| 90715 | <1% | 2,590 | $543.83 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,693 | $521.70 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 20,460 | $492.26 |
| 87807 | <1% | 1,104 | $473.00 | |
| 90686 | <1% | 5,532 | $460.86 | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 447 | $438.88 |
| 96160 | <1% | 2,646 | $407.92 | |
| 0013A | <1% | 18 | $397.13 | |
| 90681 | <1% | 2,791 | $339.76 | |
| 90670 | <1% | 3,739 | $277.76 | |
| 86580 | <1% | 66 | $264.00 | |
| 81005 | <1% | 7,456 | $233.14 | |
| 90723 | <1% | 3,385 | $197.13 | |
| 90700 | <1% | 1,070 | $197.13 | |
| 90619 | <1% | 716 | $179.57 | |
| 90716 | <1% | 1,370 | $152.88 | |
| 90474 | <1% | 2,723 | $149.26 | |
| 90734 | <1% | 868 | $144.49 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 587 | $141.42 |
| S9470 | Nutritional counseling, dietitian visit | <1% | 399 | $138.91 |
| 90698 | <1% | 1,042 | $138.88 | |
| 90710 | <1% | 862 | $138.88 | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 5,765 | $122.24 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 19,543 | $114.08 |
| D1120 | Dental cleaning, child | <1% | 2,813 | $110.25 |
| D0330 | Panoramic radiographic image | <1% | 949 | $78.85 |
| D0274 | Bitewings - four radiographic images | <1% | 3,161 | $70.61 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 4,321 | $61.10 |
| 99050 | <1% | 21 | $59.84 | |
| 11981 | <1% | 17 | $52.20 | |
| 90656 | <1% | 409 | $34.94 | |
| 3044F | <1% | 16 | $20.00 | |
| 99051 | <1% | 10,803 | $13.52 | |
| 93000 | <1% | 12 | $12.07 | |
| D0603 | <1% | 6,748 | $0.35 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 3,251 | $0.00 |
| 3075F | 0% | 375 | $0.00 | |
| 90696 | 0% | 817 | $0.00 | |
| D0272 | Bitewings - two radiographic images | 0% | 792 | $0.00 |
| 1111F | 0% | 163 | $0.00 | |
| 3074F | 0% | 1,217 | $0.00 | |
| 90647 | 0% | 4,294 | $0.00 | |
| 82962 | 0% | 320 | $0.00 | |
| 90677 | 0% | 2,211 | $0.00 | |
| 1036F | 0% | 42 | $0.00 | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 61 | $0.00 |
| D1351 | Sealant - per tooth | 0% | 1,198 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 306 | $0.00 |
| 3080F | 0% | 40 | $0.00 | |
| 97802 | 0% | 112 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 26 | $0.00 |
| 3079F | 0% | 701 | $0.00 | |
| 3008F | 0% | 1,845 | $0.00 | |
| 99318 | 0% | 28 | $0.00 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 0% | 132 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 235 | $0.00 |
| 99308 | Subsequent nursing facility care, per day, straightforward | 0% | 159 | $0.00 |
| 0134A | 0% | 12 | $0.00 | |
| 90744 | 0% | 12 | $0.00 | |
| 3078F | 0% | 1,074 | $0.00 | |
| D0145 | Oral evaluation for a patient under three years of age | 0% | 947 | $0.00 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 0% | 242 | $0.00 |
| 90707 | 0% | 1,347 | $0.00 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 1,778 | $0.00 |
| 4004F | 0% | 1,406 | $0.00 | |
| 3077F | 0% | 212 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 175 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 42 | $0.00 |
| 90621 | 0% | 28 | $0.00 | |
| 90648 | 0% | 42 | $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 officialHARWELL, KAREN (CHIEF EXECUTIVE OFFICER)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.