Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

LONE STAR COMMUNITY HEALTH CENTER, INC.

NPI: 1326045774 · CONROE, TX 77304 · Federally Qualified Health Center (FQHC) · NPI assigned 06/30/2005

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official HARWELL, KAREN controls 20+ related entities in our dataset. Read more

$31.01M
Total Medicaid Paid
473,389
Total Claims
407,249
Beneficiaries
114
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHARWELL, KAREN (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date06/30/2005

Related Entities

Other providers sharing the same authorized official: HARWELL, KAREN

ProviderCityStateTotal Paid
APOGEE MEDICAL GROUP, DELAWARE, INC DOVER DE $7.94M
APOGEE MEDICAL GROUP OHIO INC CHILLICOTHE OH $4.30M
APOGEE MEDICAL GROUP, MICHIGAN, PC SCOTTSDALE AZ $2.60M
APOGEE MEDICAL GROUP NEW MEXICO INC SCOTTSDALE AZ $2.52M
APOGEE MEDICAL GROUP VIRGINIA, PC SCOTTSDALE AZ $2.14M
APOGEE MEDICAL GROUP NORTH CAROLINA SCOTTSDALE AZ $2.10M
LONE STAR COMMUNITY HEALTH CENTER, INC. WILLIS TX $1.98M
APOGEE MEDICAL GROUP KENTUCKY PSC CORBIN KY $1.88M
APOGEE MEDICAL GROUP, NEW YORK, PC SCOTTSDALE AZ $1.55M
APOGEE MEDICAL GROUP INDIANA PC GOSHEN IN $1.43M
LONE STAR COMMUNITY HEALTH CENTER, INC. SPRING TX $1.25M
APOGEE MEDICAL GROUP GEORGIA CARROLLTON GA $1.23M
APOGEE MEDICAL GROUP, LOUISIANA, INC. SCOTTSDALE AZ $1.07M
LONE STAR COMMUNITY HEALTH CENTER, INC. HUNTSVILLE TX $643K
APOGEE MEDICAL GROUP INC SCOTTSDALE AZ $383K
APOGEE MEDICAL GROUP IOWA PC SCOTTSDALE AZ $362K
APOGEE MEDICAL GROUP MAINE PC BANGOR ME $255K
LONE STAR COMMUNITY HEALTH CENTER, INC. CONROE TX $229K
APOGEE MEDICAL GROUP PC ASTORIA OR $165K
APOGEE MEDICAL GROUP OF NEW JERSEY PA SCOTTSDALE AZ $161K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 106,464 $7.72M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 133,144 113,913 $22.65M
D0999 Unspecified diagnostic procedure, by report 12,184 10,413 $2.42M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 59,587 51,701 $2.32M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 9,718 8,796 $909K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,186 7,747 $630K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 11,575 10,538 $397K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5,914 5,824 $262K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3,453 3,352 $189K
99381 1,633 1,601 $188K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,585 1,546 $164K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 4,041 4,004 $148K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3,605 3,516 $140K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face 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 fqhc visit 3,004 2,660 $91K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,097 1,062 $85K
90834 Psychotherapy, 45 minutes with patient 2,197 1,801 $58K
99384 715 696 $54K
99383 625 612 $48K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 504 492 $41K
99385 289 281 $39K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 980 937 $37K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 281 270 $31K
97169 893 882 $23K
90837 Psychotherapy, 53 minutes with patient 497 407 $19K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 32 25 $16K
59430 933 876 $7K
99382 97 93 $7K
87428 5,536 5,133 $6K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 4,039 3,787 $5K
90832 Psychotherapy, 30 minutes with patient 173 137 $4K
81025 6,896 6,550 $2K
0011A 378 344 $2K
90633 2,745 2,695 $1K
96110 Developmental screening, with scoring and documentation, per standardized instrument 5,230 4,428 $1K
81002 8,107 6,925 $1K
99215 Prolong outpt/office vis 12 12 $1K
D1110 Prophylaxis - adult 939 906 $945.73
90651 1,880 1,829 $931.15
D0120 Periodic oral evaluation - established patient 4,428 4,327 $868.07
99201 17 16 $834.73
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,345 2,285 $816.92
0064A 45 45 $800.00
0012A 65 59 $701.95
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,301 1,216 $645.64
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 20,700 20,155 $639.72
90715 2,590 2,522 $543.83
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,693 1,648 $521.70
90472 Immunization administration, each additional vaccine (list separately) 20,460 10,984 $492.26
87807 1,104 1,076 $473.00
90686 5,532 5,429 $460.86
D0150 Comprehensive oral evaluation - new or established patient 447 426 $438.88
96160 2,646 2,598 $407.92
0013A 18 18 $397.13
90681 2,791 2,731 $339.76
90670 3,739 3,622 $277.76
86580 66 65 $264.00
81005 7,456 5,176 $233.14
90723 3,385 3,315 $197.13
90700 1,070 1,048 $197.13
90619 716 706 $179.57
90716 1,370 1,344 $152.88
90474 2,723 2,667 $149.26
90734 868 839 $144.49
83036 Hemoglobin; glycosylated (A1C) 587 556 $141.42
S9470 Nutritional counseling, dietitian visit 399 396 $138.91
90698 1,042 1,024 $138.88
90710 862 846 $138.88
D0220 Intraoral - periapical first radiographic image 5,765 5,590 $122.24
D0230 Intraoral - periapical each additional radiographic image 19,543 5,300 $114.08
D1120 Prophylaxis - child 2,813 2,774 $110.25
D0330 Panoramic radiographic image 949 910 $78.85
D0274 Bitewings - four radiographic images 3,161 3,054 $70.61
D1208 Topical application of fluoride, excluding varnish 4,321 4,247 $61.10
99050 21 20 $59.84
11981 17 12 $52.20
90656 409 406 $34.94
3044F 16 16 $20.00
99051 10,803 10,237 $13.52
93000 12 12 $12.07
D0603 6,748 6,637 $0.35
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 3,251 3,215 $0.00
3075F 375 366 $0.00
90696 817 801 $0.00
D0272 Bitewings - two radiographic images 792 785 $0.00
1111F 163 160 $0.00
3074F 1,217 1,180 $0.00
90647 4,294 4,204 $0.00
82962 320 229 $0.00
90677 2,211 2,192 $0.00
1036F 42 41 $0.00
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 61 49 $0.00
D1351 Sealant - per tooth 1,198 295 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 306 296 $0.00
3080F 40 40 $0.00
97802 112 106 $0.00
G0008 Administration of influenza virus vaccine 26 26 $0.00
3079F 701 681 $0.00
3008F 1,845 1,792 $0.00
99318 28 27 $0.00
99309 Subsequent nursing facility care, per day, low to moderate complexity 132 120 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 235 229 $0.00
99308 Subsequent nursing facility care, per day, straightforward 159 141 $0.00
0134A 12 12 $0.00
90744 12 12 $0.00
3078F 1,074 1,045 $0.00
D0145 Oral evaluation for a patient under three years of age 947 935 $0.00
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 242 229 $0.00
90707 1,347 1,322 $0.00
J1050 Injection, medroxyprogesterone acetate, 1 mg 1,778 1,739 $0.00
4004F 1,406 1,349 $0.00
3077F 212 204 $0.00
G0444 Annual depression screening, 5 to 15 minutes 175 172 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 42 41 $0.00
90621 28 27 $0.00
90648 42 42 $0.00