Clinic
Lone Star Circle of Care
Lone Star Circle of Care was paid $3.35M by Medicaid between Oct 2018 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) — 79% of everything it billed.
33Billing provider infoLONE STAR CIRCLE OF CARE
KILLEEN, TX 76549
KILLEEN, TX 76549
33aNPI1376840140assigned 02/14/2011
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$3.35M
24GClaims65,011
24DCodes billed59
24AFirst – last monthOct 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Texas
Rank by total paid#60 of 248
Median peer was paid$796K
This provider vs. median4.2×
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 | |
|---|---|---|---|
| 2018 | 26 | $0.00 | |
| 2019 | 155 | $10K | |
| 2020 | 4,742 | $207K | |
| 2021 | 19,772 | $972K | |
| 2022 | 22,269 | $1.18M | |
| 2023 | 7,021 | $373K | |
| 2024incomplete | 11,026 | $611K |
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 | 79% | 17,394 | 14,416 | $2.64M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.2% | 7,340 | 6,487 | $241K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.0% | 1,719 | 1,560 | $99K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.0% | 1,772 | 1,578 | $99K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.6% | 1,602 | 1,386 | $88K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.4% | 1,221 | 1,124 | $80K |
| 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% | 689 | 656 | $29K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 832 | 751 | $21K |
| 99000 | <1% | 3,340 | 2,996 | $10K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 471 | 464 | $9K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,320 | 1,960 | $9K |
| 87428 | <1% | 533 | 521 | $7K |
47 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 882 | $6K |
| 99381 | <1% | 71 | $4K | |
| 99383 | <1% | 49 | $3K | |
| 90619 | <1% | 105 | $3K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 51 | $3K |
| 99384 | <1% | 21 | $1K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 159 | $924.10 |
| 90620 | <1% | 105 | $430.50 | |
| 92551 | <1% | 1,913 | $319.26 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 64 | $203.84 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 4,675 | $102.04 |
| 90461 | <1% | 57 | $73.81 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 4,420 | $67.80 |
| 81002 | <1% | 31 | $46.72 | |
| 90648 | 0% | 408 | $0.00 | |
| 90734 | 0% | 403 | $0.00 | |
| 90670 | 0% | 943 | $0.00 | |
| 99173 | 0% | 2,447 | $0.00 | |
| 3725F | 0% | 84 | $0.00 | |
| 96160 | 0% | 94 | $0.00 | |
| 90710 | 0% | 232 | $0.00 | |
| 90633 | 0% | 711 | $0.00 | |
| 90715 | 0% | 178 | $0.00 | |
| 90707 | 0% | 66 | $0.00 | |
| 3078F | 0% | 219 | $0.00 | |
| 90700 | 0% | 25 | $0.00 | |
| 90473 | 0% | 48 | $0.00 | |
| 90656 | 0% | 58 | $0.00 | |
| 90651 | 0% | 714 | $0.00 | |
| 1125F | 0% | 18 | $0.00 | |
| 90680 | 0% | 542 | $0.00 | |
| 90698 | 0% | 270 | $0.00 | |
| 90723 | 0% | 297 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 1,162 | $0.00 |
| 90677 | 0% | 210 | $0.00 | |
| 90697 | 0% | 190 | $0.00 | |
| 36416 | 0% | 746 | $0.00 | |
| 90686 | 0% | 1,952 | $0.00 | |
| 90696 | 0% | 153 | $0.00 | |
| 90716 | 0% | 106 | $0.00 | |
| 96127 | 0% | 73 | $0.00 | |
| 90744 | 0% | 60 | $0.00 | |
| 3008F | 0% | 361 | $0.00 | |
| 3074F | 0% | 236 | $0.00 | |
| 96161 | 0% | 14 | $0.00 | |
| 90474 | 0% | 40 | $0.00 | |
| 1126F | 0% | 115 | $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, JON (CEO)
Parent organizationLONE STAR CIRCLE OF CARE
| Provider | Location | Paid |
|---|---|---|
| Lone Star Circle of Care | Houston, TX | $842K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.