Clinic
Lone Star Circle of Care
Lone Star Circle of Care was paid $2.33M by Medicaid between Sep 2019 and Nov 2024, across 42 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 83% of everything it billed.
33Billing provider infoLONE STAR CIRCLE OF CARE
AUSTIN, TX 78745
AUSTIN, TX 78745
33aNPI1396300687assigned 05/02/2019
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$2.33M
24GClaims32,334
24DCodes billed42
24AFirst – last monthSep 2019 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Texas
Rank by total paid#83 of 248
Median peer was paid$796K
This provider vs. median2.9×
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 | |
|---|---|---|---|
| 2019 | 697 | $52K | |
| 2020 | 3,525 | $229K | |
| 2021 | 6,797 | $402K | |
| 2022 | 9,100 | $692K | |
| 2023 | 8,253 | $676K | |
| 2024incomplete | 3,962 | $275K |
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 | 83% | 12,020 | 10,262 | $1.92M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.8% | 6,476 | 5,627 | $227K |
| 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 | 4.3% | 1,585 | 1,440 | $100K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 242 | 234 | $19K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 185 | 154 | $11K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 130 | 111 | $7K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 107 | 105 | $6K |
| 87428 | <1% | 238 | 232 | $6K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 55 | 55 | $5K |
| 99000 | <1% | 1,668 | 1,464 | $4K | |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 89 | 80 | $4K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 32 | 32 | $3K |
30 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 90 | $3K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 28 | $3K |
| 81002 | <1% | 2,422 | $2K | |
| 90686 | <1% | 750 | $1K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 14 | $1K |
| 81025 | <1% | 427 | $1K | |
| 0011A | <1% | 38 | $1K | |
| 0012A | <1% | 21 | $736.00 | |
| 90715 | <1% | 52 | $543.64 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,963 | $441.09 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 13 | $342.32 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 96 | $211.33 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,240 | $195.78 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 14 | $194.60 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 28 | $83.34 |
| 3078F | 0% | 129 | $0.00 | |
| 99173 | 0% | 148 | $0.00 | |
| 90670 | 0% | 68 | $0.00 | |
| 3725F | 0% | 147 | $0.00 | |
| 90734 | 0% | 14 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 943 | $0.00 |
| 3008F | 0% | 185 | $0.00 | |
| 1036F | 0% | 273 | $0.00 | |
| 3074F | 0% | 139 | $0.00 | |
| 92551 | 0% | 47 | $0.00 | |
| 91301 | 0% | 114 | $0.00 | |
| 90651 | 0% | 13 | $0.00 | |
| 1126F | 0% | 14 | $0.00 | |
| 90680 | 0% | 24 | $0.00 | |
| 96127 | 0% | 53 | $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 | Bastrop, TX | $7.22M |
| 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 | 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.