Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Community Health Centers of South Central Texas, INC

Community Health Centers of South Central Texas, INC was paid $789K by Medicaid between Nov 2019 and Nov 2024, across 9 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 75% of everything it billed.

33Billing provider infoCOMMUNITY HEALTH CENTERS OF SOUTH CENTRAL TEXAS, INC
LULING, TX 78648
33aNPI1396904686assigned 06/03/2008
28Total paid$789K
24GClaims4,024
24DCodes billed9
24AFirst – last monthNov 2019 – Nov 2024
Compared with peers

Next to other Ambulatory Family Planning Facility providers in Texas

Rank by total paid#8 of 73
Median peer was paid$144K
This provider vs. median5.5×

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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
201944$12K
2020574$123K
2021784$160K
2022812$155K
2023688$145K
2024incomplete1,122$193K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 75% 2,499 2,085 $595K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20% 1,031 940 $160K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2.6% 189 171 $21K
D0999 Unspecified diagnostic procedure, by report 1.5% 52 49 $12K
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% 16 13 $1K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 92 42 $370.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 12 12 $50.00
36415 Collection of venous blood by venipuncture <1% 40 39 $2.00
99000 0% 93 82 $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 officialDE LA PAZ, RAFAEL (CEO)
Parent organizationCOMMUNITY HEALTH CENTERS OF SOUTH CENTRAL INC
Same official

Other billing entities under DE LA PAZ, RAFAEL

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.