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COMMUNITY HEALTH CENTERS OF SOUTH CENTRAL TEXAS, INC.
COMMUNITY HEALTH CENTERS OF SOUTH CENTRAL TEXAS, INC.
NPI: 1407406333
· BASTROP, TX 78602
· Federally Qualified Health Center (FQHC)
· NPI assigned 09/12/2019
$125K
Total Medicaid Paid
Provider Details
| Authorized Official | DE LA PAZ, RAFAEL (CEO) |
| Parent Organization | COMMUNITY HEALTH CENTERS OF SOUTH CENTRAL TEXAS, INC. |
| NPI Enumeration Date | 09/12/2019 |
Related Entities
Other providers sharing the same authorized official: DE LA PAZ, RAFAEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
793 |
$125K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
492 |
383 |
$121K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
95 |
82 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
155 |
69 |
$880.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$45.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21 |
12 |
$0.00 |
| 90461 |
|
17 |
14 |
$0.00 |