Medicaid Provider Spending

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

LONE STAR CIRCLE OF CARE

NPI: 1417195942 · AUSTIN, TX 78704 · Federally Qualified Health Center (FQHC) · NPI assigned 01/21/2009

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

Authorized official CALVIN, JONATHAN controls 20+ related entities in our dataset. Read more

$12.02M
Total Medicaid Paid
203,568
Total Claims
176,275
Beneficiaries
100
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCALVIN, JONATHAN (CEO)
Parent OrganizationLONE STAR CIRCLE OF CARE
NPI Enumeration Date01/21/2009

Related Entities

Other providers sharing the same authorized official: CALVIN, JONATHAN

ProviderCityStateTotal 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 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 AUSTIN TX $2.33M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,405 $192K
2019 7,595 $396K
2020 24,809 $1.31M
2021 55,977 $3.11M
2022 49,591 $3.11M
2023 42,407 $2.80M
2024 17,784 $1.10M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 59,640 47,935 $9.98M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 28,427 25,050 $844K
90832 Psychotherapy, 30 minutes with patient 4,640 3,473 $233K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,834 4,604 $229K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4,790 4,714 $122K
90834 Psychotherapy, 45 minutes with patient 2,095 1,535 $109K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,272 3,225 $106K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,718 3,646 $91K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,296 2,170 $81K
90791 Psychiatric diagnostic evaluation 755 727 $61K
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 1,642 1,508 $44K
99000 8,502 7,791 $14K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 654 635 $13K
87428 934 833 $13K
96110 Developmental screening, with scoring and documentation, per standardized instrument 6,238 5,627 $12K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,102 1,053 $9K
99381 249 233 $9K
0001A 176 157 $6K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 204 203 $6K
0012A 164 159 $6K
0002A 123 120 $5K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 205 165 $4K
90619 123 122 $4K
0011A 180 178 $3K
G0511 Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month 186 186 $3K
99384 28 26 $2K
90686 5,692 5,602 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 12,616 12,247 $2K
0064A 160 156 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 731 685 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 18 17 $2K
83036 Hemoglobin; glycosylated (A1C) 823 808 $893.25
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 349 270 $811.05
0134A 56 54 $765.72
90472 Immunization administration, each additional vaccine (list separately) 13,922 7,549 $722.13
81002 879 831 $631.80
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 303 294 $528.20
90651 904 892 $512.33
92551 2,599 2,554 $284.58
90715 298 291 $284.03
81025 184 175 $281.61
90620 96 95 $193.07
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 13 12 $143.10
90670 3,314 3,261 $96.00
0081A 12 12 $80.00
90474 1,527 1,483 $43.28
85025 Blood count; complete (CBC), automated, and automated differential WBC count 26 26 $32.65
80305 50 50 $21.89
80061 Lipid panel 12 12 $11.25
80053 Comprehensive metabolic panel 15 15 $8.87
90461 127 109 $6.71
91301 380 353 $0.09
91300 368 302 $0.02
90633 1,971 1,941 $0.00
3078F 227 213 $0.00
90700 440 433 $0.00
96160 54 53 $0.00
99173 3,146 3,094 $0.00
90648 254 251 $0.00
90707 420 411 $0.00
3725F 287 244 $0.00
91308 62 59 $0.00
87420 15 15 $0.00
90734 457 448 $0.00
90685 26 26 $0.00
90710 417 414 $0.00
90473 18 17 $0.00
91313 55 54 $0.00
3077F 12 12 $0.00
G0444 Annual depression screening, 5 to 15 minutes 42 42 $0.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 56 56 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 26 14 $0.00
90713 18 18 $0.00
90750 40 40 $0.00
1159F 14 13 $0.00
90698 2,027 1,995 $0.00
36415 Collection of venous blood by venipuncture 2,862 2,696 $0.00
36416 3,201 2,933 $0.00
90677 286 279 $0.00
90381 12 12 $0.00
90697 332 329 $0.00
90744 1,314 1,289 $0.00
3074F 281 263 $0.00
90680 2,142 2,109 $0.00
90716 420 410 $0.00
1126F 207 194 $0.00
90696 219 218 $0.00
3079F 108 105 $0.00
91306 149 146 $0.00
1036F 428 373 $0.00
90674 69 69 $0.00
91307 88 82 $0.00
G0008 Administration of influenza virus vaccine 27 27 $0.00
3008F 284 258 $0.00
1125F 33 33 $0.00
96127 270 259 $0.00
99383 52 52 $0.00
3044F 21 18 $0.00
91305 14 14 $0.00
3075F 14 14 $0.00