Clinic
Lone Star Circle of Care
Lone Star Circle of Care was paid $12.02M by Medicaid between Jan 2018 and Dec 2024, across 100 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 78704
AUSTIN, TX 78704
33aNPI1417195942assigned 01/21/2009
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$12.02M
24GClaims203,568
24DCodes billed100
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Texas
Rank by total paid#25 of 248
Median peer was paid$796K
This provider vs. median15×
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 | |
|---|---|---|---|
| 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 | |
| 2024incomplete | 17,784 | $1.10M |
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% | 59,640 | 47,935 | $9.98M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.0% | 28,427 | 25,050 | $844K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.9% | 4,640 | 3,473 | $233K |
| 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 | 1.9% | 4,834 | 4,604 | $229K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.0% | 4,790 | 4,714 | $122K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 2,095 | 1,535 | $109K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 3,272 | 3,225 | $106K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 3,718 | 3,646 | $91K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 2,296 | 2,170 | $81K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 755 | 727 | $61K |
| G0467 | Community health center visit, returning patientFederally 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% | 1,642 | 1,508 | $44K |
| 99000 | <1% | 8,502 | 7,791 | $14K |
88 more codes
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 654 | $13K |
| 87428 | <1% | 934 | $13K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 6,238 | $12K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,102 | $9K |
| 99381 | <1% | 249 | $9K | |
| 0001A | <1% | 176 | $6K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 204 | $6K |
| 0012A | <1% | 164 | $6K | |
| 0002A | <1% | 123 | $5K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 205 | $4K |
| 90619 | <1% | 123 | $4K | |
| 0011A | <1% | 180 | $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 | <1% | 186 | $3K |
| 99384 | <1% | 28 | $2K | |
| 90686 | <1% | 5,692 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 12,616 | $2K |
| 0064A | <1% | 160 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 731 | $2K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 18 | $2K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 823 | $893.25 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 349 | $811.05 |
| 0134A | <1% | 56 | $765.72 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 13,922 | $722.13 |
| 81002 | <1% | 879 | $631.80 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 303 | $528.20 |
| 90651 | <1% | 904 | $512.33 | |
| 92551 | <1% | 2,599 | $284.58 | |
| 90715 | <1% | 298 | $284.03 | |
| 81025 | <1% | 184 | $281.61 | |
| 90620 | <1% | 96 | $193.07 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 13 | $143.10 |
| 90670 | <1% | 3,314 | $96.00 | |
| 0081A | <1% | 12 | $80.00 | |
| 90474 | <1% | 1,527 | $43.28 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 26 | $32.65 |
| 80305 | <1% | 50 | $21.89 | |
| 80061 | Lipid panel | <1% | 12 | $11.25 |
| 80053 | Comprehensive metabolic panel | <1% | 15 | $8.87 |
| 90461 | <1% | 127 | $6.71 | |
| 91301 | <1% | 380 | $0.09 | |
| 91300 | <1% | 368 | $0.02 | |
| 90633 | 0% | 1,971 | $0.00 | |
| 3078F | 0% | 227 | $0.00 | |
| 90700 | 0% | 440 | $0.00 | |
| 96160 | 0% | 54 | $0.00 | |
| 99173 | 0% | 3,146 | $0.00 | |
| 90648 | 0% | 254 | $0.00 | |
| 90707 | 0% | 420 | $0.00 | |
| 3725F | 0% | 287 | $0.00 | |
| 91308 | 0% | 62 | $0.00 | |
| 87420 | 0% | 15 | $0.00 | |
| 90734 | 0% | 457 | $0.00 | |
| 90685 | 0% | 26 | $0.00 | |
| 90710 | 0% | 417 | $0.00 | |
| 90473 | 0% | 18 | $0.00 | |
| 91313 | 0% | 55 | $0.00 | |
| 3077F | 0% | 12 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 42 | $0.00 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 56 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 26 | $0.00 |
| 90713 | 0% | 18 | $0.00 | |
| 90750 | 0% | 40 | $0.00 | |
| 1159F | 0% | 14 | $0.00 | |
| 90698 | 0% | 2,027 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 2,862 | $0.00 |
| 36416 | 0% | 3,201 | $0.00 | |
| 90677 | 0% | 286 | $0.00 | |
| 90381 | 0% | 12 | $0.00 | |
| 90697 | 0% | 332 | $0.00 | |
| 90744 | 0% | 1,314 | $0.00 | |
| 3074F | 0% | 281 | $0.00 | |
| 90680 | 0% | 2,142 | $0.00 | |
| 90716 | 0% | 420 | $0.00 | |
| 1126F | 0% | 207 | $0.00 | |
| 90696 | 0% | 219 | $0.00 | |
| 3079F | 0% | 108 | $0.00 | |
| 91306 | 0% | 149 | $0.00 | |
| 1036F | 0% | 428 | $0.00 | |
| 90674 | 0% | 69 | $0.00 | |
| 91307 | 0% | 88 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 27 | $0.00 |
| 3008F | 0% | 284 | $0.00 | |
| 1125F | 0% | 33 | $0.00 | |
| 96127 | 0% | 270 | $0.00 | |
| 99383 | 0% | 52 | $0.00 | |
| 3044F | 0% | 21 | $0.00 | |
| 91305 | 0% | 14 | $0.00 | |
| 3075F | 0% | 14 | $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)
Parent organizationLONE STAR CIRCLE OF CARE
| 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 | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.