Medicaid Provider Spending

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

LONE STAR CIRCLE OF CARE

NPI: 1528366648 · HARKER HEIGHTS, TX 76548 · Federally Qualified Health Center (FQHC) · NPI assigned 03/14/2011

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

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

$6.11M
Total Medicaid Paid
72,485
Total Claims
58,388
Beneficiaries
51
Codes Billed
2018-03
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCALVIN, JONATHAN (CEO)
Parent OrganizationLONE STAR CIRCLE OF CARE
NPI Enumeration Date03/14/2011

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 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 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 262 $26K
2019 347 $42K
2020 3,693 $321K
2021 14,250 $1.43M
2022 13,946 $1.41M
2023 12,944 $1.29M
2024 27,043 $1.58M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 30,642 21,750 $4.90M
90832 Psychotherapy, 30 minutes with patient 12,228 9,824 $491K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11,625 10,902 $366K
90791 Psychiatric diagnostic evaluation 1,469 1,441 $118K
90834 Psychotherapy, 45 minutes with patient 1,799 1,523 $85K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,105 1,070 $43K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 523 429 $28K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 462 415 $28K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 334 317 $21K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 168 162 $10K
87428 374 347 $5K
99000 660 622 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 92 91 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 314 290 $2K
99384 19 19 $2K
96110 Developmental screening, with scoring and documentation, per standardized instrument 884 586 $1K
99381 17 13 $1K
90837 Psychotherapy, 53 minutes with patient 22 12 $1K
99383 13 13 $904.34
90619 164 157 $705.92
90620 94 93 $495.19
87807 46 46 $407.00
92551 336 300 $59.79
96160 399 364 $17.28
3078F 976 883 $0.00
90472 Immunization administration, each additional vaccine (list separately) 940 551 $0.00
90707 12 12 $0.00
99173 475 445 $0.00
90633 118 115 $0.00
3725F 473 422 $0.00
90710 80 77 $0.00
90715 72 67 $0.00
90648 13 13 $0.00
90474 105 99 $0.00
90716 26 26 $0.00
90677 221 211 $0.00
90696 61 59 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 857 813 $0.00
96127 504 454 $0.00
3074F 1,022 923 $0.00
3079F 65 56 $0.00
36415 Collection of venous blood by venipuncture 95 89 $0.00
90697 120 114 $0.00
3008F 1,244 1,127 $0.00
90656 200 193 $0.00
1036F 397 311 $0.00
90680 124 108 $0.00
1126F 286 242 $0.00
36416 12 12 $0.00
90651 147 139 $0.00
90686 51 41 $0.00