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 $1.65M by Medicaid between May 2018 and Nov 2024, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.

33Billing provider infoCOMMUNITY HEALTH CENTERS OF SOUTH CENTRAL TEXAS INC
VICTORIA, TX 77901
33aNPI1558611475assigned 09/18/2012
28Total paid$1.65M
24GClaims9,225
24DCodes billed17
24AFirst – last monthMay 2018 – Nov 2024
Compared with peers

Next to other Federally Qualified Health Center (FQHC) providers in Texas

Rank by total paid#94 of 248
Median peer was paid$796K
This provider vs. median2.1×

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
201815$4K
201917$4K
20201,787$281K
20212,202$351K
20222,233$398K
20231,921$381K
2024incomplete1,050$234K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 39% 2,659 2,407 $643K
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 32% 2,345 1,953 $522K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 20% 1,304 1,223 $338K
D0999 Unspecified diagnostic procedure, by report 7.8% 575 532 $128K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 28 28 $8K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 24 24 $7K
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% 28 27 $7K
D0220 Intraoral - periapical first radiographic image <1% 57 53 $126.00
D0230 Intraoral - periapical each additional radiographic image <1% 53 38 $121.00
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient <1% 30 30 $78.00
81025 0% 142 132 $0.00
J1050 Injection, medroxyprogesterone acetate, 1 mg 0% 81 81 $0.00
5 more codes
81003 0% 106 $0.00
99000 0% 1,559 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 0% 141 $0.00
D1206 Topical application of fluoride varnish 0% 39 $0.00
D0602 0% 54 $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 TEXAS 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.