Clinic
People's Community Clinic, INC.
People's Community Clinic, INC. was paid $61.61M by Medicaid between Jan 2018 and Dec 2024, across 110 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 86% of everything it billed.
33Billing provider infoPEOPLE'S COMMUNITY CLINIC, INC.
AUSTIN, TX 78752
AUSTIN, TX 78752
33aNPI1568726214assigned 06/27/2012
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$61.61M
24GClaims656,408
24DCodes billed110
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Texas
Rank by total paid#2 of 248
Median peer was paid$796K
This provider vs. median77×
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
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 | 2,523 | $399K | |
| 2019 | 7,886 | $1.24M | |
| 2020 | 40,271 | $4.87M | |
| 2021 | 140,833 | $12.60M | |
| 2022 | 151,268 | $13.70M | |
| 2023 | 144,545 | $14.53M | |
| 2024incomplete | 169,082 | $14.27M |
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 | 86% | 205,288 | 142,637 | $53.01M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.2% | 91,299 | 71,054 | $2.61M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.9% | 16,411 | 15,649 | $1.79M |
| 99381 | 1.6% | 4,252 | 4,132 | $977K | |
| 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 | 1.2% | 20,575 | 16,929 | $725K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 11,584 | 11,084 | $567K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 20,323 | 17,796 | $463K |
| D0999 | Unspecified diagnostic procedure, by report | <1% | 1,372 | 1,207 | $324K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 5,248 | 4,851 | $269K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 3,041 | 2,658 | $178K |
| 59430 | <1% | 5,219 | 4,522 | $170K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 584 | 557 | $76K |
98 more codes
| 99050 | <1% | 8,969 | $65K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 3,038 | $46K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 10,472 | $34K |
| 81002 | <1% | 39,569 | $30K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,184 | $26K |
| G0467 | Community health center visit, returning patient | <1% | 870 | $26K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 4,511 | $21K |
| 0001A | <1% | 694 | $18K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 455 | $18K |
| 90715 | <1% | 3,462 | $18K | |
| 0011A | <1% | 483 | $10K | |
| 0072A | <1% | 352 | $10K | |
| 0071A | <1% | 412 | $9K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 581 | $9K |
| 90619 | <1% | 648 | $8K | |
| 90620 | <1% | 358 | $7K | |
| 81025 | <1% | 6,013 | $6K | |
| 90686 | <1% | 10,712 | $6K | |
| 90651 | <1% | 3,115 | $6K | |
| 0002A | <1% | 188 | $6K | |
| 90480 | <1% | 761 | $5K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 215 | $5K |
| 92551 | <1% | 6,764 | $4K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 934 | $4K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 4,076 | $4K |
| 83655 | <1% | 3,392 | $4K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 54 | $4K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 33,823 | $4K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 105 | $4K |
| 90837 | Psychotherapy session, about an hour | <1% | 140 | $4K |
| 91322 | <1% | 175 | $3K | |
| 96380 | <1% | 507 | $3K | |
| 90656 | <1% | 2,166 | $2K | |
| 90677 | <1% | 3,946 | $2K | |
| 85018 | <1% | 8,812 | $2K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 97 | $2K |
| 0124A | <1% | 69 | $2K | |
| 0112A | <1% | 59 | $2K | |
| 96160 | <1% | 1,390 | $1K | |
| 87428 | <1% | 3,259 | $1K | |
| 76801 | <1% | 135 | $1K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 27,126 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 411 | $1K |
| 0111A | <1% | 123 | $1K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 34 | $1K |
| 81003 | <1% | 4,990 | $979.06 | |
| 0031A | <1% | 48 | $924.00 | |
| 90716 | <1% | 1,853 | $647.40 | |
| 0052A | <1% | 32 | $640.00 | |
| 0054A | <1% | 26 | $600.00 | |
| 0154A | <1% | 18 | $480.00 | |
| 90707 | <1% | 1,855 | $475.46 | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 15 | $467.93 |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 45 | $431.62 |
| 99384 | <1% | 13 | $401.72 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 14 | $218.32 |
| 90670 | <1% | 4,531 | $214.40 | |
| 0012A | <1% | 21 | $200.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 164 | $179.52 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 577 | $128.45 |
| 90474 | <1% | 4,779 | $96.40 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 54 | $90.96 |
| 90633 | <1% | 3,846 | $90.00 | |
| 17250 | <1% | 20 | $75.22 | |
| 90723 | <1% | 9,174 | $52.00 | |
| 90648 | <1% | 12,251 | $43.60 | |
| 91312 | <1% | 69 | $40.00 | |
| 90473 | <1% | 123 | $13.75 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 54 | $1.91 |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 128 | $1.90 |
| 90671 | 0% | 1,235 | $0.00 | |
| 99173 | 0% | 6,384 | $0.00 | |
| 90710 | 0% | 812 | $0.00 | |
| D0145 | Oral evaluation for a patient under three years of age | 0% | 795 | $0.00 |
| 90700 | 0% | 1,502 | $0.00 | |
| 99051 | 0% | 280 | $0.00 | |
| 90734 | 0% | 87 | $0.00 | |
| 90380 | 0% | 266 | $0.00 | |
| 91300 | 0% | 980 | $0.00 | |
| 99177 | 0% | 607 | $0.00 | |
| 91321 | 0% | 481 | $0.00 | |
| 90681 | 0% | 2,266 | $0.00 | |
| 91311 | 0% | 253 | $0.00 | |
| 99080 | 0% | 40 | $0.00 | |
| 90680 | 0% | 4,397 | $0.00 | |
| 36416 | 0% | 6,407 | $0.00 | |
| 90696 | 0% | 803 | $0.00 | |
| 90381 | 0% | 336 | $0.00 | |
| 91301 | 0% | 453 | $0.00 | |
| D0602 | 0% | 245 | $0.00 | |
| 91307 | 0% | 1,045 | $0.00 | |
| D0603 | 0% | 367 | $0.00 | |
| 96127 | 0% | 461 | $0.00 | |
| 91305 | 0% | 223 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 1,068 | $0.00 |
| D1310 | 0% | 27 | $0.00 | |
| D1330 | 0% | 15 | $0.00 | |
| 91315 | 0% | 18 | $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 officialBALTHAZAR, MATTHEW (CHIEF EXECUTIVE OFFICER)