Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Community Health Centers of South Central Texas INC.

Community Health Centers of South Central Texas INC. was paid $1.37M by Medicaid between Oct 2019 and Dec 2024, across 17 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 85% of everything it billed.

33Billing provider infoCOMMUNITY HEALTH CENTERS OF SOUTH CENTRAL TEXAS INC.
ELGIN, TX 78621
33aNPI1568868370assigned 11/06/2014
28Total paid$1.37M
24GClaims9,467
24DCodes billed17
24AFirst – last monthOct 2019 – Dec 2024
Compared with peers

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

Rank by total paid#104 of 248
Median peer was paid$796K
This provider vs. median1.7×

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
2019135$23K
2020618$120K
20211,276$220K
20221,981$298K
20233,319$423K
2024incomplete2,138$285K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 85% 4,701 3,866 $1.17M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15% 3,114 2,617 $199K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 687 314 $2K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 14 14 $1K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 12 12 $434.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 13 13 $310.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 184 155 $97.23
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 98 72 $90.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 148 119 $55.60
36415 Collection of venous blood by venipuncture <1% 231 225 $2.00
81003 <1% 26 24 $1.89
90670 0% 24 24 $0.00
5 more codes
90461 0% 101 $0.00
99000 0% 50 $0.00
90651 0% 27 $0.00
90656 0% 22 $0.00
90686 0% 15 $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.