Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TX › Houston › NPI 1578235131

Spring Branch Community Health Center

Spring Branch Community Health Center was paid $163K by Medicaid between May 2022 and Nov 2024, across 7 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 94% of everything it billed.

33Billing provider infoSPRING BRANCH COMMUNITY HEALTH CENTER
HOUSTON, TX 77090
33aNPI1578235131assigned 10/01/2021
33bProvider typeCommunity Health Worker
28Total paid$163K
24GClaims1,078
24DCodes billed7
24AFirst – last monthMay 2022 – Nov 2024
Compared with peers

Next to other Community Health Worker providers in Texas

Rank by total paid#9 of 14
Median peer was paid$763K
This provider vs. median0.2×

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$5.0K$10K$15K2018201920202021202220232024
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
2022180$32K
2023332$54K
2024incomplete566$76K
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 94% 793 684 $154K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5.1% 137 116 $8K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 12 12 $744.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 0% 24 24 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 0% 86 86 $0.00
90461 0% 14 14 $0.00
90671 0% 12 12 $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 officialMCCAIN, LORI (CFO)
Same official

Other billing entities under MCCAIN, LORI

Full network →
ProviderLocationPaid
Spring Branch Community Health CenterHouston, TX$271.09

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.