NPI: 1629471875 · BASTROP, TX 78602 · Federally Qualified Health Center (FQHC) · NPI assigned 10/02/2014
| Authorized Official | DE LA PAZ, RAFAEL (CEO) |
| NPI Enumeration Date | 10/02/2014 |
Other providers sharing the same authorized official: DE LA PAZ, RAFAEL
| Provider | City | State | Total Paid |
|---|---|---|---|
| COMMUNITY HEALTH CENTERS OF SOUTH CENTRAL TEXAS, INC. | GONZALES | TX | $8.05M |
| COMMUNITY HEALTH CENTERS OF SOUTH CENTRAL TEXAS INC | VICTORIA | TX | $1.65M |
| COMMUNITY HEALTH CENTERS OF SOUTH CENTRAL TEXAS INC. | ELGIN | TX | $1.37M |
| COMMUNITY HEALTH CENTERS OF SOUTH CENTRAL TEXAS INC | SEGUIN | TX | $1.22M |
| COMMUNITY HEALTH CENTERS OF SOUTH CENTRAL TEXAS, INC | LULING | TX | $789K |
| COMMUNITY HEALTH CENTERS OF SOUTH CENTRAL TEXAS INC. | LOCKHART | TX | $708K |
| COMMUNITY HEALTH CENTERS OF SOUTH CENTRAL TEXAS, INC. | BASTROP | TX | $125K |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 41 | $9K |
| 2021 | 147 | $29K |
| 2022 | 1,005 | $165K |
| 2023 | 1,741 | $280K |
| 2024 | 537 | $100K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 2,052 | 1,688 | $494K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1,018 | 866 | $75K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 53 | 45 | $11K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 17 | 16 | $3K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 266 | 114 | $78.52 |
| 90461 | 17 | 12 | $56.00 | |
| 36415 | Collection of venous blood by venipuncture | 16 | 15 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 32 | 27 | $0.00 |