Clinic
Lone Star Circle of Care
Lone Star Circle of Care was paid $15.40M by Medicaid between Jan 2018 and Dec 2024, across 84 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 80% of everything it billed.
33Billing provider infoLONE STAR CIRCLE OF CARE
GEORGETOWN, TX 78628
GEORGETOWN, TX 78628
33aNPI1669603361assigned 07/30/2009
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$15.40M
24GClaims258,462
24DCodes billed84
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Texas
Rank by total paid#15 of 248
Median peer was paid$796K
This provider vs. median19×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official CALVIN, JONATHAN controls 20+ related entities in our dataset. Read more
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 | 6,613 | $242K | |
| 2019 | 6,480 | $343K | |
| 2020 | 28,273 | $1.53M | |
| 2021 | 76,074 | $4.39M | |
| 2022 | 62,784 | $4.08M | |
| 2023 | 41,518 | $2.82M | |
| 2024incomplete | 36,720 | $2.01M |
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 | 80% | 73,650 | 61,127 | $12.32M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.1% | 38,050 | 32,996 | $1.10M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.7% | 6,500 | 6,259 | $418K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.9% | 6,565 | 6,417 | $299K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.8% | 5,561 | 5,375 | $274K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.6% | 4,571 | 4,326 | $253K |
| 99381 | <1% | 1,044 | 1,014 | $135K | |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 2,999 | 2,353 | $130K |
| 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% | 2,061 | 1,989 | $95K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 1,488 | 1,188 | $85K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 544 | 522 | $40K |
| 90619 | <1% | 487 | 483 | $33K |
72 more codes
| G0467 | Community health center visit, returning patient | <1% | 1,026 | $27K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 359 | $27K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 980 | $26K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 7,814 | $23K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 3,316 | $19K |
| 99000 | <1% | 7,447 | $15K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 542 | $10K |
| 0001A | <1% | 307 | $10K | |
| 0002A | <1% | 251 | $9K | |
| S0620 | Routine ophthalmological examination including refraction; new patient | <1% | 214 | $8K |
| 90620 | <1% | 604 | $5K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 100 | $5K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 851 | $4K |
| 99384 | <1% | 31 | $4K | |
| 0011A | <1% | 129 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 17,076 | $3K |
| 99383 | <1% | 40 | $3K | |
| 0012A | <1% | 74 | $3K | |
| 87428 | <1% | 411 | $2K | |
| 90686 | <1% | 6,944 | $2K | |
| S0621 | Routine ophthalmological examination including refraction; established patient | <1% | 46 | $2K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 77 | $1K |
| 90651 | <1% | 1,623 | $1K | |
| 0071A | <1% | 36 | $1K | |
| 81002 | <1% | 787 | $1K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 18,276 | $878.63 |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 58 | $856.71 |
| 0072A | <1% | 12 | $480.00 | |
| 90715 | <1% | 705 | $372.93 | |
| 90621 | <1% | 47 | $301.27 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 107 | $269.28 |
| 92551 | <1% | 2,813 | $219.61 | |
| 90696 | <1% | 502 | $155.07 | |
| 90710 | <1% | 577 | $155.07 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 48 | $128.79 |
| 90474 | <1% | 2,061 | $10.38 | |
| 96160 | <1% | 323 | $4.50 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 49 | $0.45 |
| 91301 | <1% | 289 | $0.27 | |
| 91300 | <1% | 614 | $0.04 | |
| 36416 | 0% | 1,974 | $0.00 | |
| 90680 | 0% | 3,449 | $0.00 | |
| 1126F | 0% | 1,288 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 2,448 | $0.00 |
| 96127 | 0% | 373 | $0.00 | |
| 90697 | 0% | 872 | $0.00 | |
| 90698 | 0% | 707 | $0.00 | |
| 90723 | 0% | 1,688 | $0.00 | |
| 90656 | 0% | 184 | $0.00 | |
| 90677 | 0% | 755 | $0.00 | |
| 90716 | 0% | 782 | $0.00 | |
| 1036F | 0% | 333 | $0.00 | |
| 3074F | 0% | 1,256 | $0.00 | |
| 3008F | 0% | 1,541 | $0.00 | |
| 1125F | 0% | 145 | $0.00 | |
| 91307 | 0% | 79 | $0.00 | |
| 3079F | 0% | 73 | $0.00 | |
| 96161 | 0% | 25 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 12 | $0.00 |
| 90633 | 0% | 2,465 | $0.00 | |
| 90670 | 0% | 4,489 | $0.00 | |
| 99173 | 0% | 5,191 | $0.00 | |
| 90473 | 0% | 497 | $0.00 | |
| 90700 | 0% | 692 | $0.00 | |
| 90734 | 0% | 934 | $0.00 | |
| 90648 | 0% | 2,646 | $0.00 | |
| 90707 | 0% | 720 | $0.00 | |
| 3078F | 0% | 1,182 | $0.00 | |
| 3725F | 0% | 482 | $0.00 | |
| 90685 | 0% | 12 | $0.00 | |
| 90687 | 0% | 28 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 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 officialCALVIN, JONATHAN (CEO)
Parent organizationLONE STAR CIRCLE OF CARE
| Provider | Location | Paid |
|---|---|---|
| Lone Star Circle of Care | Round Rock, TX | $18.03M |
| Lone Star Circle of Care | Austin, TX | $13.07M |
| Lone Star Circle of Care | Round Rock, TX | $12.14M |
| Lone Star Circle of Care | Austin, TX | $12.02M |
| Lone Star Circle of Care | Hutto, TX | $10.39M |
| Lone Star Circle of Care | Bastrop, TX | $7.22M |
| Lone Star Circle of Care | Harker Heights, TX | $6.11M |
| Lone Star Circle of Care | Cedar Park, TX | $6.00M |
| Lone Star Circle of Care | Round Rock, TX | $5.19M |
| Lone Star Circle of Care | Georgetown, TX | $4.47M |
| Lone Star Circle of Care | Austin, TX | $4.30M |
| Lone Star Circle of Care | Harker Heights, TX | $4.27M |
| Lone Star Circle of Care | Temple, TX | $3.86M |
| Lone Star Circle of Care | Cedar Park, TX | $3.64M |
| Lone Star Circle of Care | Pflugerville, TX | $3.15M |
| Lone Star Circle of Care | Austin, TX | $2.62M |
| Lone Star Circle of Care | Austin, TX | $2.33M |
| Lone Star Circle of Care | Georgetown, TX | $1.45M |
| Lone Star Circle of Care | Marble Falls, TX | $1.41M |
| Lone Star Circle of Care | Austin, TX | $728K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.