Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

LONE STAR CIRCLE OF CARE

NPI: 1689983066 · CEDAR PARK, TX 78613 · Federally Qualified Health Center (FQHC) · NPI assigned 10/01/2010

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official CALVIN, JONATHAN controls 20+ related entities in our dataset. Read more

$6.00M
Total Medicaid Paid
96,877
Total Claims
82,011
Beneficiaries
67
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCALVIN, JONATHAN (CEO)
Parent OrganizationLONE STAR CIRCLE OF CARE
NPI Enumeration Date10/01/2010

Related Entities

Other providers sharing the same authorized official: CALVIN, JONATHAN

ProviderCityStateTotal Paid
LONE STAR CIRCLE OF CARE ROUND ROCK TX $18.03M
LONE STAR CIRCLE OF CARE GEORGETOWN TX $15.40M
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 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 868 $52K
2019 1,321 $97K
2020 12,083 $637K
2021 18,972 $1.01M
2022 21,412 $1.38M
2023 22,971 $1.65M
2024 19,250 $1.17M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 29,230 22,976 $5.04M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13,195 11,287 $339K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,310 2,228 $121K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,666 2,615 $115K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,167 2,092 $111K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,686 1,515 $93K
90834 Psychotherapy, 45 minutes with patient 1,517 1,023 $63K
90832 Psychotherapy, 30 minutes with patient 1,062 743 $44K
99381 101 95 $14K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 564 543 $12K
96110 Developmental screening, with scoring and documentation, per standardized instrument 3,827 3,399 $10K
99000 4,272 3,958 $8K
0001A 99 89 $3K
90791 Psychiatric diagnostic evaluation 41 41 $3K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 157 155 $3K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 63 61 $3K
0002A 52 52 $2K
0071A 51 50 $2K
0072A 42 42 $2K
90619 60 54 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 7,177 6,949 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 16 15 $780.80
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 111 111 $763.96
90460 Immunization administration through 18 years of age via any route, first or only component 53 35 $398.75
81002 760 542 $351.53
90472 Immunization administration, each additional vaccine (list separately) 7,439 4,101 $339.04
92551 1,409 1,361 $248.92
90715 126 116 $221.84
90686 3,579 3,509 $197.23
82948 59 57 $139.59
90474 133 131 $10.38
96160 77 72 $2.25
90620 13 13 $0.10
36416 1,193 1,105 $0.00
90680 954 928 $0.00
1126F 343 312 $0.00
90651 291 284 $0.00
90697 400 392 $0.00
90656 77 73 $0.00
3008F 784 689 $0.00
3074F 572 508 $0.00
90723 150 148 $0.00
36415 Collection of venous blood by venipuncture 979 901 $0.00
96127 141 130 $0.00
91307 117 102 $0.00
90698 74 69 $0.00
1036F 249 199 $0.00
90677 438 421 $0.00
90716 49 49 $0.00
91305 12 12 $0.00
90696 12 12 $0.00
96161 28 28 $0.00
90670 1,423 1,395 $0.00
91300 216 186 $0.00
99173 1,940 1,870 $0.00
90648 369 359 $0.00
90710 36 36 $0.00
92552 80 74 $0.00
90633 619 612 $0.00
3725F 298 257 $0.00
90461 76 60 $0.00
90734 159 156 $0.00
3078F 560 495 $0.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 15 15 $0.00
90700 40 40 $0.00
90473 55 51 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 14 13 $0.00