Lone Star Circle of Care
Lone Star Circle of Care was paid $333K by Medicaid between Jun 2021 and Nov 2024, across 16 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 86% of everything it billed.
GEORGETOWN, TX 78628
Next to other Federally Qualified Health Center (FQHC) providers in Texas
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 361 | $31K | |
| 2022 | 611 | $58K | |
| 2023 | 1,566 | $144K | |
| 2024incomplete | 988 | $101K |
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 | 86% | 1,857 | 1,630 | $286K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 1,172 | 1,052 | $41K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 47 | 44 | $2K |
| 90619 | <1% | 14 | 13 | $2K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 47 | 40 | $891.91 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 66 | 58 | $528.20 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 28 | 28 | $291.69 |
| 99000 | <1% | 24 | 21 | $140.40 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 84 | 81 | $45.50 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 71 | 45 | $0.00 |
| 3078F | 0% | 17 | 17 | $0.00 | |
| 90715 | 0% | 13 | 13 | $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.
Who's on the registration
| Provider | Location | 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 | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.