Clinic
Central Texas Community Health Centers
Central Texas Community Health Centers was paid $31.53M by Medicaid between Jan 2018 and Dec 2024, across 112 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 78% of everything it billed.
33Billing provider infoCENTRAL TEXAS COMMUNITY HEALTH CENTERS
AUSTIN, TX 78758
AUSTIN, TX 78758
33aNPI1720350978assigned 02/03/2012
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$31.53M
24GClaims426,368
24DCodes billed112
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Texas
Rank by total paid#4 of 248
Median peer was paid$796K
This provider vs. median40×
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
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 | 1,768 | $204K | |
| 2019 | 7,498 | $688K | |
| 2020 | 37,142 | $3.01M | |
| 2021 | 94,703 | $6.28M | |
| 2022 | 105,807 | $7.46M | |
| 2023 | 93,227 | $7.01M | |
| 2024incomplete | 86,223 | $6.88M |
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 | 78% | 118,693 | 87,155 | $24.69M |
| 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% | 51,981 | 39,455 | $1.61M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.4% | 13,485 | 12,809 | $1.39M |
| 99381 | 2.2% | 3,541 | 3,395 | $690K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.1% | 12,933 | 12,549 | $673K |
| 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 | 2.0% | 14,040 | 12,481 | $617K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.3% | 7,046 | 6,731 | $408K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 3,729 | 3,594 | $256K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 10,700 | 9,526 | $238K |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 1,903 | 400 | $169K |
| 59430 | <1% | 4,189 | 3,775 | $169K | |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | <1% | 2,487 | 2,295 | $83K |
100 more codes
| 87428 | <1% | 2,753 | $61K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 1,506 | $58K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 415 | $35K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 7,329 | $34K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 473 | $32K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 581 | $31K |
| 90715 | <1% | 4,409 | $25K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 392 | $23K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 298 | $21K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 5,652 | $20K |
| 90651 | <1% | 2,015 | $19K | |
| 81002 | <1% | 15,343 | $14K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 230 | $13K |
| D9420 | <1% | 525 | $12K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 207 | $12K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 469 | $10K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 142 | $9K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 441 | $8K |
| 90461 | <1% | 2,153 | $6K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 28,397 | $6K |
| 90686 | <1% | 11,189 | $6K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 108 | $5K |
| 0002A | <1% | 307 | $5K | |
| 90480 | <1% | 428 | $4K | |
| 0071A | <1% | 110 | $4K | |
| 81025 | <1% | 2,168 | $4K | |
| 0012A | <1% | 205 | $4K | |
| 0001A | <1% | 330 | $3K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 377 | $3K |
| 97802 | <1% | 690 | $3K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 462 | $3K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 26,515 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 329 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 464 | $3K |
| 99383 | <1% | 29 | $2K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 61 | $2K |
| D1351 | Sealant - per tooth | <1% | 80 | $2K |
| 0011A | <1% | 188 | $2K | |
| 96380 | <1% | 344 | $1K | |
| 90620 | <1% | 775 | $1K | |
| 90716 | <1% | 2,409 | $1K | |
| 0013A | <1% | 83 | $1K | |
| 90656 | <1% | 1,025 | $1K | |
| 0124A | <1% | 58 | $1K | |
| 97803 | <1% | 644 | $1K | |
| 91320 | <1% | 117 | $1K | |
| 90707 | <1% | 2,302 | $1K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 767 | $862.67 |
| 76801 | <1% | 28 | $772.30 | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 626 | $682.00 |
| 90677 | <1% | 1,885 | $543.90 | |
| D0272 | Bitewings - two radiographic images | <1% | 40 | $490.98 |
| 0054A | <1% | 33 | $396.00 | |
| 96156 | <1% | 63 | $377.25 | |
| 96160 | <1% | 249 | $318.64 | |
| 90619 | <1% | 736 | $214.42 | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 75 | $205.82 |
| D0240 | <1% | 41 | $196.00 | |
| 90474 | <1% | 3,169 | $190.46 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 184 | $186.47 |
| 92551 | <1% | 1,940 | $149.38 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 72 | $137.59 |
| 91301 | <1% | 752 | $107.13 | |
| 0003A | <1% | 12 | $80.00 | |
| 90734 | <1% | 734 | $77.98 | |
| 90688 | <1% | 583 | $73.62 | |
| 93000 | <1% | 14 | $58.61 | |
| 90648 | 0% | 7,491 | $0.00 | |
| 90670 | 0% | 6,434 | $0.00 | |
| 90633 | 0% | 4,937 | $0.00 | |
| 90710 | 0% | 1,678 | $0.00 | |
| 90649 | 0% | 61 | $0.00 | |
| 90700 | 0% | 2,260 | $0.00 | |
| 90473 | 0% | 281 | $0.00 | |
| 90681 | 0% | 5,158 | $0.00 | |
| 90671 | 0% | 1,953 | $0.00 | |
| 91300 | 0% | 754 | $0.00 | |
| 90380 | 0% | 89 | $0.00 | |
| 90655 | 0% | 124 | $0.00 | |
| 99173 | 0% | 852 | $0.00 | |
| 91312 | 0% | 58 | $0.00 | |
| 90750 | 0% | 13 | $0.00 | |
| 90662 | 0% | 18 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 36 | $0.00 |
| 91308 | 0% | 17 | $0.00 | |
| 90723 | 0% | 5,258 | $0.00 | |
| 96161 | 0% | 159 | $0.00 | |
| 99607 | 0% | 32 | $0.00 | |
| 99606 | 0% | 351 | $0.00 | |
| 91305 | 0% | 101 | $0.00 | |
| 90698 | 0% | 2,676 | $0.00 | |
| 90696 | 0% | 1,556 | $0.00 | |
| 82962 | 0% | 1,079 | $0.00 | |
| 91307 | 0% | 197 | $0.00 | |
| 90744 | 0% | 146 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 28 | $0.00 |
| 91318 | 0% | 93 | $0.00 | |
| 90381 | 0% | 195 | $0.00 | |
| 90657 | 0% | 13 | $0.00 | |
| 92250 | 0% | 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.
From NPPES
Who's on the registration
Authorized officialKONECNY, CAROLYN (CFO)
Parent organizationCENTRAL TEXAS COMMUNITY HEALTH CENTERS
| Provider | Location | Paid |
|---|---|---|
| Central Texas Community Health Centers | Austin, TX | $4.53M |
| Central Texas Community Health Centers | Austin, TX | $2.66M |
| Central Texas Community Health Centers | Pflugerville, TX | $1.35M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.