Clinic
Community Action, INC. of Hays, Caldwell, and Blanco Counties
Community Action, INC. of Hays, Caldwell, and Blanco Counties was paid $91K by Medicaid between Feb 2020 and Dec 2024, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.
33Billing provider infoCOMMUNITY ACTION, INC. OF HAYS, CALDWELL, AND BLANCO COUNTIES
SAN MARCOS, TX 78666
SAN MARCOS, TX 78666
33aNPI1730225574assigned 01/29/2007
33bProvider typeNon-Surgical Family Planning Clinic/Center
28Total paid$91K
24GClaims4,598
24DCodes billed12
24AFirst – last monthFeb 2020 – Dec 2024
Compared with peers
Next to other Non-Surgical Family Planning Clinic/Center providers in Texas
Rank by total paid#7 of 20
Median peer was paid$5K
This provider vs. median17×
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 | |
|---|---|---|---|
| 2020 | 976 | $20K | |
| 2021 | 1,330 | $27K | |
| 2022 | 933 | $15K | |
| 2023 | 674 | $13K | |
| 2024incomplete | 685 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 35% | 1,172 | 1,138 | $32K |
| S4993 | Contraceptive pills for birth control | 22% | 211 | 207 | $20K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 8.9% | 452 | 440 | $8K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 7.6% | 106 | 106 | $7K |
| A4267 | Contraceptive supply, condom, male, each | 7.3% | 1,028 | 985 | $7K |
| 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 | 5.0% | 120 | 118 | $5K |
| 81025 | 4.8% | 634 | 622 | $4K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 3.0% | 233 | 233 | $3K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.9% | 58 | 58 | $3K |
| 87210 | 2.7% | 513 | 510 | $2K | |
| G0433 | Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening | <1% | 56 | 56 | $844.80 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 15 | 14 | $152.74 |
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 officialBELVER, CAROLE (EXECUTIVE DIRECTOR)