Clinic
Lone Star Community Health Center, INC.
Lone Star Community Health Center, INC. was paid $1.25M by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 94% of everything it billed.
33Billing provider infoLONE STAR COMMUNITY HEALTH CENTER, INC.
SPRING, TX 77386
SPRING, TX 77386
33aNPI1790115103assigned 11/21/2013
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$1.25M
24GClaims11,213
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Texas
Rank by total paid#109 of 248
Median peer was paid$796K
This provider vs. median1.6×
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 HARWELL, KAREN 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 | 303 | $56K | |
| 2019 | 261 | $49K | |
| 2020 | 1,013 | $76K | |
| 2021 | 3,063 | $282K | |
| 2022 | 2,595 | $263K | |
| 2023 | 1,812 | $206K | |
| 2024incomplete | 2,166 | $319K |
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 | 94% | 6,044 | 5,562 | $1.18M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.8% | 1,712 | 1,633 | $48K |
| 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% | 503 | 491 | $12K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 71 | 69 | $6K |
| 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% | 92 | 91 | $3K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 26 | 26 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 57 | 56 | $1K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 41 | 41 | $854.22 |
| 81025 | <1% | 883 | 856 | $138.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 13 | 13 | $24.42 |
| 90686 | <1% | 256 | 249 | $19.27 | |
| 81002 | <1% | 13 | 13 | $14.60 |
11 more codes
| 96160 | <1% | 30 | $0.02 | |
| S9470 | Nutritional counseling, dietitian visit | <1% | 93 | $0.01 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 280 | $0.00 |
| 99071 | 0% | 14 | $0.00 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 135 | $0.00 |
| 4004F | 0% | 26 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 70 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 809 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 12 | $0.00 |
| 3008F | 0% | 14 | $0.00 | |
| 90656 | 0% | 19 | $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 officialHARWELL, KAREN (CHIEF EXECUTIVE OFFICER)
Parent organizationLONE STAR COMMUNITY HEALTH CENTER, INC.
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.