Central Texas Community Health Centers
Central Texas Community Health Centers was paid $28.72M by Medicaid between Oct 2019 and Dec 2024, across 130 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 60% of everything it billed.
AUSTIN, TX 78723
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 | |
|---|---|---|---|
| 2019 | 5,457 | $368K | |
| 2020 | 34,424 | $2.15M | |
| 2021 | 102,437 | $6.03M | |
| 2022 | 111,108 | $6.89M | |
| 2023 | 95,858 | $6.66M | |
| 2024incomplete | 94,406 | $6.62M |
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 | 60% | 80,120 | 65,368 | $17.23M |
| D0999 | Unspecified diagnostic procedure, by report | 16% | 17,740 | 17,067 | $4.47M |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 5.6% | 17,911 | 4,904 | $1.61M |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 2.8% | 8,696 | 2,613 | $813K |
| 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 | 2.5% | 18,821 | 17,068 | $712K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.2% | 22,968 | 20,630 | $646K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.0% | 8,436 | 8,120 | $571K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.9% | 6,674 | 6,442 | $535K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.6% | 7,743 | 7,449 | $463K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.3% | 6,813 | 6,564 | $380K |
| 87428 | 1.0% | 10,852 | 10,046 | $291K | |
| 99381 | <1% | 1,627 | 1,565 | $218K |
118 more codes
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 1,362 | $106K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 11,496 | $82K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 13,047 | $57K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,842 | $55K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 2,404 | $51K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 1,264 | $50K |
| S9152 | Speech therapy, re-evaluation | <1% | 466 | $50K |
| 99384 | <1% | 619 | $47K | |
| 92523 | <1% | 276 | $41K | |
| 99383 | <1% | 599 | $38K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 3,717 | $24K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 342 | $24K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 4,826 | $20K |
| 0071A | <1% | 584 | $16K | |
| 90461 | <1% | 2,923 | $10K | |
| 0072A | <1% | 240 | $8K | |
| 99382 | <1% | 149 | $8K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 16,847 | $7K |
| 0051A | <1% | 179 | $5K | |
| D1120 | Dental cleaning, child | <1% | 9,653 | $5K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 200 | $4K |
| 0001A | <1% | 477 | $4K | |
| 0054A | <1% | 129 | $4K | |
| 90620 | <1% | 2,331 | $4K | |
| D0120 | Dental checkup, returning patient | <1% | 9,269 | $4K |
| 81002 | <1% | 2,152 | $4K | |
| 96160 | <1% | 2,161 | $3K | |
| 99429 | <1% | 121 | $3K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 298 | $3K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 756 | $3K |
| 0052A | <1% | 78 | $3K | |
| 90480 | <1% | 158 | $3K | |
| 97168 | <1% | 25 | $3K | |
| 0002A | <1% | 210 | $2K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 52 | $2K |
| 96380 | <1% | 325 | $2K | |
| D1206 | Topical application of fluoride varnish | <1% | 11,111 | $2K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 3,255 | $2K |
| 0124A | <1% | 46 | $2K | |
| D0272 | Bitewings - two radiographic images | <1% | 5,551 | $2K |
| D1351 | Sealant - per tooth | <1% | 7,893 | $1K |
| D0240 | <1% | 12,994 | $1K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 17,975 | $1K |
| 0081A | <1% | 40 | $1K | |
| D1110 | Prophylaxis - adult | <1% | 1,868 | $823.20 |
| 90619 | <1% | 1,481 | $822.47 | |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | <1% | 13 | $800.00 |
| 97161 | <1% | 16 | $697.14 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 196 | $654.51 |
| 81025 | <1% | 137 | $522.41 | |
| D0274 | Bitewings - four radiographic images | <1% | 1,287 | $484.54 |
| 96158 | <1% | 110 | $431.98 | |
| 92551 | <1% | 1,470 | $177.91 | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 120 | $124.00 |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 13 | $119.60 |
| 90474 | <1% | 1,788 | $105.30 | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 466 | $87.92 |
| J3535 | Drug administered through a metered dose inhaler | <1% | 21 | $42.00 |
| D0140 | Limited oral evaluation - problem focused | <1% | 195 | $37.56 |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 804 | $35.32 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 553 | $27.11 |
| A9150 | Non-prescription drugs | <1% | 37 | $20.50 |
| 81003 | <1% | 148 | $15.51 | |
| 90686 | <1% | 10,281 | $7.61 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 20 | $7.58 |
| D0603 | <1% | 11,227 | $0.02 | |
| D0601 | <1% | 787 | $0.02 | |
| A4627 | Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler | <1% | 34 | $0.01 |
| 90651 | 0% | 3,776 | $0.00 | |
| 91307 | 0% | 1,004 | $0.00 | |
| 90696 | 0% | 1,179 | $0.00 | |
| 90723 | 0% | 2,871 | $0.00 | |
| 90744 | 0% | 1,203 | $0.00 | |
| 90698 | 0% | 1,918 | $0.00 | |
| D0602 | 0% | 1,788 | $0.00 | |
| 96161 | 0% | 15 | $0.00 | |
| 90677 | 0% | 1,395 | $0.00 | |
| 90716 | 0% | 1,505 | $0.00 | |
| 90381 | 0% | 211 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 1,428 | $0.00 |
| 91305 | 0% | 650 | $0.00 | |
| 36416 | 0% | 439 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 221 | $0.00 |
| 90656 | 0% | 998 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 32 | $0.00 |
| D0210 | Intraoral - complete series of radiographic images | 0% | 30 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 84 | $0.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 172 | $0.00 |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 142 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 17 | $0.00 |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 29 | $0.00 |
| 91319 | 0% | 25 | $0.00 | |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 15 | $0.00 |
| 90633 | 0% | 3,295 | $0.00 | |
| 99173 | 0% | 2,334 | $0.00 | |
| 90681 | 0% | 2,874 | $0.00 | |
| 90648 | 0% | 4,039 | $0.00 | |
| 90710 | 0% | 1,272 | $0.00 | |
| 90734 | 0% | 1,719 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 1,580 | $0.00 |
| 90670 | 0% | 3,395 | $0.00 | |
| 90700 | 0% | 1,115 | $0.00 | |
| 90671 | 0% | 1,371 | $0.00 | |
| 90715 | 0% | 1,804 | $0.00 | |
| 91300 | 0% | 739 | $0.00 | |
| D1354 | 0% | 1,930 | $0.00 | |
| 90707 | 0% | 1,421 | $0.00 | |
| 91320 | 0% | 26 | $0.00 | |
| 99080 | 0% | 27 | $0.00 | |
| 91308 | 0% | 81 | $0.00 | |
| 91312 | 0% | 46 | $0.00 | |
| 90649 | 0% | 225 | $0.00 | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 57 | $0.00 |
| 90655 | 0% | 53 | $0.00 | |
| D9910 | 0% | 87 | $0.00 | |
| S0119 | Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) | 0% | 42 | $0.00 |
| 90380 | 0% | 83 | $0.00 | |
| 94664 | 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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.