Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

LONE STAR CIRCLE OF CARE

NPI: 1801446182 · TEMPLE, TX 76504 · Federally Qualified Health Center (FQHC) · NPI assigned 09/18/2019

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official CALVIN, JONATHAN controls 20+ related entities in our dataset. Read more

$3.86M
Total Medicaid Paid
56,609
Total Claims
46,734
Beneficiaries
52
Codes Billed
2019-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCALVIN, JONATHAN (CEO)
NPI Enumeration Date09/18/2019

Related Entities

Other providers sharing the same authorized official: CALVIN, JONATHAN

ProviderCityStateTotal 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 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
LONE STAR CIRCLE OF CARE AUSTIN TX $728K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 231 $10K
2020 1,527 $85K
2021 8,476 $587K
2022 18,931 $1.33M
2023 15,125 $1.08M
2024 12,319 $775K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 19,811 14,952 $3.07M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,052 6,895 $265K
90832 Psychotherapy, 30 minutes with patient 2,938 1,872 $145K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,884 1,717 $88K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 882 839 $55K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 858 814 $54K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 740 584 $42K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 384 377 $29K
90791 Psychiatric diagnostic evaluation 309 293 $26K
87428 1,246 1,180 $18K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 174 171 $12K
99000 3,090 2,804 $10K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,309 1,244 $9K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 164 156 $8K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 240 228 $7K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,426 1,244 $5K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 280 261 $5K
90619 86 84 $4K
99384 46 41 $3K
99381 12 12 $2K
99383 18 18 $2K
99382 14 14 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 156 149 $1K
90686 1,036 981 $615.14
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,787 2,600 $295.58
90651 180 170 $272.23
81002 74 73 $113.88
92551 546 533 $106.98
81025 29 28 $72.30
90472 Immunization administration, each additional vaccine (list separately) 2,584 1,541 $59.82
90715 85 80 $30.48
96160 107 89 $21.78
90620 30 27 $0.16
36415 Collection of venous blood by venipuncture 1,636 1,481 $0.00
36416 310 292 $0.00
90680 104 101 $0.00
90677 188 181 $0.00
3008F 459 411 $0.00
3074F 362 322 $0.00
90696 44 44 $0.00
1126F 110 103 $0.00
90697 103 97 $0.00
96127 108 97 $0.00
90656 56 52 $0.00
90474 26 26 $0.00
90670 233 230 $0.00
99173 520 508 $0.00
3725F 90 84 $0.00
90633 254 249 $0.00
3078F 347 310 $0.00
90710 47 47 $0.00
90734 35 28 $0.00