Clinic
Lone Star Circle of Care
Lone Star Circle of Care was paid $3.86M by Medicaid between Nov 2019 and Dec 2024, across 52 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 80% of everything it billed.
33Billing provider infoLONE STAR CIRCLE OF CARE
TEMPLE, TX 76504
TEMPLE, TX 76504
33aNPI1801446182assigned 09/18/2019
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$3.86M
24GClaims56,609
24DCodes billed52
24AFirst – last monthNov 2019 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Texas
Rank by total paid#55 of 248
Median peer was paid$796K
This provider vs. median4.8×
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 CALVIN, JONATHAN 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 | |
|---|---|---|---|
| 2019 | 231 | $10K | |
| 2020 | 1,527 | $85K | |
| 2021 | 8,476 | $587K | |
| 2022 | 18,931 | $1.33M | |
| 2023 | 15,125 | $1.08M | |
| 2024incomplete | 12,319 | $775K |
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 | 80% | 19,811 | 14,952 | $3.07M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.9% | 8,052 | 6,895 | $265K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 3.7% | 2,938 | 1,872 | $145K |
| 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 | 2.3% | 1,884 | 1,717 | $88K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.4% | 882 | 839 | $55K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.4% | 858 | 814 | $54K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.1% | 740 | 584 | $42K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 384 | 377 | $29K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 309 | 293 | $26K |
| 87428 | <1% | 1,246 | 1,180 | $18K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 174 | 171 | $12K |
| 99000 | <1% | 3,090 | 2,804 | $10K |
40 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,309 | $9K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 164 | $8K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 240 | $7K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,426 | $5K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 280 | $5K |
| 90619 | <1% | 86 | $4K | |
| 99384 | <1% | 46 | $3K | |
| 99381 | <1% | 12 | $2K | |
| 99383 | <1% | 18 | $2K | |
| 99382 | <1% | 14 | $1K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 156 | $1K |
| 90686 | <1% | 1,036 | $615.14 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,787 | $295.58 |
| 90651 | <1% | 180 | $272.23 | |
| 81002 | <1% | 74 | $113.88 | |
| 92551 | <1% | 546 | $106.98 | |
| 81025 | <1% | 29 | $72.30 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 2,584 | $59.82 |
| 90715 | <1% | 85 | $30.48 | |
| 96160 | <1% | 107 | $21.78 | |
| 90620 | <1% | 30 | $0.16 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 1,636 | $0.00 |
| 36416 | 0% | 310 | $0.00 | |
| 90680 | 0% | 104 | $0.00 | |
| 90677 | 0% | 188 | $0.00 | |
| 3008F | 0% | 459 | $0.00 | |
| 3074F | 0% | 362 | $0.00 | |
| 90696 | 0% | 44 | $0.00 | |
| 1126F | 0% | 110 | $0.00 | |
| 90697 | 0% | 103 | $0.00 | |
| 96127 | 0% | 108 | $0.00 | |
| 90656 | 0% | 56 | $0.00 | |
| 90474 | 0% | 26 | $0.00 | |
| 90670 | 0% | 233 | $0.00 | |
| 99173 | 0% | 520 | $0.00 | |
| 3725F | 0% | 90 | $0.00 | |
| 90633 | 0% | 254 | $0.00 | |
| 3078F | 0% | 347 | $0.00 | |
| 90710 | 0% | 47 | $0.00 | |
| 90734 | 0% | 35 | $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 officialCALVIN, JONATHAN (CEO)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.