Clinic
Lone Star Circle of Care
Lone Star Circle of Care was paid $842K by Medicaid between Jun 2020 and Nov 2024, across 16 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 77% of everything it billed.
33Billing provider infoLONE STAR CIRCLE OF CARE
HOUSTON, TX 77004
HOUSTON, TX 77004
33aNPI1871050575assigned 02/28/2019
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$842K
24GClaims9,345
24DCodes billed16
24AFirst – last monthJun 2020 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Texas
Rank by total paid#122 of 248
Median peer was paid$796K
This provider vs. median1.1×
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 | 521 | $42K | |
| 2021 | 3,629 | $310K | |
| 2022 | 2,412 | $228K | |
| 2023 | 1,436 | $139K | |
| 2024incomplete | 1,347 | $123K |
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 | 77% | 5,059 | 3,565 | $645K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 1,539 | 1,343 | $116K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 6.5% | 917 | 573 | $54K |
| 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 | 2.4% | 282 | 260 | $20K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 53 | 36 | $3K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 29 | 25 | $2K |
| 99000 | <1% | 727 | 668 | $339.18 | |
| 3725F | 0% | 34 | 30 | $0.00 | |
| 96160 | 0% | 13 | 12 | $0.00 | |
| 90686 | 0% | 39 | 38 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 398 | 363 | $0.00 |
| 3008F | 0% | 25 | 24 | $0.00 |
4 more codes
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, JON (CEO)
Parent organizationLONE STAR CIRCLE OF CARE
| Provider | Location | Paid |
|---|---|---|
| Lone Star Circle of Care | Killeen, TX | $3.35M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.