Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Texas for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Texas only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Texas (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Lone Star Circle Of Care (NPI 1669603361)

Field	Value
Entity Type	Organization
Organization	Lone Star Circle Of Care
Address	2423 Williams Dr
City	Georgetown
State	TX
ZIP	78628
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	July 30, 2009

Payer Source	Total Paid
Medicaid	$15.4M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

84 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	73,650	$170	$12.3M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	38,050	$30	$1.1M
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	6,500	$60	$416K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	6,570	$50	$302K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	5,560	$50	$272.5K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	4,570	$60	$251.4K
99381	The provider performs a well–baby visit for a child under the age of one.	1,040	$130	$134.7K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	3,000	$40	$129K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	2,060	$50	$94.8K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	1,490	$60	$84.8K

Showing 1–10 of 84

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Texas providers billing the same CPT/HCPCS codes.

Claims Volume vs. Texas Distribution

Lone Star Circle Of Care — 2 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. Texas median

84 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	26	770	2,990	$170	$2.6M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	165	6,040	710	$40	$232.8K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	115	1,500	880	$80	$185.8K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	99	1,360	800	$80	$185.6K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	1,486	5,810	540	$50	$155.5K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	106	1,540	650	$80	$150.4K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	82	1,540	360	$80	$110.6K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	541	1,350	320	$30	$101.2K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	187	810	300	$40	$86.8K
87428	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…	287	590	380	$50	$78.1K

Showing 1–10 of 84

Related Providers

Other providers that share a Tax Identification Number (TIN) with Lone Star Circle Of Care, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lone Star Circle Of Care	TX	Federally Qualified Health Center (FQHC)	$0	$18M
Lone Star Circle Of Care	TX	Federally Qualified Health Center (FQHC)	$0	$13.1M
Lone Star Circle Of Care	TX	Federally Qualified Health Center (FQHC)	$0	$12.1M
Lone Star Circle Of Care	TX	Federally Qualified Health Center (FQHC)	$0	$12M
Avinash Ravipati	TX	Endocrinology, Diabetes & Metabolism Physician	$124.2K	$0
Joanna Holle	TX	Adult Health Clinical Nurse Specialist	$102.9K	$0
Leroy Arenivar	TX	Psychiatry Physician	$81.3K	$0
Martha Schmitz	TX	Obstetrics & Gynecology Physician	$14.5K	$0

Nearby Providers

Other providers in the same ZIP code as Lone Star Circle Of Care, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
City Of Georgetown	TX	Land Ambulance	$1.1M	$332.6K
Amara Sayed	TX	Dermatology Physician	$422.8K	$0
Michael Soileau	TX	Neurology Physician	$339.3K	$0
Cvs Pharmacy Inc	TX	Pharmacy	$282.3K	$0
Courtney Yau	TX	Medical Oncology Physician	$210.6K	$0
Renee Pietzsch	TX	Podiatrist	$171.8K	$0
H-e-b, LP	TX	Community/Retail Pharmacy	$149.8K	$0
David Orsini	TX	Orthopaedic Foot and Ankle Surgery Physician	$60.6K	$0
Aabha Oza	TX	Hematology & Oncology Physician	$23.5K	$0
Amy Friggle	TX	Physician Assistant	$13.6K	$0

Lone Star Circle Of Care — Billing Profile & Reimbursement Data

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Lone Star Circle Of Care — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References