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LONE STAR COMMUNITY HEALTH CENTER, INC.

Clinic/Center, Federally Qualified Health Center (FQHC)·CONROE, TX·NPI: 1326045774Share

Compared to Clinic/Center, Federally Qualified Health Center (FQHC) Peers

Total spending distribution among 16 providers in this specialty

P25MedianP75P90

This provider's total spending of $31.0M is at the below 25th percentile among 16 Clinic/Center, Federally Qualified Health Center (FQHC) providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$31.0M

$31,009,848

Total Claims

473K

Beneficiaries

407K

1.2 claims/patient

Avg Cost/Claim

$66

Monthly Spending Trend

Yearly Spending

2018
$1.5M
-10%
2019
$1.4M
+14%
2020
$1.6M
+336%
2021
$6.8M
-5%
2022
$6.5M
-15%
2023
$5.5M
+39%
2024
$7.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (T1015 (Clinic visit/encounter, all-inclusive)) accounts for 73% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$22.7M

133K claims · 73.0%

Your Cost: $170.12/claim|Median: $121.16
1.4× median
D0999Top 25%

Unspecified diagnostic procedure, by report

$2.4M

12K claims · 7.8%

Your Cost: $198.59/claim|Median: $101.33
2.0× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$2.3M

60K claims · 7.5%

Your Cost: $38.85/claim|Median: $37.81
1.0× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$909K

9,718 claims · 2.9%

Your Cost: $93.56/claim|Median: $69.35
1.3× median
99214Top 25%

Office/outpatient visit, est. patient, mod-high complexity

$630K

8,186 claims · 2.0%

Your Cost: $77.01/claim|Median: $53.41
1.4× median
99212Normal range

Office/outpatient visit, low complexity

$397K

12K claims · 1.3%

Your Cost: $34.31/claim|Median: $25.06
1.4× median
99392Normal range

Preventive medicine, established patient, age 1-4

$262K

5,914 claims · 0.8%

Your Cost: $44.27/claim|Median: $75.18
0.6× median
99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$189K

3,453 claims · 0.6%

Your Cost: $54.73/claim|Median: $57.85
0.9× median
99381Top 10%

Preventive visit, new patient, infant (<1 yr)

$188K

1,633 claims · 0.6%

Your Cost: $115.39/claim|Median: $73.46
1.6× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$164K

1,585 claims · 0.5%

Your Cost: $103.20/claim|Median: $72.71
1.4× median
99393Normal range

Preventive medicine, established patient, age 5-11

$148K

4,041 claims · 0.5%

Your Cost: $36.66/claim|Median: $74.82
0.5× median
99394Normal range

Preventive medicine, established patient, age 12-17

$140K

3,605 claims · 0.5%

Your Cost: $38.79/claim|Median: $80.15
0.5× median
G0467Normal range

Federally qualified health center visit, mental health

$91K

3,004 claims · 0.3%

Your Cost: $30.37/claim|Median: $21.91
1.4× median
99211Top 5%

Office/outpatient visit, minimal complexity

$85K

1,097 claims · 0.3%

Your Cost: $77.92/claim|Median: $12.93
6.0× median
90834Normal range

Psychotherapy, 45 minutes

$58K

2,197 claims · 0.2%

Your Cost: $26.46/claim|Median: $63.65
0.4× median
99384Normal range

Preventive visit, new patient, adolescent (12-17 yr)

$54K

715 claims · 0.2%

Your Cost: $76.22/claim|Median: $83.63
0.9× median
99383Normal range

Preventive visit, new patient, late childhood (5-11 yr)

$48K

625 claims · 0.2%

Your Cost: $76.85/claim|Median: $81.92
0.9× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$41K

504 claims · 0.1%

Your Cost: $81.68/claim|Median: $84.03
1.0× median
99385Top 10%

Preventive visit, new patient, 18-39 yr

$39K

289 claims · 0.1%

Your Cost: $135.49/claim|Median: $76.22
1.8× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$37K

980 claims · 0.1%

Your Cost: $37.51/claim|Median: $40.11
0.9× median
99396Top 25%

Preventive medicine, established patient, age 40-64

$31K

281 claims · 0.1%

Your Cost: $111.18/claim|Median: $76.06
1.5× median
97169Normal range

$23K

893 claims · 0.1%

Your Cost: $25.88/claim|Median: $22.00
1.2× median
90837Normal range

Psychotherapy, 60 minutes

$19K

497 claims · 0.1%

Your Cost: $37.76/claim|Median: $85.66
0.4× median
J7307Normal range

Etonogestrel implant system, including implant and supplies

$16K

32 claims · 0.1%

Your Cost: $515.27/claim|Median: $786.43
0.7× median
59430Normal range

$7K

933 claims · 0.0%

Your Cost: $8.01/claim|Median: $80.32
0.1× median
99382Normal range

Preventive visit, new patient, early childhood (1-4 yr)

$7K

97 claims · 0.0%

Your Cost: $75.90/claim|Median: $79.89
1.0× median
87428Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay, each

$6K

5,536 claims · 0.0%

Your Cost: $1.14/claim|Median: $39.63
0.0× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$5K

4,039 claims · 0.0%

Your Cost: $1.17/claim|Median: $30.04
0.0× median
90832Normal range

Psychotherapy, 30 minutes

$4K

173 claims · 0.0%

Your Cost: $24.05/claim|Median: $41.28
0.6× median
81025Normal range

Urine pregnancy test

$2K

6,896 claims · 0.0%

Your Cost: $0.28/claim|Median: $4.81
0.1× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$2K

378 claims · 0.0%

Your Cost: $5.05/claim|Median: $25.93
0.2× median
90633Normal range

$1K

2,745 claims · 0.0%

Your Cost: $0.51/claim|Median: $3.56
0.1× median
96110Normal range

Developmental screening, per standardized instrument

$1K

5,230 claims · 0.0%

Your Cost: $0.26/claim|Median: $9.10
0.0× median
81002Normal range

Urinalysis, non-automated without microscopy

$1K

8,107 claims · 0.0%

Your Cost: $0.16/claim|Median: $2.00
0.1× median
99215Normal range

Office/outpatient visit, high complexity

$1K

12 claims · 0.0%

Your Cost: $103.12/claim|Median: $74.09
1.4× median
D1110Normal range

Prophylaxis, adult cleaning

$946

939 claims · 0.0%

Your Cost: $1.01/claim|Median: $43.38
0.0× median
90651Normal range

HPV vaccine, 9-valent

$931

1,880 claims · 0.0%

Your Cost: $0.50/claim|Median: $8.93
0.1× median
D0120Normal range

Periodic oral evaluation, established patient

$868

4,428 claims · 0.0%

Your Cost: $0.20/claim|Median: $24.34
0.0× median
99201Top 25%

Office/outpatient visit, new patient, straightforward

$835

17 claims · 0.0%

Your Cost: $49.10/claim|Median: $27.38
1.8× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$817

2,345 claims · 0.0%

Your Cost: $0.35/claim|Median: $11.48
0.0× median
0064ANormal range

$800

45 claims · 0.0%

Your Cost: $17.78/claim|Median: $34.17
0.5× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$702

65 claims · 0.0%

Your Cost: $10.80/claim|Median: $33.85
0.3× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$646

1,301 claims · 0.0%

Your Cost: $0.50/claim|Median: $9.56
0.1× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$640

21K claims · 0.0%

Your Cost: $0.03/claim|Median: $9.80
0.0× median
90715Normal range

Tdap vaccine

$544

2,590 claims · 0.0%

Your Cost: $0.21/claim|Median: $10.32
0.0× median
87804Normal range

Influenza virus detection, rapid test

$522

1,693 claims · 0.0%

Your Cost: $0.31/claim|Median: $12.59
0.0× median
90472Normal range

Immunization administration, each additional vaccine

$492

20K claims · 0.0%

Your Cost: $0.02/claim|Median: $11.79
0.0× median
87807Normal range

$473

1,104 claims · 0.0%

Your Cost: $0.43/claim|Median: $10.06
0.0× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$461

5,532 claims · 0.0%

Your Cost: $0.08/claim|Median: $7.18
0.0× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$439

447 claims · 0.0%

Your Cost: $0.98/claim|Median: $32.07
0.0× median

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