Post on 12-Oct-2019
TPI NPI Name Street Address City Zip County Prior
Rate
Prior Rate
Effective
Date
Current
Rate
Current
Rate
Effective
Date191099403 1386770147 AMISTAD COMMUNITY HEALTH CENTER INC 1533 S BROWNLEE BLVD STE 100 CORPUS CHRISTI 78404 NUECES $ 213.79 01/01/2018 $ 218.07 01/01/2019348832201 1518345271 ASIAN AMERICAN HEALTH COALITION FOR THE GREATER HO-HOPE CLINIC ALIEF 14438 BELLAIRE BLVD HOUSTON 77083 HARRIS $ 219.33 01/01/2018 $ 223.72 01/01/2019334829401 1073935441 ASIAN AMERICAN HEALTH COALITION OF THE GREATER HO 12121 WESTHEIMER RD STE 205 HOUSTON 77077 HARRIS $ 219.33 01/01/2018 $ 223.72 01/01/2019183828603 1699966754 ASIAN AMERICAN HEALTH COALITION-HOPE CLINIC 7001 CORPORATE DR STE 120 HOUSTON 77036 HARRIS $ 219.33 01/01/2018 $ 223.72 01/01/2019092952301 1750364998 ATASCOSA HEALTH CENTER INC 310 W OAKLAWN RD PLEASANTON 78064 ATASCOSA $ 157.98 10/01/2017 $ 160.98 10/01/2018092952303 1336491083 ATASCOSA HEALTH CENTER INC 105 E THORNTON THREE RIVERS 78071 LIVE OAK $ 157.98 10/01/2017 $ 160.98 10/01/2018092952305 1508390360 ATASCOSA HEALTH CENTER INC 8555 N STATE HIGHWAY 16 POTEET 78065 ATASCOSA $ 157.98 10/01/2017 $ 160.98 10/01/2018357230701 1164899472 ATASCOSA HEALTH CENTER, INC. 203 HACKBERRY ST. TILDEN 78072 MCMULLEN $ 157.98 10/01/2017 $ 160.98 10/01/2018369748401 1003359209 ATASCOSA HEALTH CENTER, INC. 19010 PREIST BLVD LYTLE 78052 ATASCOSA $ 157.98 10/01/2017 $ 160.98 10/01/2018189890001 1487833729 ATASCOSA HEALTH CENTER, INC.-WILSON COMMUNITY HEALTH CENTER 540 10TH ST STE 140 FLORESVILLE 78114 WILSON $ 157.98 10/01/2017 $ 160.98 10/01/2018342899701 1427464759 AUSTIN AVENUE CLINIC 110S S 12TH ST WACO 76701 MCLENNAN $ 228.99 10/01/2017 $ 233.34 10/01/2018384104103 1093203713 AUSTIN OBG COMMUNITYCARE MANOR-COMMUNITYCARE 14008 SHADOWGLEN BLVD MANOR 78653 TRAVIS $ 251.64 06/15/2018 $ 256.42 10/01/2018386194001 1083102701 AUSTIN OBG COMMUNITYCARE RIVERSIDE-COMMUNITYCARE 2410 E RIVERSIDE DR UNIT 105 AUSTIN 78741 TRAVIS $ 251.64 10/01/2017 $ 256.42 10/01/2018389502103 1710475439 AUSTIN OBG COMMUNITYCARE SPRINGDALE-COMMUNITYCARE 7112 ED BLUESTEIN BLVD STE 105 AUSTIN 78723 TRAVIS $ 251.64 06/14/2018 $ 256.42 10/01/2018312555101 1427357458 BARRIO COMPREHENSIVE FAMILY HEALTH CARE CENTER 8210 CALLAGHAN RD SAN ANTONIO 78230 BEXAR $ 156.03 02/01/2018 $ 159.15 02/01/2019283610801 1902883739 BARRIO COMPREHENSIVE FAMILY HEALTH CARE CENTER INC-COMMUNICARE HEALTH CENTERS 3066 E COMMERCE ST SAN ANTONIO 78220 BEXAR $ 156.03 02/01/2018 $ 159.15 02/01/2019092955601 1952690463 BARRIO COMPREHENSIVE FAMILY HEALTH CARE CENTER INC-COMMUNICARE HEALTH CTR 1102 BARCLAY ST SAN ANTONIO 78207 BEXAR $ 156.03 02/01/2018 $ 159.15 02/01/2019220180801 1003136912 BARRIO COMPREHENSIVE FAMILY HEALTH CARE CENTER, IN-COMMUNICARE HEALTH CENTERS 2810 DACY LN KYLE 78640 HAYS $ 156.03 02/01/2018 $ 159.15 02/01/2019341930101 1003228750 BARRIO COMPREHENSIVE FAMILY HEALTH CARE CENTER,INC-COMMUNICARE HEALTH CENTERS 1200 BROOKLYN AVE STE 365 SAN ANTONIO 78212 BEXAR $ 156.03 02/01/2018 $ 159.15 02/01/2019352166801 1750701454 BARRIO COMPREHENSIVE FAMILY HEALTH CARE CENTER,INC-COMMUNICARE HEALTH CENTERS 201 STILLWATER # 6 WIMBERLEY 78676 HAYS $ 156.03 02/01/2018 $ 159.15 02/01/2019353881101 1104207208 BARRIO COMPREHENSIVE FAMILY HEALTH CARE CENTER,INC-COMMUNICARE HEALTH CENTERS 430 W BANDERA RD STE 9 BOERNE 78006 KENDALL $ 156.03 02/01/2018 $ 159.15 02/01/2019357754601 1205201142 BARRIO COMPREHENSIVE FAMILY HEALTH CARE CENTER,INC-COMMUNICARE HEALTH CENTERS 14811 SAN PEDRO AVE SAN ANTONIO 78232 BEXAR $ 156.03 02/01/2018 $ 159.15 02/01/2019367462401 1851843619 BARRIO COMPREHENSIVE FAMILY HEALTH CARE CENTER,INC-COMMUNICARE HEALTH CENTERS 3619 PAESANOS PKWY STE 212 SAN ANTONIO 78231 BEXAR $ 156.03 02/01/2018 $ 159.15 02/01/2019331169801 1619313905 BARRIO COMPREHENSIVE FAMILY HEALTH CARE CENTERS IN-COMMUNI CARE HEALTH CENTERS 311 CAMDEN ST STE 601 SAN ANTONIO 78215 BEXAR $ 156.03 02/01/2018 $ 159.15 02/01/2019212796101 1386882231 BARRIO COMPREHENSIVE FAMILY HEALTH CARE CENTERS IN-COMMUNICARE HEALTH CENTERS 1340 WONDER WORLD DR STE 4201 SAN MARCOS 78666 HAYS $ 156.03 02/01/2018 $ 159.15 02/01/2019127254406 1417032343 BAYSIDE CLINIC 621 S ROSS STERLING ANAHUAC 77514 CHAMBERS $ 126.06 10/01/2017 $ 128.46 10/01/2018284219704 1669603056 BEE BUSY WELLNESS CENTER 8785 W BELLFORT ST HOUSTON 77031 HARRIS $ 142.43 01/01/2018 $ 145.28 01/01/2019367305501 1366802381 BEE BUSY WELLNESS CENTER 9896 BISSONNET ST STE 625 HOUSTON 77036 HARRIS $ 142.43 01/01/2018 $ 145.28 01/01/2019286211201 1164742680 BELLMEAD COMMUNITY CLINIC 3400 BELLMEAD DR BELLMEAD 76705 MCLENNAN $ 228.99 10/01/2017 $ 233.34 10/01/2018292294001 1518136456 BELLS HILL COMMUNITY CLINIC 911 S 20TH ST WACO 76706 MCLENNAN $ 228.99 10/01/2017 $ 233.34 10/01/2018019055501 1184607723 BONHAM COMMUNITY HEALTH CNTR-BONHAM COMMUNITY HEALTH CENTER 920 N CENTER ST BONHAM 75418 FANNIN $ 140.95 02/01/2018 $ 143.77 02/01/2019292324501 1750470084 BRAZOS VALLEY COMMNUNITY ACTION AGENCY INC 100 W CROSS ST MADISONVILLE 77864 MADISON $ 187.69 07/01/2017 $ 191.26 07/01/2018287243401 1558645333 BRAZOS VALLEY COMMUNITY ACTION AGENCY INC 709 BARTON ST HEARNE 77859 ROBERTSON $ 187.69 07/01/2017 $ 191.26 07/01/2018295251702 1841562451 BRAZOS VALLEY COMMUNITY ACTION AGENCY INC 808 W US HIGHWAY 79 FRANKLIN 77856 ROBERTSON $ 187.69 07/01/2017 $ 191.26 07/01/2018334205701 1497183883 BRAZOS VALLEY COMMUNITY ACTION AGENCY INC 1301 MEMORIAL DR BRYAN 77802 BRAZOS $ 187.69 07/01/2017 $ 191.26 07/01/2018154467801 1649265646 BRAZOS VALLEY COMMUNITY ACTION AGENCY INC-BRYAN COLLEGE STATION COMMUNITY HEALTH CENTER 3370 S TEXAS AVE # B BRYAN 77802 BRAZOS $ 187.69 07/01/2017 $ 191.26 07/01/2018187842301 1275726853 BRAZOS VALLEY COMMUNITY ACTION AGENCY INC-HEALTH POINT ABC 1602 ROCK PRAIRIE RD STE 300 COLLEGE STATION 77845 BRAZOS $ 187.69 07/01/2017 $ 191.26 07/01/2018287952001 1609150465 BRAZOS VALLEY COMMUNITY ACTION AGENCY INC-HEALTH POINT CALDWELL 1103 WOODSON DR CALDWELL 77836 BURLESON $ 187.69 07/01/2017 $ 191.26 07/01/2018341003701 1649689274 BRAZOS VALLEY COMMUNITY ACTION AGENCY INC-HEALTH POINT HOMESTEAD 215 FM 1488 RD HEMPSTEAD 77445 WALLER $ 187.69 07/01/2017 $ 191.26 07/01/2018390827901 1083194138 BRAZOS VALLEY COMMUNITY ACTION AGENCY INC-HEALTH POINT TRINITY 315 PROSPECT DR TRINITY 77862 BRAZOS $ 187.69 10/06/2017 $ 191.26 07/01/2018185649401 1568519122 BRAZOS VALLEY COMMUNITY ACTION AGENCY INC-LEON COUNTY COMMUNITY HEALTH CENTER 607 W LASSATER CENTERVILLE 75833 LEON $ 187.69 07/01/2017 $ 191.26 07/01/2018154467803 1275620551 BRAZOS VALLEY COMMUNITY ACTION AGENCY INC-ROBERTSON COUNTY COMMUNITY HEALTH CENTER 1002 W BROWN ST HEARNE 77859 ROBERTSON $ 187.69 07/01/2017 $ 191.26 07/01/2018289058401 1427331651 BRAZOS VALLEY COMMUNITY ACTION AGENCY, INC 600 MEMORY LN SOMERVILLE 77879 BURLESON $ 187.69 07/01/2017 $ 191.26 07/01/2018392658601 1184192064 BRAZOS VALLEY COMMUNITY ACTION AGENCY, INC.-COMMUNITY HEALTH DENTAL CLINIC 624 MARY LAKE DR BRYAN 77801 BRAZOS $ 187.69 02/04/2018 $ 191.26 07/01/2018000951607 1700973187 BRAZOS VALLEY COMMUNITY ACTION-GRIMES COUNTY COMMUNITY HEALTH CENTER 1905 DOVE CROSSING LN STE C NAVASOTA 77868 GRIMES $ 187.69 07/01/2017 $ 191.26 07/01/2018287299601 1457659468 BROWNSVILLE COMMUNITY HEALTH CLINIC CORPORATION 191 E PRICE RD BROWNSVILLE 78521 CAMERON $ 232.65 02/01/2018 $ 237.30 02/01/2019287299603 1740266444 BROWNSVILLE COMMUNITY HEALTH CLINIC CORPORATION-BROWNSVILLE COMMUNITY HEALTH 2137 E 22ND ST BROWNSVILLE 78521 CAMERON $ 232.65 02/01/2018 $ 237.30 02/01/2019287299604 1538218458 BROWNSVILLE COMMUNITY HEALTH CLINIC CORPORATION-NEW HORIZON MEDICAL 95 E PRICE RD BLDG D BROWNSVILLE 78521 CAMERON $ 232.65 02/01/2018 $ 237.30 02/01/2019176514101 1962663740 CACTUS HEALTH SERVICES INC 301 N WATER ST FORT STOCKTON 79735 PECOS $ 196.01 10/01/2017 $ 199.73 10/01/2018380890901 1790296374 CENTRAL TEXAS COMMUNITY HEALTH CENTERS- 3518 FM 973 DEL VALLE 78617 TRAVIS $ 251.64 10/01/2017 $ 256.42 10/01/2018389263001 1376041608 CENTRAL TEXAS COMMUNITY HEALTH CENTERS 1400 N INTERSTATE 35 STE C2 # 450 AUSTIN 78701 TRAVIS $ 251.64 05/09/2018 $ 256.42 10/01/2018204662501 1619131554 CENTRAL TEXAS COMMUNITY HEALTH CENTERS-COMMUNITYCARE 1000 E 41ST ST STE 925 AUSTIN 78751 TRAVIS $ 251.64 10/01/2017 $ 256.42 10/01/2018204675701 1861420382 CENTRAL TEXAS COMMUNITY HEALTH CENTERS-COMMUNITYCARE 2901 MONTOPOLIS DR AUSTIN 78741 TRAVIS $ 251.64 10/01/2017 $ 256.42 10/01/2018289410701 1720350978 CENTRAL TEXAS COMMUNITY HEALTH CENTERS-COMMUNITYCARE 1210 W BRAKER LN AUSTIN 78758 TRAVIS $ 251.64 10/01/2017 $ 256.42 10/01/2018348553403 1467857185 CENTRAL TEXAS COMMUNITY HEALTH CENTERS-COMMUNITYCARE 1313 RED RIVER ST STE 100 AUSTIN 78701 TRAVIS $ 251.64 10/01/2017 $ 256.42 10/01/2018353671601 1518333004 CENTRAL TEXAS COMMUNITY HEALTH CENTERS-COMMUNITYCARE 1705 E 11TH ST AUSTIN 78702 TRAVIS $ 251.64 10/01/2017 $ 256.42 10/01/2018387670801 1205325222 CENTRAL TEXAS COMMUNITY HEALTH CENTERS-COMMUNITYCARE 9301 HOG EYE RD AUSTIN 78724 TRAVIS $ 251.64 10/01/2017 $ 256.42 10/01/2018
391328701 1356839070 CENTRAL TEXAS COMMUNITY HEALTH CENTERS-COMMUNITYCARE 301 HIGHWAY 71 W STE 111 BASTROP 78602 BASTROP $ 251.64 06/13/2018 $ 256.42 10/01/2018136357414 1699058057 CENTRO DE SALUD FAMILIAR LA FE INC 823 E YANDELL DR EL PASO 79902 EL PASO $ 197.98 12/01/2017 $ 201.74 12/01/2018136357415 1265566541 CENTRO DE SALUD FAMILIAR LA FE INC 1713 BANKER RD EL PASO 79835 EL PASO $ 197.98 12/01/2017 $ 201.74 12/01/2018136357416 1629040621 CENTRO DE SALUD FAMILIAR LA FE INC 721 S OCHOA ST EL PASO 79901 EL PASO $ 197.98 12/01/2017 $ 201.74 12/01/2018136357417 1629040621 CENTRO DE SALUD FAMILIAR LA FE INC 1505 MESCALERO DR EL PASO 79925 EL PASO $ 197.98 12/01/2017 $ 201.74 12/01/2018136357403 1801920632 CENTRO DE SALUD FAMILIAR LA FE INC-CENTRO DE SALUD FAMILIAR LA 12101 SOCORRO RD SAN ELIZARIO 79849 EL PASO $ 197.98 12/01/2017 $ 201.74 12/01/2018136357405 1629040621 CENTRO DE SALUD FAMILIAR LA FE INC-CENTRO DE SALUD FAMILIAR LA 700 S OCHOA EL PASO 79901 EL PASO $ 197.98 12/01/2017 $ 201.74 12/01/2018136357404 1285768564 CENTRO DE SALUD FAMILIAR LA FE INC-CENTRO DE SAULD FAMILIAR LE 200 LISBON ST EL PASO 79905 EL PASO $ 197.98 12/01/2017 $ 201.74 12/01/2018130880104 1831267079 CENTRO SAN VICENTE 8061 ALAMEDA AVE EL PASO 79915 EL PASO $ 171.24 07/01/2017 $ 174.49 07/01/2018130880108 1942670328 CENTRO SAN VICENTE 1600 MONTANA AVE EL PASO 79902 EL PASO $ 171.24 07/01/2017 $ 174.49 07/01/2018371139201 1215473707 CENTRO SAN VICENTE 10780 PEBBLE HILLS BLVD STE G1 EL PASO 79935 EL PASO $ 171.24 07/01/2017 $ 174.49 07/01/2018291803903 1144523671 COASTAL BEND AIDS FOUNDATION 5633 S STAPLES ST STE 700 CORPUS CHRISTI 78411 NUECES $ 133.15 09/01/2017 135.68$ 09/01/2018019053001 1578588406 COASTAL HEALTH & WELLNESS-4 C'S CLINIC-TEXAS CITY 9850C EMMETT F LOWRY EXPY STE C-103 TEXAS CITY 77591 GALVESTON $ 157.12 10/01/2017 $ 160.11 10/01/2018019054801 1871766584 COASTAL HEALTH AND WELLNESS 4700 BROADWAY ST STE 100 GALVESTON 77551 GALVESTON $ 157.12 10/01/2017 $ 160.11 10/01/2018329892901 1710439799 COMMUNICARE HEALTH CENTERS 10002 WESTOVER BLF SAN ANTONIO 78251 BEXAR $ 156.03 02/01/2018 $ 159.15 02/01/2019205222702 1184868663 COMMUNITY ACTION HEALTH CENTER 1302 S ST MARYS ST FALFURRIAS 78355 BROOKS $ 201.35 11/01/2017 $ 205.18 11/01/2018171353905 1629415203 COMMUNITY ACTION HEALTH CENTER BEE 301 S HILLSIDE DR BEEVILLE 78102 BEE $ 201.35 11/01/2017 $ 205.18 11/01/2018171353903 1447696273 COMMUNITY ACTION HEALTH CENTER BEE-COMMUNITY ACTION CORPORATION OF SOUTH TEXAS 621 E SINTON ST SINTON 78387 SAN PATRICIO $ 201.35 11/01/2017 $ 205.18 11/01/2018171353904 1164868998 COMMUNITY ACTION HEALTH CENTER BEE-COMMUNITY ACTION HEALTH CENTER 1311 GENERAL CAVAZOS BLVD KINGSVILLE 78363 KLEBERG $ 201.35 11/01/2017 $ 205.18 11/01/2018171353901 1063529642 COMMUNITY ACTION HEALTH CENTER BEE-COMMUNITY ACTION INTEGRATION CENTER ALICE 700 FLOURNOY RD STE 2A ALICE 78332 JIM WELLS $ 201.35 11/01/2017 $ 205.18 11/01/2018205219302 1609010131 COMMUNITY ACTION HEALTH CENTER DUVAL-COMMUNITY ACTION HEALTH CENTER 115 W MAIN ST BENAVIDES 78341 DUVAL $ 201.35 11/01/2017 $ 205.18 11/01/2018
TEXAS FQHC REIMBURSEMENT RATES
Effective on or Before 5/1/2019
Prepared by HHSC Rate Analysis Department 1 of 5 5/17/2019
TPI NPI Name Street Address City Zip County Prior
Rate
Prior Rate
Effective
Date
Current
Rate
Current
Rate
Effective
Date
190685102 1396182739 COMMUNITY ACTION SCHOOL BASE HEALTH CENTER 502 W SAN PATRICIO AVE MATHIS 78368 SAN PATRICIO $ 201.35 08/28/2018 $ 205.18 11/01/2018207992301 1376784108 COMMUNITY CARE RUNDBERG 825 E RUNDBERG LN AUSTIN 78753 TRAVIS $ 251.64 10/01/2017 $ 256.42 10/01/2018204655901 1205864774 COMMUNITYCARE WILLIAM CANNON- 6801 S INTERSTATE 35 STE IE AUSTIN 78744 TRAVIS $ 251.64 10/01/2017 $ 256.42 10/01/2018019021701 1548231046 COMMUNITY HEALTH CENTER OF LUBBOCK INC 1610 5TH ST LUBBOCK 79401 LUBBOCK $ 180.98 01/01/2018 $ 184.60 01/01/2019295467901 1740551787 COMMUNITY HEALTH CENTER OF LUBBOCK INC 2401 FULTON AVE APT B LUBBOCK 79407 LUBBOCK $ 180.98 01/01/2018 $ 184.60 01/01/2019019021711 1528030087 COMMUNITY HEALTH CENTER OF LUBBOCK INC-CHATMAN COMMUNITY HEALTH CENTER 2301 CEDAR AVE LUBBOCK 79404 LUBBOCK $ 180.98 01/01/2018 $ 184.60 01/01/2019019021712 1831118306 COMMUNITY HEALTH CENTER OF LUBBOCK INC-CHCL COMMUNITY DENTAL CLINIC 1826 PARKWAY DR STE 500 LUBBOCK 79403 LUBBOCK $ 180.98 01/01/2018 $ 184.60 01/01/2019192462303 1720247125 COMMUNITY HEALTH CENTER OF LUBBOCK INC-CHCL DENTAL MOBILE UNIT 1610 5TH ST LUBBOCK 79401 LUBBOCK $ 180.98 01/01/2018 $ 184.60 01/01/2019362609501 1831569540 COMMUNITY HEALTH CENTER OF LUBBOCK INC-CHCL MEDICAL PLAZA 3502 9TH ST STE 280 LUBBOCK 79415 LUBBOCK $ 180.98 01/01/2018 $ 184.60 01/01/2019019021716 1225304686 COMMUNITY HEALTH CENTER OF LUBBOCK INC-CHCL WEST MEDICAL AND DENTAL CLINIC 5424 19TH ST STE 200 LUBBOCK 79407 LUBBOCK $ 180.98 01/01/2018 $ 184.60 01/01/2019192462305 1689855819 COMMUNITY HEALTH CENTER OF LUBBOCK INC-COMMUNITY HEALTH CENTER OF LUBBOCK INC MEDICAL MOB 1610 5TH ST LUBBOCK 79401 LUBBOCK $ 180.98 01/01/2018 $ 184.60 01/01/2019019021702 1912944059 COMMUNITY HEALTH CENTER OF LUBBOCK INC-NORTH UNIVERSITY 3301 CLOVIS RD LUBBOCK 79415 LUBBOCK $ 180.98 01/01/2018 $ 184.60 01/01/2019019021710 1891768321 COMMUNITY HEALTH CENTER OF LUBBOCK INC-PARKWAY COMMUNITY HEALTH CENTER 406 MARTIN LUTHER KING BLVD LUBBOCK 79403 LUBBOCK $ 180.98 01/01/2018 $ 184.60 01/01/2019353833201 1629471875 COMMUNITY HEALTH CENTERS OF SOUTH CENTRAL TEXAS, I-BASTROP COMMUNITY HEALTH CENTER 275 JACKSON ST BASTROP 78602 BASTROP $ 270.61 12/01/2017 $ 275.75 12/01/2018355594801 1063894855 COMMUNITY HEALTH CENTERS OF SOUTH CENTRAL TEXAS, I-LOCKHART FAMILY PRACTICE CENTER 2060 S COLORADO ST LOCKHART 78644 CALDWELL $ 270.61 12/01/2017 $ 275.75 12/01/2018121440515 1558611475 COMMUNITY HEALTH CENTERS OF SOUTH CENTRAL TX INC-COMMUNITY HEALTH CENTERS OF SO 2603 HOSPITAL DR VICTORIA 77901 VICTORIA $ 270.61 12/01/2017 $ 275.75 12/01/2018121440502 1285650424 COMMUNITY HEALTH CENTERS OF SOUTH CENTRAL TX INC-COMMUNITY HEALTH CENTERS OF SOUTH CENTRAL TX, 228 SAINT GEORGE ST GONZALES 78629 GONZALES $ 270.61 12/01/2017 $ 275.75 12/01/2018354554301 1568868370 COMMUNITY HEALTH CENTERS OF SOUTH CENTRAL TX INC-FAMILY HEALTH CENTER @ ELGIN 902 W 2ND ST ELGIN 78621 BASTROP $ 270.61 12/01/2017 $ 275.75 12/01/2018121440508 1396904686 COMMUNITY HEALTH CENTERS OF SOUTH CENTRAL TX INC-LULING COMMUNITY HEALTH CENTER 111 S LAUREL AVE LULING 78648 CALDWELL $ 270.61 12/01/2017 $ 275.75 12/01/2018192800402 1285893131 COMMUNITY HEALTH CENTERS OF SOUTH CENTRAL TX INC-SEGUIN FAMILY HEALTH CENTER 1104 JEFFERSON AVE SEGUIN 78155 GUADALUPE $ 270.61 12/01/2017 $ 275.75 12/01/2018111438104 1841316288 COMMUNITY HEALTH DEVELOPMENT INC 700 FRIO STREET CAMPWOOD 78833 REAL $ 188.40 10/01/2017 $ 191.98 10/01/2018111438105 1730205634 COMMUNITY HEALTH DEVELOPMENT INC HWY 83 & OAK HILL DR LEAKEY 78873 REAL $ 188.40 10/01/2017 $ 191.98 10/01/2018207222501 1093947764 COMMUNITY HEALTH DEVELOPMENT INC 908 EVANS ST UVALDE 78801 UVALDE $ 188.40 10/01/2017 $ 191.98 10/01/2018111438102 1134102403 COMMUNITY HEALTH DEVELOPMENT INC-OUR HEALTH/NUESTRO CENTRO DE SALUD 200 EVANS ST UVALDE 78801 UVALDE $ 188.40 10/01/2017 $ 191.98 10/01/2018166628101 1669455101 COMMUNITY HEALTH SERVICE AGENCY INC-KAUFMAN COMMUNITY HEALTH CENTER 101 N HOUSTON ST KAUFMAN 75142 KAUFMAN $ 140.95 02/01/2018 $ 143.77 02/01/2019368577801 1821475575 COMMUNITY HEALTH SERVICE AGENCY INC-PEDIATRIC CENTER OF GREENVILLE 3005 JOE RAMSEY BLVD E STE A GREENVILLE 75401 HUNT $ 140.95 02/01/2018 $ 143.77 02/01/2019112276402 1528041191 COMMUNITY MEDICAL CLINIC 4311 WESLEY ST GREENVILLE 75401 HUNT $ 140.95 02/01/2018 $ 143.77 02/01/2019329523001 1801237748 COMMUNITYCARE 5015 S I H 35 # 200 AUSTIN 73301 TRAVIS $ 251.64 10/01/2017 $ 256.42 10/01/2018204665801 1073541561 COMMUNITYCARE-ARCH 500 E 7TH ST AUSTIN 78701 TRAVIS $ 251.64 10/01/2017 $ 256.42 10/01/2018340162201 1811312309 COMMUNITYCARE-ATCIC-PES 2115 KRAMER LN AUSTIN 78758 TRAVIS $ 251.64 10/01/2017 $ 256.42 10/01/2018204666601 1265460745 COMMUNITYCARE-DAVID POWELL 4614 N INTERSTATE 35 AUSTIN 78751 TRAVIS $ 251.64 10/01/2017 $ 256.42 10/01/2018204654201 1982632477 COMMUNITYCARE-EAST AUSTIN 211 COMAL ST AUSTIN 78702 TRAVIS $ 251.64 10/01/2017 $ 256.42 10/01/2018204683101 1598793077 COMMUNITYCARE-MANOR-COMMUNITYCARE 600 W CARRIE MANOR ST MANOR 78653 TRAVIS $ 251.64 10/01/2017 $ 256.42 10/01/2018204687201 1972531440 COMMUNITYCARE-OAK HILL 8656 W HIGHWAY 71 STE C AUSTIN 78735 TRAVIS $ 251.64 10/01/2017 $ 256.42 10/01/2018204685601 1265460737 COMMUNITYCARE-PFLUGERVILLE-COMMUNITYCARE 15822 FOOTHILL FARMS LOOP PFLUGERVILLE 78660 TRAVIS $ 251.64 10/01/2017 $ 256.42 10/01/2018204659101 1780612275 COMMUNITYCARE-SOUTH AUSTIN 2529 S 1ST ST AUSTIN 78704 TRAVIS $ 251.64 10/01/2017 $ 256.42 10/01/2018191774201 1700067253 COOPER COMMUNITY HEALTH CENTER 91 WEST SIDE SQUARE COOPER 75432 DELTA $ 140.95 02/01/2018 $ 143.77 02/01/2019214962701 1881985299 CROSS PLAINS COMMUNITY HEALTH CENTER 301 S MAIN ST CROSS PLAINS 76443 CALLAHAN 284.36$ 09/01/2017 $ 289.76 09/01/2018284574501 1275830390 CROSS TIMBERS HEALTH CLINICS 135 RIVER NORTH BLVD STEPHENVILLE 76401 ERATH $ 252.09 12/01/2017 $ 256.88 12/01/2018126862508 1679867576 CROSS TIMBERS HEALTH CLINICS INC-BROWNWOOD COMMUNITY HEALTH CENTER 104 S PARK DR BROWNWOOD 76801 BROWN $ 252.09 12/01/2017 $ 256.88 12/01/2018126862507 1588778260 CROSS TIMBERS HEALTH CLINICS INC-BROWNWOOD COMMUNITY HEALTH CLINIC 3804 HIGHWAY 377 S BROWNWOOD 76801 BROWN $ 252.09 12/01/2017 $ 256.88 12/01/2018126862503 1134295074 CROSS TIMBERS HEALTH CLINICS INC-CROSS TIMBERS HEALTH CLINICS 1100 W REYNOSA AVE DE LEON 76444 COMANCHE $ 252.09 12/01/2017 $ 256.88 12/01/2018335989501 1861853004 DALLAS COUNTY HOSPITAL DISTRICT-THE BRIDGE 1818 CORSICANA ST DALLAS 75201 DALLAS $ 235.37 10/01/2017 $ 239.84 10/01/2018337076901 1356852784 DALLAS COUNTY HOSPITAL DISTRICT-THE STEWPOT 1822 YOUNG ST DALLAS 75201 DALLAS $ 214.13 10/01/2017 $ 218.20 10/01/2018192226201 1558329797 EAST TEXAS BORDER HEALTH CLINIC 805 LINDSEY DR MARSHALL 75670 HARRISON 164.89$ 09/01/2017 $ 168.02 09/01/2018340584701 1669872560 EAST TEXAS BORDER HEALTH CLINIC 2131 S MOBBERLY AVE LONGVIEW 75602 GREGG 164.89$ 09/01/2017 $ 168.02 09/01/2018347907301 1083006084 EAST TEXAS BORDER HEALTH CLINIC 2602 SAINT MICHAEL DR STE 202 TEXARKANA 75503 BOWIE 164.89$ 09/01/2017 $ 168.02 09/01/2018350919201 1366828303 EAST TEXAS BORDER HEALTH CLINIC 1011 S WILLIAM ST ATLANTA 75551 CASS 164.89$ 09/01/2017 $ 168.02 09/01/2018351550401 1588092472 EAST TEXAS BORDER HEALTH CLINIC 401 N GROVE ST MARSHALL 75670 HARRISON 164.89$ 09/01/2017 $ 168.02 09/01/2018372586301 1053845636 EAST TEXAS BORDER HEALTH CLINIC 618 S GROVE ST STE 100AND300 MARSHALL 75670 HARRISON 164.89$ 09/01/2017 $ 168.02 09/01/2018391040801 1811485055 EAST TEXAS BORDER HEALTH CLINIC 815 S WASHINGTON AVE STE 203 MARSHALL 75670 HARRISON 164.89$ 06/15/2018 $ 168.02 09/01/2018373432901 1922532555 EAST TEXAS BORDER HEALTH CLINIC 620 S GROVE ST STE 105 MARSHALL 75670 HARRISON 164.89$ 09/01/2017 $ 168.02 09/01/2018192226202 1053663690 EAST TEXAS BORDER HEALTH CLINIC-GENESIS PRIMECARE 1400 COLLEGE DR STE 204 TEXARKANA 75503 BOWIE 164.89$ 09/01/2017 $ 168.02 09/01/2018373049101 1548794134 EAST TEXAS BORDER HEALTH CLINIC-GENESIS PRIMECARE 707 S GROVE ST MARSHALL 75670 HARRISON 164.89$ 09/01/2017 $ 168.02 09/01/2018174139903 1659567337 EAST TEXAS BORDER HEALTH CLINIC-GENESIS PRIMECARE 106 N ALLEY ST JEFFERSON 75657 MARION $ 164.89 09/01/2017 $ 168.02 09/01/2018130295203 1255367090 EAST TEXAS COMM HLTH SVC INC 1309 S UNIVERSITY DR NACOGDOCHES 75961 NACOGDOCHE $ 157.42 06/01/2017 $ 160.41 06/01/2018135235309 1750345088 ECTOR COUNTY HOSPITAL DISTRICT-FAMILY HEALTH CLINIC 840 W CLEMENTS ST ODESSA 79763 ECTOR $ 180.09 10/01/2017 $ 183.51 10/01/2018366000301 1558715201 ECTOR COUNTY HOSPITAL DISTRICT-FAMILY HEALTH CLINIC 6030 W UNIVERSITY BLVD ODESSA 79764 ECTOR $ 180.09 10/01/2017 $ 183.51 10/01/2018349393401 1245556885 EL CENTRO DE CORAZON 7635 CANAL ST HOUSTON 77012 HARRIS $ 262.90 11/01/2017 $ 267.90 11/01/2018169639501 1932171667 EL CENTRO DE CORAZON EASTWOOD CLINIC 412 TELEPHONE RD. HOUSTON 77023 HARRIS $ 262.90 11/01/2017 $ 267.90 11/01/2018169639503 1700858446 EL CENTRO DE CORAZON EASTWOOD CLINIC 7037 CAPITOL ST HOUSTON 77011 HARRIS $ 262.90 11/01/2017 $ 267.90 11/01/2018388961001 1548538531 EL CENTRO DE CORAZON-SOUTHEAST CLINIC 5901 LONG DR STE 500 HOUSTON 77087 HARRIS $ 262.90 11/01/2017 $ 267.90 11/01/2018120980115 1124313804 EL CENTRO DEL BARRIO INC 3127 SE MILITARY DR STE 101 SAN ANTONIO 78223 BEXAR $ 160.66 04/01/2018 $ 163.87 04/01/2019192233801 1760556773 EL CENTRO DEL BARRIO INC 5542 WALZEM RD WINDCREST 78218 BEXAR $ 160.66 04/01/2018 $ 163.87 04/01/2019120980102 1538264429 EL CENTRO DEL BARRIO INC-CENTROMED 6315 S ZARZAMORA ST SAN ANTONIO 78211 BEXAR $ 160.66 04/01/2018 $ 163.87 04/01/2019120980106 1104998749 EL CENTRO DEL BARRIO INC-CENTROMED 3750 COMMERCIAL AVE SAN ANTONIO 78221 BEXAR $ 160.66 04/01/2018 $ 163.87 04/01/2019120980107 1811061872 EL CENTRO DEL BARRIO INC-CENTROMED 7315 SOUTH LOOP 1604 SOMERSET 78069 BEXAR $ 160.66 04/01/2018 $ 163.87 04/01/2019120980112 1093048548 EL CENTRO DEL BARRIO INC-CENTROMED COUNTY LINE 1034 W COUNTY LINE RD NEW BRAUNFELS 78130 COMAL $ 160.66 04/01/2018 $ 163.87 04/01/2019120980114 1013139377 EL CENTRO DEL BARRIO INC-CENTROMED COUNTY LINE 605 BELKNAP PL SAN ANTONIO 78212 BEXAR $ 160.66 04/01/2018 $ 163.87 04/01/2019120980123 1801389044 EL CENTRO DEL BARRIO INC-CENTROMED BERTO GUERRA JR. CLINIC 5439 RAY ELLISON BLVD SAN ANTONIO 78242 BEXAR $ 160.66 11/05/2018 $ 163.87 04/01/2019120980109 1841433562 EL CENTRO DEL BARRIO INC-CENTROMED SARAH E DAVIDSON CLINIC 1 HAVEN FOR HOPE WAY BLDG 1 # 300 SAN ANTONIO 78207 BEXAR $ 160.66 04/01/2018 $ 163.87 04/01/2019120980110 1649343211 EL CENTRO DEL BARRIO INC-CENTROMED WOMENS SHELTER CLINIC- LA PALOMA DE PAZ 7404 W US HIGHWAY 90 BLDG 37 SAN ANTONIO 78227 BEXAR $ 160.66 04/01/2018 $ 163.87 04/01/2019189778703 1730388018 EL CENTRO DEL BARRIO-CENTROMED PALO ALTO CLINIC 9011 POTEET JOURDANTON FWY SAN ANTONIO 78224 BEXAR $ 160.66 04/01/2018 $ 163.87 04/01/2019298550901 1699841569 EL CENTRO DEL BARRIO-CENTROMED SANTA ROSA CLINIC RYAN WHITE CLINIC 315 N SAN SABA STE 103 SAN ANTONIO 78207 BEXAR $ 160.66 04/01/2018 $ 163.87 04/01/2019208316401 1326236464 ELLIS COUNTY COALITION FOR HEALTH OPTIONS-HOPE CLINIC 411 E JEFFERSON ST WAXAHACHIE 75165 ELLIS $ 156.13 01/01/2018 $ 159.25 01/01/2019375393101 1073970141 ELLIS COUNTY COALITION FOR HEALTH OPTIONS-HOPE CLINIC 805 W LAMPASAS ST ENNIS 75165 ELLIS $ 156.13 01/01/2018 $ 159.25 01/01/2019286210401 1700055639 ELM AVENUE COMMUNITY CLINIC 609 ELM ST WACO 76704 MCLENNAN $ 228.99 10/01/2017 $ 233.34 10/01/2018019052201 1922081561 FARMERSVILLE MEDICAL CENTER 111 NORTH JOHNSON ST FARMERSVILLE 75442 COLLIN $ 140.95 02/01/2018 $ 143.77 02/01/2019300937502 1154649523 FORT BEND FAMILY HEALTH CENTER INC 307 TEXAS PKWY MISSOURI CITY 77489 FORT BEND $ 258.99 07/01/2017 $ 263.91 07/01/2018092714701 1972601169 FORT BEND FAMILY HEALTH CENTER, INC.-ACCESS HEALTH 400 AUSTIN ST RICHMOND 77469 FORT BEND $ 258.99 07/01/2017 $ 263.91 07/01/2018092714705 1831263359 FORT BEND FAMILY HEALTH CENTER, INC.-ACCESSHEALTH 10435 GREENBOUGH DR STE 300 STAFFORD 77477 FORT BEND $ 258.99 07/01/2017 $ 263.91 07/01/2018361018001 1962884189 FORT BEND FAMILY HEALTH CENTER, INC-ACCESSHEALTH 533 FM 359 RD S BROOKSHIRE 77433 HARRIS $ 258.99 07/01/2017 $ 263.91 07/01/2018
Prepared by HHSC Rate Analysis Department 2 of 5 5/17/2019
TPI NPI Name Street Address City Zip County Prior
Rate
Prior Rate
Effective
Date
Current
Rate
Current
Rate
Effective
Date
126821105 1588779276 FOURTH WARD CLINIC-GOOD NEIGHBOR HEALTHCARE CENTER 190 HEIGHTS BLVD HOUSTON 77007 HARRIS $ 208.96 07/01/2017 $ 212.93 07/01/2018188389401 1528258555 FRONTERA HEALTHCARE NETWORK 551 EAKER STREET EDEN 76837 CONCHO $ 149.12 01/01/2018 $ 152.10 01/01/2019188389402 1447594247 FRONTERA HEALTHCARE NETWORK 119 S ELLIS MENARD 76859 MENARD $ 149.12 01/01/2018 $ 152.10 01/01/2019198143301 1235381088 FRONTERA HEALTHCARE NETWORK 216 W COLLEGE AVE MASON 76856 MASON $ 149.12 01/01/2018 $ 152.10 01/01/2019304177401 1801143664 FRONTERA HEALTHCARE NETWORK INC 2205 S BRIDGE ST BRADY 76825 MCCULLOCH $ 149.12 01/01/2018 $ 152.10 01/01/2019308418801 1548517303 FRONTERA HEALTHCARE NETWORK-FRONTERA HEALTHCARE NETWORK- JUNCTION 509 COLLEGE ST JUNCTION 76849 KIMBLE $ 149.12 01/01/2018 $ 152.10 01/01/2019210574401 1134288814 GATEWAY COMMUNITY HEALTH CENTER INC 473 STATE HIGHWAY 285 HEBBRONVILLE 78361 JIM HOGG $ 188.34 04/01/2018 $ 192.11 04/01/2019354418101 1255376976 GATEWAY COMMUNITY HEALTH CENTER INC 2007 S ZAPATA HWY LAREDO 78046 WEBB $ 188.34 04/01/2018 $ 192.11 04/01/2019392818601 1194298224 GATEWAY COMMUNITY HEALTH CENTER, INC.-SHILOH CLINIC 208 SHILOH DR STE 1 LAREDO 78045 WEBB $ 188.34 04/01/2018 $ 192.11 04/01/2019092953101 1013948447 GATEWAY COMMUNITY HEALTH CENTER-THE GATEWAY COMMUNITY HEALTH 1515 PAPPAS ST LAREDO 78041 WEBB $ 188.34 04/01/2018 $ 192.11 04/01/2019126826002 1912904897 GULF COAST HEALTH CENTER INC 2548 MEMORIAL BLVD PORT ARTHUR 77640 JEFFERSON $ 185.72 04/01/2018 $ 189.43 04/01/2019126826006 1639176324 GULF COAST HEALTH CENTER INC 103 W GIBSON ST STE 110 112 JASPER 75951 JASPER $ 185.72 04/01/2018 $ 189.43 04/01/2019126826007 1225036932 GULF COAST HEALTH CENTER INC 710 HIGHWAY 327 E SILSBEE 77656 HARDIN $ 185.72 04/01/2018 $ 189.43 04/01/2019126826008 1508864216 GULF COAST HEALTH CENTER INC 610 STRICKLAND DR STE 380 ORANGE 77630 ORANGE $ 185.72 04/01/2018 $ 189.43 04/01/2019333043301 1205275054 GULF COAST HEALTH CENTER INC 601 REV DR RANSOM HOWARD ST PORT ARTHUR 77640 JEFFERSON $ 185.72 04/01/2018 $ 189.43 04/01/2019332302404 1306287529 HEALING HANDS MINISTRIES INC-HEALING HANDS MEDICAL AND DENTAL CLINIC 8515 GREENVILLE AVE STE N108 DALLAS 75243 DALLAS $ 156.93 09/01/2018 $ 159.28 01/01/2019179566803 1225059686 HEALTH CENTER OF SOUTHEAST TEXAS 307 N WILLIAM BARNETT AVE CLEVELAND 77327 LIBERTY $ 217.71 01/01/2018 $ 222.06 01/01/2019377300401 1124296843 HEALTH OPPORTUNITIES FOR THE PEOPLE OF EAST TEXAS,-THE HOPE PROJECT 164 WALL ST TENAHA 75974 SHELBY $ 191.78 01/01/2018 $ 195.62 01/01/2019378661801 1124296843 HEALTH OPPORTUNITIES FOR THE PEOPLE OF EAST TEXAS,-THE HOPE PROJECT 325 TENAHA ST CENTER 75935 SHELBY $ 191.78 01/01/2018 $ 195.62 01/01/2019385871401 1124296843 HEALTH OPPORTUNITIES FOR THE PEOPLE OF EAST TEXAS,-THE HOPE PROJECT 109 E MAIN ST SAN AUGUSTINE 75972 SAN $ 191.78 02/12/2018 $ 195.62 01/01/2019190930101 1124296843 HEALTH OPPORTUNITIES FOR THE PEOPLE OF EAST TEXAS-THE HOPE PROJECT 157 WALL ST TENAHA 75974 SHELBY $ 191.78 01/01/2018 $ 195.62 01/01/2019190930102 1124296843 HEALTH OPPORTUNITIES FOR THE PEOPLE OF EAST TEXAS-THE HOPE PROJECT 620 TENAHA ST CENTER 75935 SHELBY $ 191.78 01/01/2018 $ 195.62 01/01/2019309146401 1194080564 HEALTH SERVICES OF NORTH TEXAS INC 4310 MESA DR DENTON 76207 DENTON $ 238.53 01/01/2018 $ 243.30 01/01/2019337190801 1528478120 HEALTH SERVICES OF NORTH TEXAS INC 3537 S INTERSTATE 35 E STE 210 DENTON 76210 DENTON $ 238.53 01/01/2018 $ 243.30 01/01/2019157438602 1790232007 HEALTH SERVICES OF NORTH TEXAS INC- 2540 K AVE STE 500 PLANO 75074 COLLIN $ 238.53 04/26/2018 $ 243.30 01/01/2019337011601 1639425937 HEALTH SERVICES OF NORTH TEXAS, INC 4308 MESA DR DENTON 76207 DENTON $ 238.53 01/01/2018 $ 243.30 01/01/2019377438201 1124538442 HEALTH SERVICES OF NORTH TEXAS, INC. 4304 MESA DR DENTON 76207 DENTON $ 238.53 01/01/2018 $ 243.30 01/01/2019280515201 1720305493 HEALTHCARE FOR THE HOMELESS HOUSTON 1934 CAROLINE ST HOUSTON 77002 HARRIS $ 174.75 01/01/2018 $ 178.25 01/01/2019092957202 1164409926 HEART OF TEXAS COMMUNITY 1600 PROVIDENCE DR WACO 76707 MCLENNAN $ 228.99 10/01/2017 $ 233.34 10/01/2018092957204 1942584255 HEART OF TEXAS COMMUNITY 4601 NORTH 19TH ST WACO 76708 MCLENNAN $ 228.99 10/01/2017 $ 233.34 10/01/2018285245101 1699096503 HEART OF TEXAS COMMUNITY HEALTH CENTER INC 1800 GURLEY LN WACO 76706 MCLENNAN $ 228.99 10/01/2017 $ 233.34 10/01/2018202850801 1477795417 HOUSTON AREA COMMUNITY SERVICES INC 2150 W 18TH ST STE 300 HOUSTON 77008 HARRIS $ 200.51 01/01/2018 $ 204.52 01/01/2019202850803 1285061978 HOUSTON AREA COMMUNITY SERVICES INC 902 FROSTWOOD DR STE 142 HOUSTON 77024 HARRIS $ 200.51 01/01/2018 $ 204.52 01/01/2019148477604 1093780280 HOUSTON COMMUNITY HEALTH CENTERS INC 424 HAHLO ST HOUSTON 77020 HARRIS $ 184.35 01/01/2018 $ 188.04 01/01/2019196692101 1447416615 HOUSTON COMMUNITY HEALTH CENTERS INC 5808 AIRLINE DR HOUSTON 77076 HARRIS $ 184.35 01/01/2018 $ 188.04 01/01/2019336991001 1265845879 HOUSTON COMMUNITY HEALTH CENTERS INC 5910 MARKET ST HOUSTON 77020 HARRIS $ 184.35 01/01/2018 $ 188.04 01/01/2019359018401 1477909216 HOUSTON COMMUNITY HEALTH CENTERS INC 400 BOYLES ST HOUSTON 77020 HARRIS $ 184.35 01/01/2018 $ 188.04 01/01/2019390881601 1588117485 HOUSTON COMMUNITY HEALTH CENTERS INC-JW OATES ELEMENTARY SCHOOL 10044 WALLISVILLE RD HOUSTON 77013 HARRIS $ 188.04 01/03/2019148477607 1225542780 HOUSTON COMMUNITY HEALTH CENTERS INC-PUGH ELEMENTARY 424 HAHLO ST HOUSTON 77020 HARRIS $ 184.35 01/01/2018 $ 188.04 01/01/2019281971603 1609171149 HOWARD COUNTY COMMUNITY HEALTH CENTER 1300 S GREGG ST BIG SPRING 79720 HOWARD $ 192.18 06/01/2017 $ 195.83 06/01/2018189885001 1962600106 KARNES COMMUNITY HEALTH CENTER-ATASCOSA HEALTH CENTER INC 302 N BUTLER ST KARNES CITY 78118 KARNES $ 157.98 10/01/2017 $ 160.98 10/01/2018385460601 1619348927 LA CLINICA GUADALUPANA 901 ASCENCION ST EL PASO 79928 EL PASO $ 226.00 09/01/2017 $ 230.29 09/01/2018192253602 1043489347 LA ESPERANZA CLINIC INC 35 E 31ST ST SAN ANGELO 76903 TOM GREEN $ 183.81 01/01/2018 $ 187.49 01/01/2019193759102 1265601371 LA ESPERANZA CLINIC INC 35 E 31ST ST SAN ANGELO 76903 TOM GREEN $ 183.81 01/01/2018 $ 187.49 01/01/2019111604802 1770584187 LA ESPERANZA CLINIC INC-LA CLINIC ESPERANZA INC 1610 S CHADBOURNE ST SAN ANGELO 76903 TOM GREEN $ 183.81 01/01/2018 $ 187.49 01/01/2019080462703 1679524961 LEGACY COMMUNITY HEALTH SERVICES INC 1415 CALIFORNIA ST HOUSTON 77006 HARRIS $ 284.06 07/01/2017 $ 289.46 07/01/2018080462715 1437402781 LEGACY COMMUNITY HEALTH SERVICES INC 5402 LAWNDALE ST HOUSTON 77023 HARRIS $ 284.06 07/01/2017 $ 289.46 07/01/2018080462727 1235482878 LEGACY COMMUNITY HEALTH SERVICES INC 4450 HIGHLAND AVE BEAUMONT 77705 JEFFERSON $ 284.06 07/01/2017 $ 289.46 07/01/2018080462728 1538414214 LEGACY COMMUNITY HEALTH SERVICES INC 6550 MAPLERIDGE ST STE 106 HOUSTON 77081 HARRIS $ 284.06 07/01/2017 $ 289.46 07/01/2018080462729 1538417621 LEGACY COMMUNITY HEALTH SERVICES INC 6730 INDEPENDENCE BLVD STE 300 BAYTOWN 77521 HARRIS $ 284.06 07/01/2017 $ 289.46 07/01/2018080462730 1407213085 LEGACY COMMUNITY HEALTH SERVICES INC 5515 SOUTH LOOP E HOUSTON 77033 HARRIS $ 284.06 07/01/2017 $ 289.46 07/01/2018080462740 1093068348 LEGACY COMMUNITY HEALTH SERVICES INC 11000 SCOTT ST HOUSTON 77047 HARRIS $ 284.06 07/01/2017 $ 289.46 07/01/2018080462741 1447503792 LEGACY COMMUNITY HEALTH SERVICES INC 5400 MARTIN LUTHER KING BLVD HOUSTON 77021 HARRIS $ 284.06 07/01/2017 $ 289.46 07/01/2018080462742 1598017261 LEGACY COMMUNITY HEALTH SERVICES INC 9606 MESA DR HOUSTON 77078 HARRIS $ 284.06 02/19/2018 $ 289.46 07/01/2018332921103 1871846964 LEGACY COMMUNITY HEALTH SERVICES INC 8430 WESTGLEN DR HOUSTON 77063 HARRIS $ 284.06 07/01/2017 $ 289.46 07/01/2018332996301 1427496546 LEGACY COMMUNITY HEALTH SERVICES INC 12667 BISSONNET ST HOUSTON 77099 HARRIS $ 284.06 07/01/2017 $ 289.46 07/01/2018352342501 1629361308 LEGACY COMMUNITY HEALTH SERVICES INC 6441 HIGH STAR DR HOUSTON 77074 HARRIS $ 284.06 07/01/2017 $ 289.46 07/01/2018353754001 1265725949 LEGACY COMMUNITY HEALTH SERVICES INC 6500 ROOKIN ST STE 200 HOUSTON 77074 HARRIS $ 284.06 07/01/2017 $ 289.46 07/01/2018353788801 1356716021 LEGACY COMMUNITY HEALTH SERVICES INC 401 BRANARD ST # 300-302 HOUSTON 77006 HARRIS $ 284.06 07/01/2017 $ 289.46 07/01/2018354336501 1912290693 LEGACY COMMUNITY HEALTH SERVICES INC 3811 LYONS AVE HOUSTON 77020 HARRIS $ 284.06 07/01/2017 $ 289.46 07/01/2018354426401 1740688043 LEGACY COMMUNITY HEALTH SERVICES INC 6700 BELLAIRE BLVD HOUSTON 77074 HARRIS $ 284.06 07/01/2017 $ 289.46 07/01/2018355347101 1871998831 LEGACY COMMUNITY HEALTH SERVICES INC 5616 LAWNDALE ST HOUSTON 77023 HARRIS $ 284.06 07/01/2017 $ 289.46 07/01/2018332715703 1396098638 LEGACY COMMUNITY HEALTH SERVICES, INC 10711 KIPP WAY DR HOUSTON 77099 HARRIS $ 284.06 07/01/2017 $ 289.46 07/01/2018332920303 1245583590 LEGACY COMMUNITY HEALTH SERVICES, INC 500 TIDWELL RD HOUSTON 77022 HARRIS $ 284.06 07/01/2017 $ 289.46 07/01/2018336189101 1699117523 LEGACY COMMUNITY HEALTH SERVICES, INC 4301 GARTH RD STE 400 306 302 BAYTOWN 77521 HARRIS $ 284.06 07/01/2017 $ 289.46 07/01/2018341227201 1184029969 LEGACY COMMUNITY HEALTH SERVICES, INC 450 N 11TH ST BEAUMONT 77702 JEFFERSON $ 284.06 07/01/2017 $ 289.46 07/01/2018355909802 1619342375 LEGACY COMMUNITY HEALTH SERVICES, INC 6565 DE MOSS DR HOUSTON 77074 HARRIS $ 284.06 07/01/2017 $ 289.46 07/01/2018370689701 1568900595 LEGACY COMMUNITY HEALTH SERVICES, INC. 3430 CENTER ST DEER PARK 77536 HARRIS $ 284.06 07/01/2017 $ 289.46 07/01/2018372093001 1699205245 LEGACY COMMUNITY HEALTH SERVICES, INC. 9401 SOUTHWEST FWY HOUSTON 77074 HARRIS $ 284.06 07/01/2017 $ 289.46 07/01/2018373042601 1265973838 LEGACY COMMUNITY HEALTH SERVICES, INC. 6677 ROOKIN ST HOUSTON 77074 HARRIS $ 284.06 07/01/2017 $ 289.46 07/01/2018375298201 1619419785 LEGACY COMMUNITY HEALTH SERVICES, INC. 8329 LAWNDALE ST HOUSTON 77012 HARRIS $ 284.06 07/01/2017 $ 289.46 07/01/2018377749201 1821530981 LEGACY COMMUNITY HEALTH SERVICES, INC. 8500 HIGHWAY 6 S HOUSTON 77083 HARRIS $ 284.06 07/01/2017 $ 289.46 07/01/2018378034802 1245750108 LEGACY COMMUNITY HEALTH SERVICES, INC. 5620 W TIDWELL RD HOUSTON 77091 HARRIS $ 289.46 08/06/2018378066001 1659891216 LEGACY COMMUNITY HEALTH SERVICES, INC. 6700 MOUNT CARMEL ST HOUSTON 77087 HARRIS $ 284.06 07/01/2017 $ 289.46 07/01/2018379863902 1629510797 LEGACY COMMUNITY HEALTH SERVICES, INC. 4411 ANDERSON RD HOUSTON 77053 FORT BEND $ 289.46 11/30/2018382073001 1063922441 LEGACY COMMUNITY HEALTH SERVICES, INC. 5598 NORTH FWY # A1 HOUSTON 77076 HARRIS $ 284.06 02/21/2018 $ 289.46 07/01/2018387405901 1932694122 LEGACY COMMUNITY HEALTH SERVICES, INC. 3455 STAGG DR BEAUMONT 77701 JEFFERSON $ 284.06 07/31/2017 $ 289.46 07/01/2018388155901 1134661200 LEGACY COMMUNITY HEALTH SERVICES, INC. 9000 W BELLFORT ST HOUSTON 77031 HARRIS $ 284.06 07/01/2017 $ 289.46 07/01/2018388728301 1912492109 LEGACY COMMUNITY HEALTH SERVICES, INC. 4211 WATONGA BLVD HOUSTON 77092 HARRIS $ 284.06 08/01/2017 $ 289.46 07/01/2018213440502 1558675488 LONE STAR CIRCLE OF CARE 123 ED SCHMIDT BLVD STE 140 HUTTO 78634 WILLIAMSON $ 200.15 12/01/2017 $ 203.95 12/01/2018343902801 1306236187 LONE STAR CIRCLE OF CARE 605 OLD AUSTIN HWY BASTROP 78602 BASTROP $ 200.15 12/01/2017 $ 203.95 12/01/2018361730001 1235584848 LONE STAR CIRCLE OF CARE 730 W STASSNEY LN STE 110 AUSTIN 78745 TRAVIS $ 200.15 12/01/2017 $ 203.95 12/01/2018
Prepared by HHSC Rate Analysis Department 3 of 5 5/17/2019
TPI NPI Name Street Address City Zip County Prior
Rate
Prior Rate
Effective
Date
Current
Rate
Current
Rate
Effective
Date
206044401 1417195942 LONE STAR CIRCLE OF CARE-BEN WHITE HEALTH CLINIC 1221 W BEN WHITE BLVD STE 200B AUSTIN 78704 TRAVIS $ 200.15 12/01/2017 $ 203.95 12/01/2018215189602 1689983066 LONE STAR CIRCLE OF CARE-DELL CHILDREN'S CIRCLE OF CARE PEDI AT WHITESTONE 1730 E WHITESTONE BLVD STE 101 CEDAR PARK 78613 WILLIAMSON $ 200.15 12/01/2017 $ 203.95 12/01/2018218690002 1376840140 LONE STAR CIRCLE OF CARE-FAMILY AND CHILDRENS CLINIC AT CLEAR CREEK 2300 S CLEAR CREEK RD STE 105 KILLEEN 76549 BELL $ 200.15 12/01/2017 $ 203.95 12/01/2018280810701 1710284542 LONE STAR CIRCLE OF CARE-FAMILY AND CHILDREN'S CLINIC AT HARKER HEIGHTS 200 NOLA RUTH BLVD HARKER HEIGHTS 76548 BELL $ 200.15 12/01/2017 $ 203.95 12/01/2018156057503 1639129331 LONE STAR CIRCLE OF CARE-GEORGETOWN COMMUNITY CLINIC 2411 WILLIAMS DR STE 111 GEORGETOWN 78628 WILLIAMSON $ 200.15 12/01/2017 $ 203.95 12/01/2018308226501 1972866200 LONE STAR CIRCLE OF CARE-GEORGETOWN WOMEN'S CENTER 1900 SCENIC DR STE 3326 GEORGETOWN 78626 WILLIAMSON $ 200.15 12/01/2017 $ 203.95 12/01/2018208511001 1669603361 LONE STAR CIRCLE OF CARE-LAKE AIRE MEDICAL CENTER 2423 WILLIAMS DR GEORGETOWN 78628 WILLIAMSON $ 200.15 12/01/2017 $ 203.95 12/01/2018381669601 1699289728 LONE STAR CIRCLE OF CARE-LONE STAR CIRCLE OF CARE AT COLLINFIELD 8913 COLLINFIELD DR AUSTIN 78758 TRAVIS $ 200.15 02/07/2018 $ 203.95 12/01/2018375871601 1457650483 LONE STAR CIRCLE OF CARE-LONE STAR CIRCLE OF CARE AT TAYLOR 601A MALLARD LN TAYLOR 76574 WILLIAMSON $ 200.15 12/01/2017 $ 203.95 12/01/2018210423401 1447586961 LONE STAR CIRCLE OF CARE-LSCC AT TEXAS A&M HEALTH SCIENCE CENTER 3950 N A W GRIMES BLVD BLDG 2 ROUND ROCK 78665 WILLIAMSON $ 200.15 12/01/2017 $ 203.95 12/01/2018156057510 1528366648 LONE STAR CIRCLE OF CARE-LSCC BEHAVIORAL HEALTH AT HARKER HEIGHTS 775 INDIAN TRL STE 200 HARKER HEIGHTS 76548 BELL $ 200.15 12/01/2017 $ 203.95 12/01/2018341953301 1164846952 LONE STAR CIRCLE OF CARE-LSCC FAMILY CARE CENTER AT MARBLE FALLS 802 AVENUE J MARBLE FALLS 78654 BURNET $ 200.15 12/01/2017 $ 203.95 12/01/2018312311902 1780923045 LONE STAR CIRCLE OF CARE-LSCC FAMILY CARE CENTER AT NORTHWEST 11111 RESEARCH BLVD STE 295 AUSTIN 78759 TRAVIS $ 200.15 12/01/2017 $ 203.95 12/01/2018280017901 1457650483 LONE STAR CIRCLE OF CARE-LSCC HEALTH CENTER AT TAYLOR 305 MALLARD LN STE A TAYLOR 76574 WILLIAMSON $ 200.15 12/01/2017 $ 203.95 12/01/2018156057508 1447316898 LONE STAR CIRCLE OF CARE-LSCC OB/GYN 2300 ROUND ROCK AVE STE 208 ROUND ROCK 78681 WILLIAMSON $ 200.15 12/01/2017 $ 203.95 12/01/2018163038604 1326045774 LONE STAR COMMUNITY HEALTH CENTER INC 605 S CONROE MEDICAL DR CONROE 77304 MONTGOMERY $ 185.22 11/01/2017 $ 188.74 11/01/2018377854001 1679096358 LONE STAR COMMUNITY HEALTH CENTER, INC.-LONE STAR COMMUNITY HEALTH CENTER, 13905 GRANGERLAND RD CONROE 77306 MONTGOMERY $ 185.22 11/01/2017 $ 188.74 11/01/2018330571601 1790115103 LONE STAR COMMUNITY HEALTH CENTER, INC-LONE STAR FAMILY HEALTH CENTER 440 RAYFORD RD STE 150 SPRING 77386 MONTGOMERY $ 185.22 11/01/2017 $ 188.74 11/01/2018352637801 1013380708 LONE STAR COMMUNITY HEALTH CENTER, INC-LONE STAR FAMILY HEALTH CENTER 201 LINCOLN RDG WILLIS 77378 MONTGOMERY $ 185.22 11/01/2017 $ 188.74 11/01/2018286082701 1790955847 LONGVIEW WELLNESS CENTER 602 TITUS ST STE 130 GILMER 75644 UPSHUR $ 184.33 01/01/2018 $ 188.02 01/01/2019287763101 1982837829 LONGVIEW WELLNESS CENTER INC 1711 S HENDERSON BLVD STE 400 KILGORE 75662 GREGG $ 184.33 01/01/2018 $ 188.02 01/01/2019343234601 1932598752 LONGVIEW WELLNESS CENTER INC DBA WELLNESS POINTE-WELLNESS POINTE 805 MEDICAL DR LONGVIEW 75605 GREGG $ 184.33 01/01/2018 $ 188.02 01/01/2019183824501 1942269493 LONGVIEW WELLNESS CENTER INC-WELLNESS POINTE 1107 E MARSHALL AVE LONGVIEW 75601 GREGG $ 184.33 01/01/2018 $ 188.02 01/01/2019338638501 1023426665 LONGVIEW WELLNESS CENTER, INC DBA WELLNESS POINTE 2131 S MOBBERLY AVE LONGVIEW 75602 GREGG $ 184.33 01/01/2018 $ 188.02 01/01/2019120977709 1578874806 LOS BARRIOS UNIDOS COMMUNITY CLINIC INC 3111 SYLVAN AVE DALLAS 75212 DALLAS $ 201.61 06/01/2017 $ 205.44 06/01/2018368148801 1457802449 LOS BARRIOS UNIDOS COMMUNITY CLINIC INC-LBU HEALTH CENTER 4732 W ILLINOIS AVE DALLAS 75211 DALLAS $ 201.61 06/01/2017 $ 205.44 06/01/2018120977702 1164417085 LOS BARRIOS UNIDOS COMMUNITY CLINIC INC-LOS BARRIOS UNIDOS COMMUNITY 809 SINGLETON BLVD DALLAS 75212 DALLAS $ 201.61 06/01/2017 $ 205.44 06/01/2018345098301 1861880080 MACARTHUR PEDIATRIC CLINIC 2201 MACARTHUR DR STE 103 WACO 76708 MCLENNAN $ 228.99 10/01/2017 $ 233.34 10/01/2018342969801 1477837730 MARTIN LUTHER KING COMMUNITY CLINIC 1911 N MARTIN LUTHER KING JR BLVD WACO 76704 MCLENNAN $ 228.99 10/01/2017 $ 233.34 10/01/2018130713404 1851492557 MARTIN LUTHER KING JR FAMILY CLINIC INC-FOREMOST FAMILY HEALTH CENTERS 2922 MARTIN LUTHER KING JR BLVD BLDG B DALLAS 75215 DALLAS $ 217.49 12/01/2017 $ 221.62 12/01/2018130713413 1851492557 MARTIN LUTHER KING JR FAMILY CLINIC INC-FOREMOST FAMILY HEALTH CENTERS 3515 SHEPHERD LN BALCH SPRINGS 75180 DALLAS $ 217.49 12/01/2017 $ 221.62 12/01/2018350361701 1003193848 MATAGORDA EPISCOPAL HEALTH OUTREACH PROGRAM 111 AVENUE F BAY CITY 77414 MATAGORDA $ 246.99 01/01/2018 $ 251.93 01/01/2019347977601 1073703575 MATAGORDA EPISCOPAL HEALTH OUTREACH PROGRAM-MEHOP DENTAL 205 IDA AVE BAY CITY 77414 MATAGORDA $ 246.99 01/01/2018 $ 251.93 01/01/2019348223401 1861741779 MATAGORDA EPISCOPAL HEALTH OUTREACH PROGRAM-MEHOP PRIMARY AND BEHAVIORAL HEALTH 1700 GOLDEN AVE BAY CITY 77414 MATAGORDA $ 246.99 01/01/2018 $ 251.93 01/01/2019289056801 1306166830 MCGREGOR COMMUNITY CLINIC 500 JOHNSON DR MC GREGOR 76657 MCLENNAN $ 228.99 10/01/2017 $ 233.34 10/01/2018287324201 1457671984 MEYER CENTER COMMUNITY CLINIC 1226 WASHINGTON AVE WACO 76701 MCLENNAN $ 228.99 10/01/2017 $ 233.34 10/01/2018165581305 1235225087 MIDLAND COMMUNITY HEALTHCARE SERVICES 801 E FLORIDA AVE MIDLAND 79701 MIDLAND $ 201.61 11/01/2017 $ 205.44 11/01/2018283855901 1437483583 MISSION EAST DALLAS AND METROPLEX PROJECT 4550 GUS THOMASSON RD STE 40 MESQUITE 75150 DALLAS $ 144.20 01/01/2018 $ 147.08 01/01/2019181010301 1952342149 MT ENTERPRISE COMMUNITY HEALTH CLINIC-CROSSROADS FAMILY CARE 106 WEST RUSK STREET MT ENTERPRISE 75681 RUSK $ 144.85 01/01/2018 $ 147.75 01/01/2019203375504 1649412354 MT ENTERPRISE COMMUNITY HEALTH CLINIC-CROSSROADS FAMILY CARE 1115 US HIGHWAY 259 S HENDERSON 75654 RUSK $ 144.85 01/01/2018 $ 147.75 01/01/2019379826601 1043741275 MT ENTERPRISE COMMUNITY HEALTH CLINIC-CROSSROADS FAMILY CARE 205 E BRAZOS ST PALESTINE 75801 ANDERSON $ 144.85 01/01/2018 $ 147.75 01/01/2019308378401 1295064194 NORTH CENTRAL TEXAS COMMUNITY HEALTH CARE CENTER 1000 JUAREZ ST BLDG A WICHITA FALLS 76301 WICHITA $ 205.46 07/01/2017 $ 209.36 07/01/2018
381993001 1790284552 NORTH CENTRAL TEXAS COMMUNITY HEALTH CARE CENTER I-PEDIATRIC ASSOCIATES 4420 KIMBELL DR WICHITA FALLS 76302 WICHITA 205.46$ 03/09/2018 209.36$ 07/01/2018378270801 1053849984 NORTH CENTRAL TEXAS COMMUNITY HEALTH CARECENTERINC 120 S CENTRAL EXPY MCKINNEY 75070 COLLIN $ 205.46 07/20/2017 $ 209.36 07/01/2018374065601 1407308828 NORTH CENTRAL TEXAS COMMUNITY HEALTHCARE CENTERINC-FAMILY HEALTH CENTER 1301 3RD ST STE 200 WICHITA FALLS 76301 WICHITA $ 205.46 07/01/2017 $ 209.36 07/01/2018126940907 1083045454 NORTH CENTRAL TX COMMUNITY-COMMUNITY HEALTH CARE CENTER 110 LEE ST WICHITA FALLS 76301 WICHITA $ 205.46 07/01/2017 $ 209.36 07/01/2018126940904 1255324141 NORTH CENTRAL TX COMMUNITY-NORTH CENTRAL TEXAS COMMUNITY 200 MLK JR BLVD WICHITA FALLS 76301 WICHITA $ 205.46 07/01/2017 $ 209.36 07/01/2018176880601 1568420800 NORTH TEXAS AREA COMMUNITY HEALTH CENTERS INC-DBA NORTHSIDE COMMINTY HEALTH CENTER 2106 N MAIN ST FORT WORTH 76164 TARRANT $ 163.35 12/01/2017 $ 166.45 12/01/2018220596501 1700192085 NORTH TEXAS AREA COMMUNITY HEALTH CENTERS INC-SOUTHEAST COMMUNITY HEALTH CENTER 2909 MITCHELL BLVD FORT WORTH 76105 TARRANT $ 163.35 12/01/2017 $ 166.45 12/01/2018363427101 1740668011 NORTH TEXAS AREA COMMUNITY HEALTH CENTERS, INC.-ARLINGTON COMMUNITY HEALTH CENTER 979 N COOPER ST ARLINGTON 76011 TARRANT $ 163.35 12/01/2017 $ 166.45 12/01/2018288560002 1053728360 NUESTRA CLINICA DEL VALLE INC 806 W 3RD ST SAN JUAN 78589 HIDALGO $ 200.58 01/01/2018 $ 204.59 01/01/2019160132001 1881021541 NUESTRA CLINICA DEL VALLE INC 301 S 17TH ST DONNA 78537 HIDALGO $ 200.58 01/01/2018 $ 204.59 01/01/2019313325801 1205067600 NUESTRA CLINICA DEL VALLE INC 600 N GARZA ST STE A RIO GRANDE CITY 78582 STARR $ 200.58 01/01/2018 $ 204.59 01/01/2019314308301 1104057504 NUESTRA CLINICA DEL VALLE INC 2891 E GRANT ST ROMA 78584 STARR $ 200.58 01/01/2018 $ 204.59 01/01/2019019056301 1699803312 NUESTRA CLINICA DEL VALLE INC-NUESTRA CLINICA DEL VALLE 611 N BRYAN RD MISSION 78572 HIDALGO $ 200.58 01/01/2018 $ 204.59 01/01/2019019057101 1861829079 NUESTRA CLINICA DEL VALLE INC-NUESTRA CLINICA DEL VALLE 1518 E SANTA ROSA AVE EDCOUCH 78538 HIDALGO $ 200.58 01/01/2018 $ 204.59 01/01/2019019058901 1235267949 NUESTRA CLINICA DEL VALLE INC-NUESTRA CLINICA DEL VALLE 1500 W 1ST ST MERCEDES 78570 HIDALGO $ 200.58 01/01/2018 $ 204.59 01/01/2019092951501 1891793246 NUESTRA CLINICA DEL VALLE INC-NUESTRA CLINICA DEL VALLE 801 W 1ST ST SAN JUAN 78589 HIDALGO $ 200.58 01/01/2018 $ 204.59 01/01/2019092951504 1316374556 NUESTRA CLINICA DEL VALLE INC-NUESTRA CLINICA DEL VALLE 201 S LOS EBANOS RD MISSION 78573 HIDALGO $ 200.58 01/01/2018 $ 204.59 01/01/2019160133801 1073940987 NUESTRA CLINICA DEL VALLE INC-NUESTRA CLINICA DEL VALLE 300 N 86TH ST EDINBURG 78542 HIDALGO $ 200.58 01/01/2018 $ 204.59 01/01/2019019059701 1932516242 NUESTRA CLINICA DEL VALLE INC-NUESTRA CLINICA DEL VILLE 2900 N RAUL LONGORIA RD SAN JUAN 78589 HIDALGO $ 200.58 01/01/2018 $ 204.59 01/01/2019177817702 1932104965 PASADENA HEALTH CENTER INC 908 SOUTHMORE AVE STE 100 PASADENA 77502 HARRIS $ 125.39 12/01/2017 $ 127.77 12/01/2018339961001 1568881670 PEOPLES COMMUNITY CLINIC 2909 N INTERSTATE 35 AUSTIN 78722 TRAVIS $ 292.05 01/01/2018 $ 297.89 01/01/2019341467401 1083019905 PEOPLE'S COMMUNITY CLINIC 10335 US HIGHWAY 290 E MANOR 78653 TRAVIS $ 292.05 01/01/2018 $ 297.89 01/01/2019304236801 1568726214 PEOPLES COMMUNITY CLINIC INC 1101 CAMINO LA COSTA AUSTIN 78752 TRAVIS $ 292.05 01/01/2018 $ 297.89 01/01/2019303604801 1740545474 PEOPLES COMMUNITY CLINIC OFF-SITE AT LIFEWORKS 408 W 23RD ST STE 300 AUSTIN 78705 TRAVIS $ 292.05 01/01/2018 $ 297.89 01/01/2019303485201 1114282845 PEOPLES COMMUNITY CLINIC-PEOPLES COMMUNITY CLINIC OFF-SITE AT SAFEPLACE 1515 GROVE BLVD AUSTIN 78741 TRAVIS $ 292.05 01/01/2018 $ 297.89 01/01/2019338683101 1942619341 PLANO CHILDRENS MEDICAL CENTER 1407 14TH ST PLANO 75074 COLLIN $ 238.53 01/01/2018 $ 243.30 01/01/2019360689901 1518347921 PRESIDIO COUNTY HEALTH SERVICES INC-FAMILY HEALTH SERVICES OF ALPINE 1605 W FORT DAVIS AVE ALPINE 79830 BREWSTER $ 160.00 01/01/2018 $ 163.20 01/01/2019189915501 1013196625 PRESIDIO COUNTY HEALTH SERVICES INC-MARFA COMMUNITY HEALTH CLINIC 210 S SUMMER STREET MARFA 79843 PRESIDIO $ 160.00 01/01/2018 $ 163.20 01/01/2019356756201 1619245180 PROJECT VIDA HEALTH CENTER 104 SOUTH DODSON DELL CITY 79847 HUDSPETH 226.00$ 09/01/2017 $ 230.29 09/01/2018121004906 1447377924 PROJECT VIDA HEALTH CENTER INC-PROJECT VIDA HEALTH CENTE 4875 MAXWELL AVE EL PASO 79904 EL PASO 226.00$ 09/01/2017 $ 230.29 09/01/2018121004905 1184779191 PROJECT VIDA HEALTH CENTER INC-PROJECT VIDA HEALTH CENTER 3612 PERA AVE EL PASO 79905 EL PASO 226.00$ 09/01/2017 $ 230.29 09/01/2018210227901 1588802102 PROJECT VIDA HEALTH CENTER-MONTANA VISTA 14900 GREG DR EL PASO 79938 EL PASO 226.00$ 09/01/2017 $ 230.29 09/01/2018019041501 1588662027 REGENCE HEALTH NETWORK INC 125 W PARK AVE HEREFORD 79045 DEAF SMITH $ 165.58 01/01/2018 $ 168.89 01/01/2019019045603 1003813056 REGENCE HEALTH NETWORK INC 850 MARTIN RD AMARILLO 79107 POTTER $ 165.58 01/01/2018 $ 168.89 01/01/2019019047202 1033117577 REGENCE HEALTH NETWORK INC 723 N TAYLOR ST STE B AMARILLO 79107 POTTER $ 165.58 01/01/2018 $ 168.89 01/01/2019135077903 1083613640 REGENCE HEALTH NETWORK INC 2601 DIMMITT RD STE 104 PLAINVIEW 79072 HALE $ 165.58 01/01/2018 $ 168.89 01/01/2019135077911 1114925658 REGENCE HEALTH NETWORK INC 2801 W 8TH ST PLAINVIEW 79072 HALE $ 165.58 01/01/2018 $ 168.89 01/01/2019312641901 1922394097 REGENCE HEALTH NETWORK INC 1301 S COULTER ST STE 200 AMARILLO 79106 POTTER $ 165.58 01/01/2018 $ 168.89 01/01/2019183206501 1710027859 ROUND ROCK HEALTH CLINIC 2120 N MAYS ST STE 430 ROUND ROCK 78664 WILLIAMSON $ 200.15 12/01/2017 $ 203.95 12/01/2018344169301 1306234521 SANTA FE COMMUNITY CLINIC 600 S 25TH ST STE 115 TEMPLE 76504 BELL $ 228.99 10/01/2017 $ 233.34 10/01/2018
Prepared by HHSC Rate Analysis Department 4 of 5 5/17/2019
TPI NPI Name Street Address City Zip County Prior
Rate
Prior Rate
Effective
Date
Current
Rate
Current
Rate
Effective
Date
171901505 1073749784 SHACKELFORD COUNTY COMMUNITY RESOURCE CENTER 128 W 4TH ST BAIRD 79504 CALLAHAN $ 284.36 09/01/2017 $ 289.76 09/01/2018287755701 1215205265 SHACKELFORD COUNTY COMMUNITY RESOURCE CENTER-RESOURCECARE CLYDE 1712 N ACCESS RD CLYDE 79510 CALLAHAN $ 284.36 09/01/2017 $ 289.76 09/01/2018358093801 1184096273 SHACKELFORD COUNTY COMMUNITY RESOURCE CENTER-RESOURCECARE MERKEL 217 EDWARDS MERKEL 79536 TAYLOR $ 284.36 09/01/2017 $ 289.76 09/01/2018171901504 1417248824 SHACKELFORD COUNTY COMMUNITY RESOURCE CENTER-STEPHENS COMMUNITY HEALTH CENTER 2802 W WALKER ST BRECKENRIDGE 76424 STEPHENS $ 284.36 09/01/2017 $ 289.76 09/01/2018171901503 1194804278 SHACKELFORD COUNTY COMMUNITY RESOURCE CENTER-STEPHENS COMMUNITY HEALTH CENTER. 725 PATE ST ALBANY 76430 SHACKELFORD $ 284.36 09/01/2017 $ 289.76 09/01/2018352634501 1376964858 SOUTH CENTRAL HOUSTON ACTION COUNCIL INC 14087 MAIN ST HOUSTON 77035 HARRIS $ 127.73 01/01/2018 $ 130.28 01/01/2019111687308 1821177866 SOUTH CENTRAL HOUSTON ACTION COUNCIL INC-CENTRAL CARE INTEGRATED HEALTH SERVICES 3315 DELANO ST HOUSTON 77004 HARRIS $ 127.73 01/01/2018 $ 130.28 01/01/2019378402701 1982061875 SOUTH CENTRAL HOUSTON ACTION COUNCIL INC-CENTRAL CARE INTEGRATED HEALTH SERVICES 14929 OLD HUMBLE RD UNIT E HUMBLE 77396 HARRIS $ 127.73 01/01/2018 $ 130.28 01/01/2019389564101 1174907513 SOUTH CENTRAL HOUSTON ACTION COUNCIL INC-CENTRAL CARE INTERGRATED HEALTH SERVICES 96 BERRY RD HOUSTON 77022 HARRIS $ 127.73 01/01/2018 $ 130.28 01/01/2019111687302 1417036534 SOUTH CENTRAL HOUSTON ACTION COUNCIL INC-SOUTH CENTRAL HOUSTON COMMUNITY HEALTH 8610 MARTIN LUTHER KING BLVD HOUSTON 77033 HARRIS $ 127.73 01/01/2018 $ 130.28 01/01/2019019049801 1376656207 SOUTH PLAINS RURAL HEALTH 1502 N AVENUE K LAMESA 79331 DAWSON $ 192.18 06/01/2017 $ 195.83 06/01/2018121513902 1295746402 SOUTH PLAINS RURAL HEALTH 1000 FM 300 LEVELLAND 79336 HOCKLEY $ 192.18 06/01/2017 $ 195.83 06/01/2018386569302 1144333063 SOUTH PLAINS RURAL HEALTH SERVICES, INCL 1005 N 16TH ST LAMESA 79331 DAWSON $ 192.18 01/15/2018 $ 195.83 06/01/2018019050601 1033440243 SOUTH TEXAS RURAL HEALTH SERVICES INC 150 MEDICAL DR PEARSALL 78061 FRIO $ 176.28 04/01/2018 $ 179.81 04/01/2019138645016 1477885481 SOUTH TEXAS RURAL HEALTH SERVICES INC 100 S MAIN ENCINAL 78019 LASALLE $ 176.28 04/01/2018 $ 179.81 04/01/2019138645017 1548591753 SOUTH TEXAS RURAL HEALTH SERVICES INC 606 W LEONA ST DILLEY 78017 FRIO $ 176.28 04/01/2018 $ 179.81 04/01/2019138645018 1881991628 SOUTH TEXAS RURAL HEALTH SERVICES INC 2250 N VETERANS BLVD EAGLE PASS 78852 MAVERICK $ 176.28 04/01/2018 $ 179.81 04/01/2019160587502 1063743284 SOUTH TEXAS RURAL HEALTH SERVICES INC 2912 AVENUE E HONDO 78861 MEDINA $ 176.28 04/01/2018 $ 179.81 04/01/2019217069801 1740512755 SOUTH TEXAS RURAL HEALTH SERVICES INC BIG WELLS 1502 GRAND AVE BIG WELLS 78830 DIMMIT $ 176.28 04/01/2018 $ 179.81 04/01/2019138645005 1356672570 SOUTH TEXAS RURAL HEALTH SERVICES INC-SOUTH TEXAS RURAL HEALTH 1010 W HONDO AVE DEVINE 78016 MEDINA $ 176.28 04/01/2018 $ 179.81 04/01/2019138645006 1952337263 SOUTH TEXAS RURAL HEALTH SERVICES INC-SOUTH TEXAS RURAL HEALTH SVC 304 NUECES COTULLA 78014 LASALLE $ 176.28 04/01/2018 $ 179.81 04/01/2019138645008 1215269956 SOUTH TEXAS RURAL HEALTH SERVICES INC-SOUTH TEXAS RURAL HLTHCLINIC 902 S 5TH ST CARRIZO SPRINGS 78834 DIMMIT $ 176.28 04/01/2018 $ 179.81 04/01/2019366840201 1922556067 SPECIAL HEALTH RESOURCES FOR TEXAS INC 402 N 7TH ST LONGVIEW 75601 GREGG $ 245.41 01/01/2018 $ 250.32 01/01/2019319998601 1043209919 SPECIAL HEALTH RESOURCES FOR TEXAS INC 410 N 4TH ST LONGVIEW 75601 GREGG $ 245.41 01/01/2018 $ 250.32 01/01/2019347533701 1609298132 SPECIAL HEALTH RESOURCES FOR TEXAS INCORPORATED 1300 CLINIC DR TYLER 75701 SMITH $ 240.83 01/01/2017 $ 245.41 01/01/2018390539001 1740783620 SPECIAL HEALTH RESOURCES FOR TEXAS INCORPORATED-INTEGRATED CARE CLINIC 1300 N 6TH ST LONGVIEW 75601 GREGG $ 245.41 01/01/2018 $ 250.32 01/01/2019352469602 1750769238 SPECIAL HEALTH RESOURCES FOR TEXAS INCORPORATED-MED PLAZA CLINIC 703 E MARSHALL AVE LONGVIEW 75601 GREGG $ 245.41 01/01/2018 $ 250.32 01/01/2019392665101 1891280277 SPECIAL HEALTH RESOUCES FOR TEXAS, INCORPORATED-MED PLAZA III 705 E MARSHALL AVE STE 3000 LONGVIEW 75601 GREGG $ 245.41 01/01/2018 $ 250.32 01/01/2019379989201 1346791258 SPECIAL HEALTH RESOURCES FOR TEXAS INCORPORATED-PARIS CLINIC 3150 CLARKSVILLE ST PARIS 75460 LAMAR $ 245.41 01/01/2018 $ 250.32 01/01/2019380515202 1326460858 SPECIAL HEALTH RESOURCES FOR TEXAS INCORPORATED-TEXARKANA CLINIC 1102 MAIN ST TEXARKANA 75501 BOWIE $ 245.41 01/01/2018 $ 250.32 01/01/2019389499001 1184103285 SPECIAL HEALTH RESOURCES FOR TEXAS INCORPORATED-TYLER WOMEN AND CHILDRENS CLINIC 4159 TROUP HWY TYLER 75703 SMITH $ 245.41 01/01/2018 $ 250.32 01/01/2019165254702 1235141409 SPRING BRANCH COMMUNITY HEALTH CENTER 1615 HILLENDAHL BLVD STE 100 HOUSTON 77055 HARRIS $ 189.53 12/01/2017 $ 193.13 12/01/2018165254703 1851741003 SPRING BRANCH COMMUNITY HEALTH CENTER 5502 1ST ST KATY 77493 HARRIS $ 189.53 12/01/2017 $ 193.13 12/01/2018209600001 1558688135 SPRING BRANCH COMMUNITY HEALTH CENTER 8575 PITNER RD HOUSTON 77080 HARRIS $ 189.53 12/01/2017 $ 193.13 12/01/2018337890301 1548670128 SPRING BRANCH COMMUNITY HEALTH CENTER 19333 CLAY RD KATY 77449 HARRIS $ 189.53 12/01/2017 $ 193.13 12/01/2018352318501 1093186728 SPRING BRANCH COMMUNITY HEALTH CENTER 1905 JACQUELYN DR HOUSTON 77055 HARRIS $ 189.53 12/01/2017 $ 193.13 12/01/2018376717001 1871022467 SPRING BRANCH COMMUNITY HEALTH CENTER 7777 WESTGREEN BLVD CYPRESS 77433 HARRIS $ 189.53 12/01/2017 $ 193.13 12/01/2018330588001 1457782021 ST HOPE FOUNDATION INC 255 NORTHPOINT DR STE 200 HOUSTON 77060 HARRIS $ 153.69 01/01/2018 $ 156.76 01/01/2019199252101 1578730818 STEPHEN F AUSTIN COMMUNITY HEALTH CENTER INC-ADOUE FAMILY HEALTH CENTER 1111 W ADOUE ST ALVIN 77511 BRAZORIA $ 300.29 01/01/2018 $ 306.30 01/01/2019328327701 1487926804 STEPHEN F AUSTIN COMMUNITY HEALTH CENTER INC-FREEPORT COMMUNITY HEALTH CENTER 905 N GULF BLVD FREEPORT 77541 BRAZORIA $ 300.29 01/01/2018 $ 306.30 01/01/2019019025801 1427071968 SU CLINICA FAMILIAR WOMENS HEALTH CENTER 1706 TREASURE HILLS BLVD HARLINGEN 78550 CAMERON $ 191.58 04/01/2018 $ 195.41 04/01/2019019026601 1285643304 SU CLINICA FAMILIAR-HARLINGEN 1706 TREASURE HILLS BLVD FL 2 HARLINGEN 78550 CAMERON $ 191.58 04/01/2018 $ 195.41 04/01/2019019029001 1871516807 SU CLINICA FAMILIAR-RAYMONDVILLE 131 FM 3168 RAYMONDVILLE 78580 WILLACY $ 191.58 04/01/2018 $ 195.41 04/01/2019019027401 1811901655 SU CLINICA FAMILIAR-SCC-SU CLINICA FAMILIAR-BROWNSVILLE 105 E ALTON GLOOR BLVD BROWNSVILLE 78526 CAMERON $ 191.58 04/01/2018 $ 195.41 04/01/2019202580108 1073779500 TEJAS HEALTH CARE 220 W GUADALUPE ST LA GRANGE 78945 FAYETTE $ 153.89 01/01/2018 $ 156.97 01/01/2019202580110 1073779500 TEJAS HEALTH CARE 753 E TRAVIS ST LA GRANGE 78945 FAYETTE $ 153.89 01/01/2018 $ 156.97 01/01/2019347545101 1215326491 TEJAS HEALTH CARE 185 DECKER DR GIDDINGS 78942 LEE $ 153.89 01/01/2018 $ 156.97 01/01/2019354454601 1265810642 TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER 1749 PINE ST ABILENE 79601 TAYLOR $ 259.37 09/01/2017 $ 264.30 09/01/2018197095601 1609023191 TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER SCHOO 301 40TH ST LUBBOCK 79404 LUBBOCK $ 259.37 09/01/2017 $ 264.30 09/01/2018333188601 1750702015 TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER SCHOO-COMBEST SUNRISE CANYON 2424 50TH ST RM 300 LUBBOCK 79412 LUBBOCK $ 259.37 09/01/2017 $ 264.30 09/01/2018374022701 1376584789 TRIANGLE AREA NETWORK INC 3737 N 16TH ST ORANGE 77632 ORANGE $ 130.79 06/01/2017 $ 132.62 06/01/2018311152811 1144575820 TYLER FAMILY CIRCLE OF CARE 214 E HOUSTON ST TYLER 75702 SMITH $ 193.75 09/01/2017 $ 197.43 09/01/2018137809307 1710980669 UNITED MEDICAL CENTERS 2525 N VETERANS BLVD EAGLE PASS 78852 MAVERICK $ 203.41 07/01/2017 $ 207.27 07/01/2018137809314 1821411224 UNITED MEDICAL CENTERS 4018 EL INDIO HWY EAGLE PASS 78852 MAVERICK $ 203.41 07/01/2017 $ 207.27 07/01/2018137809315 1245581156 UNITED MEDICAL CENTERS 1175 EIDSON RD EAGLE PASS 78852 MAVERICK $ 203.41 07/01/2017 $ 207.27 07/01/2018137809316 1669786703 UNITED MEDICAL CENTERS 2209 N BEDELL AVE DEL RIO 78840 VAL VERDE $ 203.41 07/01/2017 $ 207.27 07/01/2018137809313 1629320221 UNITED MEDICAL CENTERS- 1117 W DE LA ROSA ST DEL RIO 78840 VAL VERDE $ 203.41 07/01/2017 $ 207.27 07/01/2018137809306 1336284785 UNITED MEDICAL CENTERS-UNITED MEDICAL CENTER #2 202 JAMES ST BRACKETTVILLE 78832 KINNEY $ 203.41 07/01/2017 $ 207.27 07/01/2018137809308 1992840409 UNITED MEDICAL CENTERS-UNITED MEDICAL CENTER #3 913 S MAIN ST DEL RIO 78840 VAL VERDE $ 203.41 07/01/2017 $ 207.27 07/01/2018218737901 1710108923 URBAN INTER-TRIBAL CENTER OF TEXAS 1261 RECORD CROSSING RD DALLAS 75235 DALLAS $ 238.25 07/01/2017 $ 241.59 07/01/2018133329603 1770511032 VIDA Y SALUD HEALTH SYSTEMS 308 S CESAR CHAVEZ AVE CRYSTAL CITY 78839 ZAVALA $ 180.43 04/01/2018 $ 184.04 04/01/2019192363301 1831338490 WEST CHAMBERS MEDICAL CLINIC 9825 EAGLE DR BAYTOWN 77523 CHAMBERS $ 126.06 10/01/2017 $ 128.46 10/01/2018351323601 1730409269 WEST WACO COMMUNITY CLINIC 600 W STATE HIGHWAY 6 WACO 76712 MCLENNAN $ 228.99 10/01/2017 $ 233.34 10/01/2018286905901 1801116983 WOMENS HEALTH CENTER 120 HILLCREST MEDICAL BLVD STE 300 WACO 76712 MCLENNAN $ 228.99 10/01/2017 $ 233.34 10/01/2018339779601 1013326412 WYLIE CHILDRENS MEDICAL CENTER 303 S HIGHWAY 78 STE 106 WYLIE 75098 COLLIN $ 238.53 01/01/2018 $ 243.30 01/01/2019
Prepared by HHSC Rate Analysis Department 5 of 5 5/17/2019