Community Health Centers of the Central Coast INC
Community Health Centers of the Central Coast INC was paid $20.79M by Medicaid between Oct 2020 and Dec 2024, across 99 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 90% of everything it billed.
PASO ROBLES, CA 93446
Next to other Federally Qualified Health Center (FQHC) providers in California
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 4,452 | $291K | |
| 2021 | 136,170 | $5.78M | |
| 2022 | 154,689 | $5.03M | |
| 2023 | 121,303 | $5.01M | |
| 2024incomplete | 95,990 | $4.67M |
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 | 90% | 109,377 | 94,920 | $18.71M |
| 0521 | 6.2% | 175,198 | 69,815 | $1.30M | |
| 0301 | 1.2% | 7,232 | 6,870 | $250K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 7,033 | 5,511 | $128K |
| 0636 | <1% | 9,378 | 4,786 | $82K | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 5,784 | 4,334 | $57K |
| V2020 | Frames, purchases | <1% | 5,888 | 4,399 | $55K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 4,513 | 4,215 | $25K |
| 0761 | <1% | 783 | 783 | $18K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 3,316 | 2,360 | $16K |
| 0771 | <1% | 1,311 | 1,223 | $15K | |
| 0309 | <1% | 805 | 743 | $15K |
87 more codes
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 58,141 | $14K |
| 99051 | <1% | 3,881 | $13K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 2,473 | $9K |
| 0770 | <1% | 3,610 | $9K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 1,182 | $9K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 3,290 | $9K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 737 | $7K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 6,775 | $6K |
| 92250 | <1% | 650 | $5K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,570 | $4K |
| 99460 | <1% | 86 | $4K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,267 | $4K |
| 98940 | <1% | 1,919 | $4K | |
| 92015 | Determination of refractive state | <1% | 5,637 | $3K |
| 0307 | <1% | 1,164 | $2K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 4,429 | $2K |
| 90677 | <1% | 1,139 | $2K | |
| 0306 | <1% | 109 | $1K | |
| 0054A | <1% | 59 | $1K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 2,650 | $1K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 3,421 | $1K |
| 0004A | <1% | 37 | $1K | |
| 92552 | <1% | 6,719 | $938.48 | |
| 0900 | <1% | 4,122 | $937.87 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 2,492 | $925.88 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 2,694 | $877.00 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 216 | $811.93 |
| 69200 | <1% | 20 | $671.24 | |
| 82947 | <1% | 547 | $488.23 | |
| 0001A | <1% | 51 | $408.00 | |
| 90619 | <1% | 584 | $405.00 | |
| 85018 | <1% | 7,122 | $371.44 | |
| 90750 | <1% | 78 | $370.20 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 32 | $338.78 |
| 99381 | <1% | 186 | $334.50 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 346 | $327.11 |
| G0467 | Community health center visit, returning patient | <1% | 157 | $303.70 |
| 99188 | <1% | 1,127 | $251.98 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,274 | $236.24 |
| 99173 | <1% | 6,344 | $189.89 | |
| 99385 | <1% | 26 | $171.15 | |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit | <1% | 291 | $154.54 |
| 90723 | <1% | 2,470 | $153.00 | |
| 83655 | <1% | 924 | $148.93 | |
| 81000 | <1% | 2,308 | $119.10 | |
| 0271 | <1% | 523 | $116.05 | |
| 90656 | <1% | 282 | $111.00 | |
| 90686 | <1% | 2,662 | $108.00 | |
| 96127 | <1% | 427 | $99.53 | |
| 90680 | <1% | 1,872 | $90.00 | |
| 90647 | <1% | 2,214 | $81.00 | |
| 81025 | <1% | 731 | $74.50 | |
| 90670 | <1% | 2,035 | $63.00 | |
| 90716 | <1% | 1,328 | $63.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 16 | $59.90 |
| 90707 | <1% | 1,147 | $54.00 | |
| 90633 | <1% | 1,591 | $45.00 | |
| 90651 | <1% | 955 | $36.00 | |
| 69209 | <1% | 15 | $31.51 | |
| 82962 | <1% | 50 | $29.52 | |
| 98943 | <1% | 188 | $29.49 | |
| 90715 | <1% | 340 | $9.00 | |
| 90620 | <1% | 164 | $9.00 | |
| 90696 | <1% | 147 | $9.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 652 | $5.49 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 806 | $0.00 |
| 90734 | 0% | 310 | $0.00 | |
| S8451 | Splint, prefabricated, wrist or ankle | 0% | 66 | $0.00 |
| 92083 | 0% | 29 | $0.00 | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 0% | 713 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 0% | 33 | $0.00 |
| 90700 | 0% | 133 | $0.00 | |
| 90662 | 0% | 56 | $0.00 | |
| 96160 | 0% | 70 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 53 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 32 | $0.00 |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 6,942 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 7,464 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 406 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 506 | $0.00 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 342 | $0.00 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 147 | $0.00 |
| 88720 | 0% | 13 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 74 | $0.00 |
| J3490 | Unclassified drugs | 0% | 19 | $0.00 |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | 0% | 63 | $0.00 |
| 93000 | 0% | 14 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.