Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC

NPI: 1003462102 · PASO ROBLES, CA 93446 · Federally Qualified Health Center (FQHC) · NPI assigned 08/14/2019

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official ALLEN, BARBARA controls 15+ related entities in our dataset. Read more

$20.79M
Total Medicaid Paid
512,604
Total Claims
359,410
Beneficiaries
99
Codes Billed
2020-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialALLEN, BARBARA (BUSINESS OFFICE DIRECTOR)
NPI Enumeration Date08/14/2019

Related Entities

Other providers sharing the same authorized official: ALLEN, BARBARA

ProviderCityStateTotal Paid
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC NIPOMO CA $51.61M
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC SANTA MARIA CA $49.45M
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC LOMPOC CA $27.25M
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC SANTA MARIA CA $23.34M
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC OCEANO CA $20.78M
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC TEMPLETON CA $13.71M
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC ARROYO GRANDE CA $12.19M
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC ARROYO GRANDE CA $8.96M
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC ARROYO GRANDE CA $5.87M
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC ATASCADERO CA $2.15M
RAINBOW PEDIATRICS, LLC STAMFORD CT $1.59M
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC CAMBRIA CA $840K
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC OCEANO CA $458K
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC NEW CUYAMA CA $181K
BLUE WATER ANESTHESIA SERVICES PORT ST LUCIE FL $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 4,452 $291K
2021 136,170 $5.78M
2022 154,689 $5.03M
2023 121,303 $5.01M
2024 95,990 $4.67M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 109,377 94,920 $18.71M
0521 175,198 69,815 $1.30M
0301 7,232 6,870 $250K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 7,033 5,511 $128K
0636 9,378 4,786 $82K
92340 Fitting of spectacles, except for aphakia; monofocal 5,784 4,334 $57K
V2020 Frames, purchases 5,888 4,399 $55K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 4,513 4,215 $25K
0761 783 783 $18K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3,316 2,360 $16K
0771 1,311 1,223 $15K
0309 805 743 $15K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 58,141 50,863 $14K
99051 3,881 3,787 $13K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 2,473 2,357 $9K
0770 3,610 3,564 $9K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,182 1,123 $9K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,290 2,553 $9K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 737 723 $7K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 6,775 5,070 $6K
92250 650 630 $5K
83036 Hemoglobin; glycosylated (A1C) 2,570 2,289 $4K
99460 86 65 $4K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,267 1,230 $4K
98940 1,919 1,276 $4K
92015 Determination of refractive state 5,637 5,163 $3K
0307 1,164 1,001 $2K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,429 4,155 $2K
90677 1,139 920 $2K
0306 109 109 $1K
0054A 59 45 $1K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,650 2,597 $1K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,421 3,316 $1K
0004A 37 32 $1K
92552 6,719 6,684 $938.48
0900 4,122 2,449 $937.87
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,492 2,393 $925.88
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,694 2,652 $877.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 216 206 $811.93
69200 20 12 $671.24
82947 547 470 $488.23
0001A 51 35 $408.00
90619 584 469 $405.00
85018 7,122 5,778 $371.44
90750 78 76 $370.20
99238 Hospital discharge day management, 30 minutes or less 32 27 $338.78
99381 186 186 $334.50
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 346 255 $327.11
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face 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 fqhc visit 157 151 $303.70
99188 1,127 1,108 $251.98
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,274 1,963 $236.24
99173 6,344 6,273 $189.89
99385 26 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 291 194 $154.54
90723 2,470 1,983 $153.00
83655 924 692 $148.93
81000 2,308 2,086 $119.10
0271 523 465 $116.05
90656 282 266 $111.00
90686 2,662 2,236 $108.00
96127 427 423 $99.53
90680 1,872 1,483 $90.00
90647 2,214 1,792 $81.00
81025 731 715 $74.50
90670 2,035 1,610 $63.00
90716 1,328 1,108 $63.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 16 16 $59.90
90707 1,147 956 $54.00
90633 1,591 1,311 $45.00
90651 955 838 $36.00
69209 15 12 $31.51
82962 50 49 $29.52
98943 188 153 $29.49
90715 340 337 $9.00
90620 164 152 $9.00
90696 147 146 $9.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 652 632 $5.49
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 806 736 $0.00
90734 310 310 $0.00
S8451 Splint, prefabricated, wrist or ankle 66 62 $0.00
92083 29 27 $0.00
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 713 696 $0.00
90791 Psychiatric diagnostic evaluation 33 33 $0.00
90700 133 126 $0.00
90662 56 56 $0.00
96160 70 63 $0.00
90832 Psychotherapy, 30 minutes with patient 53 52 $0.00
90472 Immunization administration, each additional vaccine (list separately) 32 26 $0.00
90834 Psychotherapy, 45 minutes with patient 6,942 4,690 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 7,464 7,321 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 406 406 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 506 457 $0.00
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 342 333 $0.00
90792 Psychiatric diagnostic evaluation with medical services 147 142 $0.00
88720 13 12 $0.00
G0008 Administration of influenza virus vaccine 74 74 $0.00
J3490 Unclassified drugs 19 16 $0.00
G0396 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes 63 63 $0.00
93000 14 14 $0.00