Centro De Salud De LA Comunidad De San Ysidro, INC.
Centro De Salud De LA Comunidad De San Ysidro, INC. was paid $8.43M by Medicaid between Jan 2018 and Jun 2023, across 44 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.
NATIONAL CITY, CA 91950
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 | |
|---|---|---|---|
| 2018 | 13,625 | $2.08M | |
| 2019 | 14,043 | $1.89M | |
| 2020 | 20,292 | $1.79M | |
| 2021 | 34,148 | $1.97M | |
| 2022 | 14,641 | $694K | |
| 2023 | 54 | $2K |
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 | 99% | 48,961 | 43,744 | $8.38M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 10,562 | 9,941 | $12K |
| 0004A | <1% | 197 | 103 | $10K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 6,990 | 6,205 | $6K |
| G0467 | Community health center visit, returning patientFederally 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 | <1% | 251 | 226 | $6K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 5,267 | 5,011 | $5K |
| 0064A | <1% | 94 | 51 | $5K | |
| 0011A | <1% | 31 | 17 | $2K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 31 | 30 | $408.45 |
| 90686 | <1% | 628 | 615 | $336.42 | |
| 99000 | <1% | 1,357 | 1,299 | $256.21 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,293 | 1,277 | $182.33 |
32 more codes
| 92551 | <1% | 662 | $178.08 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 106 | $175.40 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 127 | $164.49 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 49 | $129.90 |
| 96156 | <1% | 52 | $84.30 | |
| 99173 | <1% | 727 | $71.95 | |
| 90688 | <1% | 239 | $67.30 | |
| 90715 | <1% | 16 | $40.11 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 65 | $12.00 |
| 81025 | <1% | 26 | $11.60 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,467 | $8.10 |
| 85018 | <1% | 80 | $3.78 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 2,077 | $0.53 |
| 96127 | <1% | 14 | $0.02 | |
| S9452 | Nutrition classes, non-physician provider, per session | 0% | 1,880 | $0.00 |
| 3008F | 0% | 1,919 | $0.00 | |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 1,587 | $0.00 |
| 1000F | 0% | 56 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 263 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 71 | $0.00 |
| 3074F | 0% | 43 | $0.00 | |
| 86580 | 0% | 18 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 12 | $0.00 |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | 0% | 12 | $0.00 |
| 1159F | 0% | 8,157 | $0.00 | |
| 96160 | 0% | 184 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 38 | $0.00 |
| 3078F | 0% | 44 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 89 | $0.00 |
| 90662 | 0% | 15 | $0.00 | |
| 90734 | 0% | 12 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 34 | $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.