Clinic
Community Health Centers of the Central Coast INC
Community Health Centers of the Central Coast INC was paid $10.79M by Medicaid between Jan 2018 and Dec 2024, across 46 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 81% of everything it billed.
33Billing provider infoCOMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC
SAN LUIS OBISPO, CA 93401
SAN LUIS OBISPO, CA 93401
33aNPI1124045158assigned 07/16/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$10.79M
24GClaims150,096
24DCodes billed46
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#284 of 826
Median peer was paid$4.05M
This provider vs. median2.7×
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.
Entity ProliferationAuthorized official CASTLE, RONALD controls 14+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 20,711 | $1.66M | |
| 2019 | 22,013 | $1.55M | |
| 2020 | 29,758 | $1.90M | |
| 2021 | 27,645 | $2.02M | |
| 2022 | 20,672 | $1.33M | |
| 2023 | 15,103 | $1.11M | |
| 2024incomplete | 14,194 | $1.21M |
Box 24 · Service lines
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 | 81% | 41,192 | 24,254 | $8.71M |
| 0521 | 12% | 65,306 | 18,337 | $1.32M | |
| 0636 | 2.1% | 1,009 | 966 | $225K | |
| 00003 | Internal/system code - not a standard HCPCS code | 1.1% | 515 | 463 | $117K |
| 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% | 5,915 | 5,254 | $104K |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 5,351 | 3,199 | $73K |
| 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% | 2,575 | 2,394 | $70K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 80 | 79 | $49K |
| 0761 | <1% | 347 | 291 | $37K | |
| 0307 | <1% | 4,711 | 3,523 | $14K | |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 4,622 | 2,661 | $11K |
| H2000 | Comprehensive multidisciplinary evaluation | <1% | 306 | 200 | $10K |
34 more codes
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 1,709 | $8K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 781 | $5K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 100 | $4K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 75 | $4K |
| 0270 | <1% | 291 | $4K | |
| 97803 | <1% | 529 | $3K | |
| H1000 | Prenatal care, at-risk assessment | <1% | 76 | $3K |
| 99401 | <1% | 1,100 | $2K | |
| 0771 | <1% | 263 | $1K | |
| 59025 | Fetal non-stress test | <1% | 440 | $1K |
| 97802 | <1% | 397 | $1K | |
| 81025 | <1% | 1,463 | $987.66 | |
| 0309 | <1% | 316 | $935.42 | |
| 98940 | <1% | 1,627 | $716.83 | |
| S9452 | Nutrition classes, non-physician provider, per session | <1% | 26 | $299.77 |
| 90715 | <1% | 99 | $268.93 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 69 | $197.34 |
| 76801 | <1% | 240 | $90.19 | |
| 59430 | <1% | 39 | $69.55 | |
| 81003 | <1% | 929 | $26.17 | |
| 0301 | <1% | 12 | $26.16 | |
| 81000 | <1% | 70 | $2.97 | |
| 96160 | 0% | 516 | $0.00 | |
| Z6400 | 0% | 233 | $0.00 | |
| 76813 | 0% | 108 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 99 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 29 | $0.00 |
| Z1034 | 0% | 425 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 294 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 5,218 | $0.00 |
| Z6410 | 0% | 294 | $0.00 | |
| 90686 | 0% | 106 | $0.00 | |
| 96151 | 0% | 13 | $0.00 | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 0% | 181 | $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.
From NPPES
Who's on the registration
Authorized officialCASTLE, RONALD (CHIEF EXECUTIVE OFFICER)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.