Medicaid Provider Spending

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

CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.

NPI: 1124782685 · SAN DIEGO, CA 92173 · Federally Qualified Health Center (FQHC) · NPI assigned 10/29/2021

$8.46M
Total Medicaid Paid
82,779
Total Claims
66,149
Beneficiaries
38
Codes Billed
2022-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWALLACE, WILLIAM (VP/CFO)
NPI Enumeration Date10/29/2021

Related Entities

Other providers sharing the same authorized official: WALLACE, WILLIAM

ProviderCityStateTotal Paid
CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC CHULA VISTA CA $13.00M
OC TRAUMA INC MISSION VIEJO CA $144K
CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC SAN DIEGO CA $10K
SOUTH ORANGE COUNTY SURGICAL MEDICAL GROUP, INC. LAGUNA HILLS CA $10K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 14,469 $623K
2023 29,429 $1.53M
2024 38,881 $6.30M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 34,036 25,850 $8.39M
90834 Psychotherapy, 45 minutes with patient 6,130 2,948 $22K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,776 7,100 $11K
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 281 273 $8K
90832 Psychotherapy, 30 minutes with patient 3,900 2,563 $6K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,035 6,511 $6K
G0511 Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month 222 222 $4K
90791 Psychiatric diagnostic evaluation 624 533 $3K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 182 165 $3K
90792 Psychiatric diagnostic evaluation with medical services 259 245 $2K
90899 77 60 $1K
0134A 12 12 $603.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,281 1,228 $471.34
G9920 Screening performed and negative 213 110 $232.00
90662 220 217 $154.06
93000 206 202 $59.96
99000 372 363 $14.36
83036 Hemoglobin; glycosylated (A1C) 166 162 $8.45
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 128 126 $8.02
G8510 Screening for depression is documented as negative, a follow-up plan is not required 9,113 7,319 $0.65
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 643 615 $0.23
S9451 Exercise classes, non-physician provider, per session 1,030 979 $0.02
1159F 3,837 3,559 $0.00
3085F 154 152 $0.00
3078F 51 50 $0.00
80305 56 51 $0.00
90837 Psychotherapy, 53 minutes with patient 145 102 $0.00
4064F 21 21 $0.00
99215 Prolong outpt/office vis 15 15 $0.00
3008F 1,463 1,388 $0.00
G9664 Patients who are currently statin therapy users or received an order (prescription) for statin therapy 451 426 $0.00
1000F 314 298 $0.00
S9452 Nutrition classes, non-physician provider, per session 1,300 1,238 $0.00
36415 Collection of venous blood by venipuncture 850 831 $0.00
82962 95 94 $0.00
4010F 65 65 $0.00
3354F 31 31 $0.00
G0008 Administration of influenza virus vaccine 25 25 $0.00