Clinic
Centro De Salud De LA Comunidad De San Ysidro, INC.
Centro De Salud De LA Comunidad De San Ysidro, INC. was paid $3.44M by Medicaid between Mar 2023 and Dec 2024, across 30 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 71% of everything it billed.
33Billing provider infoCENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.
CAMPO, CA 91906
CAMPO, CA 91906
33aNPI1174164719assigned 10/04/2019
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$3.44M
24GClaims36,245
24DCodes billed30
24AFirst – last monthMar 2023 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#434 of 826
Median peer was paid$4.05M
This provider vs. median0.8×
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 MATTSON, KEVIN controls 16+ 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 | |
|---|---|---|---|
| 2023 | 20,466 | $990K | |
| 2024incomplete | 15,779 | $2.45M |
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 | 71% | 11,255 | 9,059 | $2.43M |
| 00003 | Internal/system code - not a standard HCPCS code | 29% | 3,479 | 2,219 | $988K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 470 | 369 | $7K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 428 | 297 | $4K |
| 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% | 3,357 | 2,797 | $4K |
| 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% | 4,210 | 3,669 | $2K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 762 | 523 | $2K |
| 90739 | <1% | 57 | 51 | $484.26 | |
| 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% | 12 | 12 | $316.51 |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 118 | 114 | $176.73 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 339 | 323 | $116.55 |
| 96156 | <1% | 276 | 248 | $83.46 |
18 more codes
| 90656 | <1% | 27 | $77.07 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 216 | $68.42 |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 60 | $64.87 |
| 99000 | <1% | 119 | $24.93 | |
| 99173 | <1% | 45 | $7.26 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 5,085 | $0.23 |
| 1159F | 0% | 2,644 | $0.00 | |
| 98942 | 0% | 22 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 15 | $0.00 |
| 90715 | 0% | 13 | $0.00 | |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | 0% | 629 | $0.00 |
| 3008F | 0% | 815 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 205 | $0.00 |
| S9452 | Nutrition classes, non-physician provider, per session | 0% | 763 | $0.00 |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 725 | $0.00 |
| 36416 | 0% | 27 | $0.00 | |
| 85018 | 0% | 26 | $0.00 | |
| 92551 | 0% | 46 | $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 officialMATTSON, KEVIN (PRESIDENT/CEO)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.