Community Health Centers of the Central Coast INC
Community Health Centers of the Central Coast INC was paid $49.45M by Medicaid between Jan 2018 and Dec 2024, across 82 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 77% of everything it billed.
SANTA MARIA, CA 93454
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 | 46,226 | $3.23M | |
| 2019 | 58,273 | $4.54M | |
| 2020 | 95,454 | $6.36M | |
| 2021 | 116,525 | $7.70M | |
| 2022 | 129,804 | $7.26M | |
| 2023 | 174,343 | $10.50M | |
| 2024incomplete | 176,022 | $9.86M |
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 | 77% | 182,993 | 103,551 | $38.16M |
| 0521 | 8.8% | 259,376 | 76,878 | $4.35M | |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 2.0% | 1,596 | 1,595 | $998K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.9% | 31,255 | 27,088 | $941K |
| 0636 | 1.8% | 7,343 | 6,551 | $899K | |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | 1.6% | 34,547 | 18,060 | $811K |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | 1.3% | 863 | 834 | $626K |
| H2000 | Comprehensive multidisciplinary evaluation | <1% | 5,027 | 3,473 | $465K |
| 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% | 6,176 | 5,844 | $360K |
| 00003 | Internal/system code - not a standard HCPCS code | <1% | 1,301 | 1,301 | $347K |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 46,748 | 22,308 | $195K |
| J3490 | Unclassified drugs | <1% | 6,122 | 5,562 | $183K |
70 more codes
| 11981 | <1% | 1,083 | $155K | |
| 59514 | <1% | 212 | $130K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 2,850 | $124K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 2,243 | $119K |
| H1000 | Prenatal care, at-risk assessment | <1% | 2,172 | $106K |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 11,385 | $81K |
| 0307 | <1% | 22,601 | $66K | |
| 59025 | Fetal non-stress test | <1% | 10,996 | $64K |
| 59430 | <1% | 1,217 | $55K | |
| 11976 | <1% | 1,005 | $43K | |
| 99401 | <1% | 9,338 | $27K | |
| 0761 | <1% | 155 | $16K | |
| 97803 | <1% | 3,976 | $15K | |
| 81025 | <1% | 13,522 | $13K | |
| 0500 | <1% | 199 | $11K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 4,369 | $9K |
| 0771 | <1% | 1,621 | $8K | |
| 97802 | <1% | 2,699 | $8K | |
| 90651 | <1% | 44 | $7K | |
| 81003 | <1% | 13,881 | $7K | |
| S9452 | Nutrition classes, non-physician provider, per session | <1% | 1,170 | $6K |
| 0309 | <1% | 1,454 | $5K | |
| 0270 | <1% | 294 | $4K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 29 | $4K |
| 99283 | Emergency room visit (moderate) | <1% | 77 | $4K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 749 | $4K |
| 76801 | <1% | 1,977 | $4K | |
| 85018 | <1% | 3,539 | $3K | |
| 76813 | <1% | 1,959 | $3K | |
| 90715 | <1% | 3,043 | $3K | |
| 98940 | <1% | 6,214 | $3K | |
| 90656 | <1% | 437 | $3K | |
| 0301 | <1% | 982 | $2K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 178 | $1K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 13 | $850.05 |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 147 | $710.43 |
| 82947 | <1% | 458 | $300.46 | |
| 0271 | <1% | 1,138 | $240.35 | |
| 90686 | <1% | 1,723 | $140.97 | |
| 0900 | <1% | 60 | $121.06 | |
| Q0144 | Azithromycin dihydrate, oral, capsules/powder, 1 gram | <1% | 38 | $52.19 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 15 | $11.54 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,499 | $5.13 |
| 82962 | <1% | 24 | $4.60 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 48,437 | $2.00 |
| Z6400 | 0% | 5,047 | $0.00 | |
| Z6414 | 0% | 412 | $0.00 | |
| 96160 | 0% | 3,619 | $0.00 | |
| Z6300 | 0% | 952 | $0.00 | |
| Z6304 | 0% | 940 | $0.00 | |
| Z6308 | 0% | 189 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 28 | $0.00 |
| Z6200 | 0% | 699 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 207 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 128 | $0.00 |
| Z6208 | 0% | 164 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 14 | $0.00 |
| Z6202 | 0% | 17 | $0.00 | |
| Z1032 | 0% | 986 | $0.00 | |
| 76499 | 0% | 655 | $0.00 | |
| Z6410 | 0% | 6,076 | $0.00 | |
| Z6402 | 0% | 1,000 | $0.00 | |
| Z6406 | 0% | 869 | $0.00 | |
| Z1034 | 0% | 6,866 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 764 | $0.00 |
| Z6204 | 0% | 882 | $0.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 376 | $0.00 |
| 96150 | 0% | 56 | $0.00 | |
| Z1038 | 0% | 13 | $0.00 | |
| 96151 | 0% | 119 | $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.