Clinic
Community Health Centers of the Central Coast INC
Community Health Centers of the Central Coast INC was paid $35.52M by Medicaid between Jan 2018 and Dec 2024, across 118 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 91% of everything it billed.
33Billing provider infoCOMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC
SANTA MARIA, CA 93458
SANTA MARIA, CA 93458
33aNPI1174911317assigned 12/22/2014
33bProvider typeClinic/Center
28Total paid$35.52M
24GClaims1,142,243
24DCodes billed118
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in California
Rank by total paid#17 of 504
Median peer was paid$102K
This provider vs. median349×
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 | 132,734 | $5.81M | |
| 2019 | 172,321 | $5.35M | |
| 2020 | 178,451 | $4.98M | |
| 2021 | 217,333 | $6.15M | |
| 2022 | 187,048 | $4.51M | |
| 2023 | 135,947 | $4.17M | |
| 2024incomplete | 118,409 | $4.54M |
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 | 91% | 241,072 | 201,885 | $32.23M |
| 0521 | 6.8% | 505,408 | 198,005 | $2.42M | |
| 0636 | <1% | 39,149 | 19,800 | $332K | |
| 0761 | <1% | 9,644 | 8,618 | $150K | |
| 0301 | <1% | 15,316 | 14,495 | $101K | |
| 0309 | <1% | 4,988 | 4,710 | $46K | |
| 0770 | <1% | 7,646 | 7,394 | $41K | |
| 0771 | <1% | 4,375 | 4,221 | $29K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 1,671 | 1,358 | $27K |
| 98940 | <1% | 23,712 | 16,440 | $22K | |
| 0306 | <1% | 1,591 | 1,585 | $20K | |
| 0307 | <1% | 9,000 | 6,147 | $16K |
106 more codes
| 0300 | <1% | 1,164 | $9K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 1,499 | $9K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,791 | $7K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 75,926 | $7K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 5,809 | $6K |
| 0929 | <1% | 372 | $5K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 754 | $5K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,738 | $4K |
| 0071A | <1% | 128 | $3K | |
| 97802 | <1% | 29 | $2K | |
| 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 | <1% | 70 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,328 | $2K |
| 0632 | <1% | 54 | $2K | |
| 90677 | <1% | 1,548 | $2K | |
| 99188 | <1% | 6,832 | $2K | |
| 99385 | <1% | 177 | $2K | |
| 0051A | <1% | 74 | $2K | |
| 0900 | <1% | 9,640 | $1K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 9,239 | $1K |
| 0002A | <1% | 59 | $1K | |
| 0011A | <1% | 123 | $1K | |
| 99051 | <1% | 15,294 | $1K | |
| 0072A | <1% | 40 | $1K | |
| 0001A | <1% | 113 | $1K | |
| 88720 | <1% | 297 | $904.02 | |
| 92250 | <1% | 60 | $880.94 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 23,470 | $825.67 |
| 0064A | <1% | 24 | $800.00 | |
| 0012A | <1% | 26 | $765.00 | |
| 85018 | <1% | 13,543 | $716.50 | |
| 90656 | <1% | 612 | $672.00 | |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 37 | $671.06 |
| 0004A | <1% | 24 | $640.00 | |
| 83655 | <1% | 2,417 | $587.98 | |
| 90619 | <1% | 433 | $585.00 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 592 | $569.28 |
| 0052A | <1% | 18 | $480.00 | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 6,777 | $431.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 949 | $429.58 |
| 0271 | <1% | 1,434 | $378.24 | |
| 99381 | <1% | 400 | $334.50 | |
| 81025 | <1% | 4,067 | $303.30 | |
| 0013A | <1% | 22 | $294.00 | |
| 92552 | <1% | 6,775 | $266.89 | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 1,071 | $245.00 |
| G9920 | Screening performed and negative | <1% | 36 | $214.02 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 4,193 | $213.35 |
| 69209 | <1% | 84 | $205.90 | |
| 90686 | <1% | 8,729 | $184.99 | |
| 99173 | <1% | 7,189 | $179.61 | |
| 0412 | <1% | 13 | $178.52 | |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit | <1% | 301 | $164.60 |
| 81000 | <1% | 4,712 | $124.38 | |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 427 | $103.40 |
| 82947 | <1% | 297 | $73.39 | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 2,377 | $63.28 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,403 | $59.51 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 12 | $25.09 |
| 96127 | <1% | 153 | $6.53 | |
| S0119 | Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) | <1% | 29 | $0.15 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 393 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 11,767 | $0.00 |
| 90716 | 0% | 2,628 | $0.00 | |
| 90651 | 0% | 1,064 | $0.00 | |
| 90680 | 0% | 3,077 | $0.00 | |
| H0001 | Alcohol and/or drug assessment | 0% | 539 | $0.00 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 119 | $0.00 |
| 90744 | 0% | 82 | $0.00 | |
| 90647 | 0% | 4,083 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 93 | $0.00 |
| 99384 | 0% | 138 | $0.00 | |
| 90696 | 0% | 316 | $0.00 | |
| 90723 | 0% | 4,161 | $0.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 936 | $0.00 |
| 99383 | 0% | 149 | $0.00 | |
| 90620 | 0% | 201 | $0.00 | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 0% | 39 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 249 | $0.00 |
| 93000 | 0% | 13 | $0.00 | |
| 20553 | 0% | 70 | $0.00 | |
| J7060 | 5% dextrose/water (500 ml = 1 unit) | 0% | 37 | $0.00 |
| 99402 | 0% | 25 | $0.00 | |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | 0% | 15 | $0.00 |
| 86580 | 0% | 37 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 13 | $0.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 13 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 2,069 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 234 | $0.00 |
| 90633 | 0% | 3,047 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 5,406 | $0.00 |
| 90713 | 0% | 133 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 1,653 | $0.00 |
| 90707 | 0% | 2,287 | $0.00 | |
| 90700 | 0% | 920 | $0.00 | |
| 90837 | Psychotherapy session, about an hour | 0% | 77 | $0.00 |
| 90734 | 0% | 378 | $0.00 | |
| 90715 | 0% | 535 | $0.00 | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 0% | 510 | $0.00 |
| 90670 | 0% | 3,668 | $0.00 | |
| 2028F | 0% | 44 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 347 | $0.00 |
| 90662 | 0% | 174 | $0.00 | |
| 99382 | 0% | 24 | $0.00 | |
| G8511 | Screening for depression documented as positive, follow-up plan not documented, reason not given | 0% | 36 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 55 | $0.00 |
| 99442 | 0% | 13 | $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.