Medicaid Provider Spending

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

COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC

NPI: 1174911317 · SANTA MARIA, CA 93458 · Clinic/Center · NPI assigned 12/22/2014

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official CASTLE, RONALD controls 14+ related entities in our dataset. Read more

$35.52M
Total Medicaid Paid
1,142,243
Total Claims
730,754
Beneficiaries
118
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCASTLE, RONALD (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date12/22/2014

Related Entities

Other providers sharing the same authorized official: CASTLE, RONALD

ProviderCityStateTotal Paid
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC SANTA MARIA CA $55.38M
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC TEMPLETON CA $33.31M
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC SAN LUIS OBISPO CA $31.19M
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC SAN LUIS OBISPO CA $25.47M
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC GUADALUPE CA $20.22M
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC SAN LUIS OBISPO CA $10.79M
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC PASO ROBLES CA $10.30M
COMMUNITY HEALTH CENTER OF THE CENTRAL COAST INC SANTA MARIA CA $3.69M
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC SANTA MARIA CA $3.06M
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC SAN MIGUEL CA $2.28M
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC SANTA MARIA CA $1.13M
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST SANTA MARIA CA $630K
COMMUNITY HEALTH CENTER OF THE CENTRAL COAST INC SANTA MARIA CA $146K
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC SANTA MARIA CA $64K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 118,409 $4.54M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 241,072 201,885 $32.23M
0521 505,408 198,005 $2.42M
0636 39,149 19,800 $332K
0761 9,644 8,618 $150K
0301 15,316 14,495 $101K
0309 4,988 4,710 $46K
0770 7,646 7,394 $41K
0771 4,375 4,221 $29K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,671 1,358 $27K
98940 23,712 16,440 $22K
0306 1,591 1,585 $20K
0307 9,000 6,147 $16K
0300 1,164 811 $9K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,499 1,396 $9K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,791 1,753 $7K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 75,926 64,316 $7K
83036 Hemoglobin; glycosylated (A1C) 5,809 5,458 $6K
0929 372 371 $5K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 754 744 $5K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,738 1,498 $4K
0071A 128 76 $3K
97802 29 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 70 69 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,328 1,179 $2K
0632 54 54 $2K
90677 1,548 1,196 $2K
99188 6,832 6,194 $2K
99385 177 176 $2K
0051A 74 42 $2K
0900 9,640 6,637 $1K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,239 8,919 $1K
0002A 59 38 $1K
0011A 123 82 $1K
99051 15,294 14,798 $1K
0072A 40 31 $1K
0001A 113 68 $1K
88720 297 244 $904.02
92250 60 60 $880.94
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 23,470 21,246 $825.67
0064A 24 22 $800.00
0012A 26 26 $765.00
85018 13,543 11,705 $716.50
90656 612 586 $672.00
G9919 Screening performed and positive and provision of recommendations 37 21 $671.06
0004A 24 19 $640.00
83655 2,417 1,744 $587.98
90619 433 347 $585.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 592 584 $569.28
0052A 18 12 $480.00
90834 Psychotherapy, 45 minutes with patient 6,777 4,723 $431.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 949 942 $429.58
0271 1,434 1,359 $378.24
99381 400 391 $334.50
81025 4,067 4,019 $303.30
0013A 22 16 $294.00
92552 6,775 6,737 $266.89
90791 Psychiatric diagnostic evaluation 1,071 860 $245.00
G9920 Screening performed and negative 36 31 $214.02
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4,193 3,862 $213.35
69209 84 68 $205.90
90686 8,729 7,628 $184.99
99173 7,189 7,102 $179.61
0412 13 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 301 255 $164.60
81000 4,712 4,634 $124.38
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 427 317 $103.40
82947 297 296 $73.39
90832 Psychotherapy, 30 minutes with patient 2,377 1,838 $63.28
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,403 1,388 $59.51
71046 Radiologic examination, chest; 2 views 12 12 $25.09
96127 153 151 $6.53
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) 29 26 $0.15
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 393 370 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 11,767 11,541 $0.00
90716 2,628 2,276 $0.00
90651 1,064 942 $0.00
90680 3,077 2,466 $0.00
H0001 Alcohol and/or drug assessment 539 538 $0.00
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 119 108 $0.00
90744 82 80 $0.00
90647 4,083 3,359 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 93 93 $0.00
99384 138 138 $0.00
90696 316 254 $0.00
90723 4,161 3,402 $0.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 936 927 $0.00
99383 149 149 $0.00
90620 201 186 $0.00
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 39 24 $0.00
G0008 Administration of influenza virus vaccine 249 248 $0.00
93000 13 13 $0.00
20553 70 37 $0.00
J7060 5% dextrose/water (500 ml = 1 unit) 37 25 $0.00
99402 25 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 15 15 $0.00
86580 37 37 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 13 13 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 13 13 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,069 2,019 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 234 204 $0.00
90633 3,047 2,630 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5,406 5,145 $0.00
90713 133 132 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,653 1,609 $0.00
90707 2,287 1,944 $0.00
90700 920 727 $0.00
90837 Psychotherapy, 53 minutes with patient 77 69 $0.00
90734 378 366 $0.00
90715 535 504 $0.00
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 510 507 $0.00
90670 3,668 3,065 $0.00
2028F 44 44 $0.00
99215 Prolong outpt/office vis 347 341 $0.00
90662 174 174 $0.00
99382 24 24 $0.00
G8511 Screening for depression documented as positive, follow-up plan not documented, reason not given 36 35 $0.00
90472 Immunization administration, each additional vaccine (list separately) 55 46 $0.00
99442 13 13 $0.00