Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Centro De Salud De LA Comunidad De San Ysidro, INC.

Centro De Salud De LA Comunidad De San Ysidro, INC. was paid $21K by Medicaid between Oct 2021 and Oct 2024, across 8 billing codes. Its largest line is G0467, community health center visit, returning patient — 47% of everything it billed.

33Billing provider infoCENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.
SAN DIEGO, CA 92115
33aNPI1205477841assigned 10/04/2019
28Total paid$21K
24GClaims786
24DCodes billed8
24AFirst – last monthOct 2021 – Oct 2024
Compared with peers

Next to other Federally Qualified Health Center (FQHC) providers in California

Rank by total paid#692 of 826
Median peer was paid$4.05M
This provider vs. median0.0×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
202116$114.88
2022462$13K
2023123$4K
2024incomplete185$4K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 47% 304 286 $10K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 19% 245 227 $4K
D4341 18% 28 14 $4K
D9430 12% 101 83 $2K
D0150 Comprehensive oral evaluation - new or established patient 3.0% 13 13 $624.00
97026 <1% 16 14 $114.88
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% 51 47 $74.26
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 0% 28 28 $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)
Same official

Other billing entities under MATTSON, KEVIN

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.