Agency
Centro De Salud De LA Comunidad De San Ysidro, INC.
Centro De Salud De LA Comunidad De San Ysidro, INC. was paid $6.73M by Medicaid between Jan 2018 and Jun 2022, across 43 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoCENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.
SAN YSIDRO, CA 92173
SAN YSIDRO, CA 92173
33aNPI1265843122assigned 05/14/2014
33bProvider typePACE Provider Organization
28Total paid$6.73M
24GClaims68,964
24DCodes billed43
24AFirst – last monthJan 2018 – Jun 2022
Compared with peers
Next to other PACE Provider Organization providers in California
Rank by total paid#3 of 17
Median peer was paid$240.00
This provider vs. median28,027×
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 | |
|---|---|---|---|
| 2018 | 5,420 | $1.04M | |
| 2019 | 8,867 | $1.47M | |
| 2020 | 22,460 | $2.49M | |
| 2021 | 23,395 | $1.28M | |
| 2022 | 8,822 | $441K |
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 | 100% | 30,541 | 28,798 | $6.70M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 7,243 | 7,092 | $14K |
| 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% | 174 | 168 | $5K |
| 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% | 7,063 | 6,783 | $2K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 65 | 64 | $1K |
| 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% | 4,080 | 3,975 | $707.00 |
| 90662 | <1% | 85 | 85 | $64.79 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 710 | 706 | $16.90 |
| 82962 | <1% | 465 | 460 | $3.96 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,471 | 1,457 | $2.70 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 2,697 | 2,524 | $0.25 |
| S9452 | Nutrition classes, non-physician provider, per session | 0% | 1,697 | 1,647 | $0.00 |
31 more codes
| 3074F | 0% | 359 | $0.00 | |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 1,536 | $0.00 |
| 3079F | 0% | 180 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 307 | $0.00 |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | 0% | 255 | $0.00 |
| 3008F | 0% | 1,935 | $0.00 | |
| 93000 | 0% | 480 | $0.00 | |
| 99000 | 0% | 704 | $0.00 | |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | 0% | 12 | $0.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 14 | $0.00 |
| 3075F | 0% | 169 | $0.00 | |
| 1000F | 0% | 87 | $0.00 | |
| 90688 | 0% | 241 | $0.00 | |
| 3044F | 0% | 309 | $0.00 | |
| 1126F | 0% | 76 | $0.00 | |
| 90686 | 0% | 79 | $0.00 | |
| 4010F | 0% | 50 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 118 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 14 | $0.00 |
| 1159F | 0% | 3,754 | $0.00 | |
| 1158F | 0% | 570 | $0.00 | |
| 82947 | 0% | 169 | $0.00 | |
| 81002 | 0% | 25 | $0.00 | |
| 3078F | 0% | 643 | $0.00 | |
| 3077F | 0% | 278 | $0.00 | |
| 3051F | 0% | 29 | $0.00 | |
| 1160F | 0% | 49 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 178 | $0.00 |
| 3046F | 0% | 15 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 12 | $0.00 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 26 | $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)
Parent organizationCENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.