Medicaid Provider Spending

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

COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC

NPI: 1275550295 · TEMPLETON, CA 93465 · Federally Qualified Health Center (FQHC) · NPI assigned 07/16/2006

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

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

$33.31M
Total Medicaid Paid
695,876
Total Claims
475,013
Beneficiaries
105
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCASTLE, RONALD (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date07/16/2006

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 SANTA MARIA CA $35.52M
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 56,496 $2.58M
2019 88,995 $3.37M
2020 121,420 $4.66M
2021 123,852 $6.19M
2022 130,285 $5.57M
2023 105,985 $5.91M
2024 68,843 $5.05M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 129,621 110,480 $21.90M
00003 Internal/system code - not a standard HCPCS code 41,589 34,721 $9.21M
0521 253,484 100,834 $1.33M
0636 31,189 16,679 $423K
0761 6,285 5,855 $97K
0301 14,543 13,883 $84K
0770 7,921 7,780 $37K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 50,791 43,123 $34K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,599 1,283 $27K
0771 4,179 3,886 $21K
20553 790 241 $16K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 989 313 $15K
0124A 388 262 $11K
0309 1,040 961 $8K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,901 1,397 $7K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,423 1,756 $7K
90750 443 396 $7K
0307 3,361 2,731 $5K
99460 156 97 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 11,647 9,623 $5K
0300 712 452 $5K
90480 346 264 $4K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,266 1,194 $4K
11721 1,873 1,799 $4K
83036 Hemoglobin; glycosylated (A1C) 3,395 3,128 $4K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 15,154 14,231 $3K
98940 3,674 2,541 $3K
0071A 76 68 $2K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 672 663 $2K
J7060 5% dextrose/water (500 ml = 1 unit) 1,151 358 $2K
0306 165 164 $2K
99238 Hospital discharge day management, 30 minutes or less 131 84 $2K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 2,290 1,525 $2K
82947 3,965 3,513 $2K
0011A 145 97 $2K
J3490 Unclassified drugs 1,171 349 $1K
91320 17 15 $1K
0072A 32 31 $1K
90677 772 556 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,055 1,040 $1K
11056 388 363 $1K
90651 858 772 $794.62
0064A 50 34 $680.00
90715 518 476 $633.47
92552 8,496 8,451 $558.76
90619 556 457 $432.00
90662 219 219 $400.00
90656 586 559 $387.00
11720 67 54 $339.78
85018 15,164 13,168 $339.14
99188 2,599 2,469 $331.82
81025 524 509 $269.99
90679 31 31 $265.00
0900 2,795 2,287 $248.60
99051 3,603 3,473 $200.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 4,249 4,193 $193.60
0001A 22 13 $170.00
90746 132 130 $148.92
90686 6,297 5,758 $114.58
90834 Psychotherapy, 45 minutes with patient 1,928 1,504 $110.00
83655 498 378 $68.57
0270 13 12 $64.96
81000 1,865 1,805 $59.70
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 31 28 $57.20
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,950 1,877 $49.41
96127 357 351 $17.76
82962 115 112 $17.22
99173 7,850 7,758 $5.28
90723 2,254 1,875 $0.00
90620 276 257 $0.00
90647 2,139 1,797 $0.00
90680 1,829 1,521 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 2,019 1,999 $0.00
0271 88 84 $0.00
90716 1,518 1,334 $0.00
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 501 472 $0.00
99406 227 225 $0.00
G0008 Administration of influenza virus vaccine 326 325 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 199 199 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 19 19 $0.00
93000 15 14 $0.00
90696 184 159 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 83 79 $0.00
90792 Psychiatric diagnostic evaluation with medical services 22 22 $0.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 14 13 $0.00
11055 25 24 $0.00
99402 65 65 $0.00
99381 14 13 $0.00
99385 25 25 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,764 2,740 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4,535 4,461 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,427 2,362 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 1,763 1,736 $0.00
90707 1,381 1,208 $0.00
2028F 2,061 1,962 $0.00
90633 1,371 1,236 $0.00
99442 47 45 $0.00
90670 2,336 2,041 $0.00
90734 270 267 $0.00
20552 20 12 $0.00
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 107 107 $0.00
90832 Psychotherapy, 30 minutes with patient 536 481 $0.00
90472 Immunization administration, each additional vaccine (list separately) 154 128 $0.00
90700 88 80 $0.00
81003 12 12 $0.00