Medicaid Provider Spending

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

COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC

NPI: 1275553257 · SAN LUIS OBISPO, CA 93401 · Federally Qualified Health Center (FQHC) · NPI assigned 07/20/2006

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

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

$25.47M
Total Medicaid Paid
558,811
Total Claims
346,723
Beneficiaries
106
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCASTLE, RONALD (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date07/20/2006

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 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 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 1,812 $335K
2019 35,777 $1.33M
2020 224,214 $9.29M
2021 139,603 $5.90M
2022 70,502 $3.66M
2023 49,907 $2.69M
2024 36,996 $2.27M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 120,974 90,057 $21.59M
0521 251,113 99,920 $3.07M
0636 19,394 11,077 $452K
00003 Internal/system code - not a standard HCPCS code 387 376 $79K
0761 3,408 3,138 $65K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 43,299 37,565 $46K
0301 5,118 4,901 $42K
0770 4,476 4,377 $32K
0771 4,505 4,033 $22K
90750 786 758 $18K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,313 6,741 $11K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 15,727 9,923 $7K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 2,005 1,983 $6K
0307 1,611 1,454 $5K
98940 4,431 2,879 $5K
0309 332 312 $4K
83036 Hemoglobin; glycosylated (A1C) 2,630 2,547 $3K
0306 228 228 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,086 2,528 $3K
J3490 Unclassified drugs 541 380 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 2,007 1,992 $2K
90480 80 57 $1K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,230 1,211 $1K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 215 197 $1K
92552 3,338 3,292 $1K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1,027 1,020 $1K
0900 11,217 7,658 $881.57
90715 834 817 $827.60
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,035 1,016 $775.81
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,345 1,333 $665.44
90679 64 62 $530.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 109 103 $507.25
99188 898 829 $499.00
90686 2,975 2,943 $349.57
0929 13 13 $208.00
J3300 Injection, triamcinolone acetonide, preservative free, 1 mg 45 37 $204.70
99385 161 160 $171.15
90656 44 41 $168.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 280 272 $163.35
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 237 166 $154.54
81025 417 411 $138.48
0271 355 322 $84.22
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 198 198 $61.10
90734 379 375 $45.00
99173 3,053 3,037 $43.68
96127 452 429 $27.03
82947 331 324 $21.48
85018 2,018 1,998 $21.41
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,942 1,870 $16.47
81003 19 13 $11.05
90651 487 485 $9.00
90620 166 165 $9.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 169 166 $6.99
90707 278 277 $6.75
90662 108 108 $0.00
90791 Psychiatric diagnostic evaluation 406 403 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 1,776 1,730 $0.00
90832 Psychotherapy, 30 minutes with patient 1,511 1,373 $0.00
90670 470 470 $0.00
99051 2,846 2,745 $0.00
99215 Prolong outpt/office vis 94 94 $0.00
90633 257 257 $0.00
90472 Immunization administration, each additional vaccine (list separately) 74 68 $0.00
92015 Determination of refractive state 1,035 1,028 $0.00
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 35 32 $0.00
2028F 77 75 $0.00
V2020 Frames, purchases 550 550 $0.00
92340 Fitting of spectacles, except for aphakia; monofocal 271 271 $0.00
90700 29 29 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 460 460 $0.00
69209 12 12 $0.00
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 14 14 $0.00
81002 12 12 $0.00
99442 151 146 $0.00
G9920 Screening performed and negative 12 12 $0.00
90685 32 32 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 14 14 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 7,498 7,398 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 779 779 $0.00
90716 265 265 $0.00
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 884 814 $0.00
90834 Psychotherapy, 45 minutes with patient 6,548 5,304 $0.00
G0008 Administration of influenza virus vaccine 260 260 $0.00
90677 13 13 $0.00
81000 588 572 $0.00
90680 311 311 $0.00
V2784 Lens, polycarbonate or equal, any index, per lens 212 212 $0.00
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 75 75 $0.00
90647 315 315 $0.00
90792 Psychiatric diagnostic evaluation with medical services 236 236 $0.00
90723 385 385 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 228 214 $0.00
G0396 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes 121 121 $0.00
99443 127 115 $0.00
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 257 256 $0.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 14 12 $0.00
92250 388 387 $0.00
H0001 Alcohol and/or drug assessment 84 84 $0.00
99402 105 104 $0.00
82044 15 15 $0.00
99383 12 12 $0.00
99386 12 12 $0.00
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens 14 14 $0.00
90696 12 12 $0.00
G0009 Administration of pneumococcal vaccine 12 12 $0.00
20610 13 13 $0.00