Clinic
Community Health Centers of the Central Coast INC
Community Health Centers of the Central Coast INC was paid $25.47M by Medicaid between Jan 2018 and Dec 2024, across 106 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 85% of everything it billed.
33Billing provider infoCOMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC
SAN LUIS OBISPO, CA 93401
SAN LUIS OBISPO, CA 93401
33aNPI1275553257assigned 07/20/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$25.47M
24GClaims558,811
24DCodes billed106
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#145 of 826
Median peer was paid$4.05M
This provider vs. median6.3×
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 CASTLE, RONALD controls 14+ 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 | 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 | |
| 2024incomplete | 36,996 | $2.27M |
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 | 85% | 120,974 | 90,057 | $21.59M |
| 0521 | 12% | 251,113 | 99,920 | $3.07M | |
| 0636 | 1.8% | 19,394 | 11,077 | $452K | |
| 00003 | Internal/system code - not a standard HCPCS code | <1% | 387 | 376 | $79K |
| 0761 | <1% | 3,408 | 3,138 | $65K | |
| 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% | 43,299 | 37,565 | $46K |
| 0301 | <1% | 5,118 | 4,901 | $42K | |
| 0770 | <1% | 4,476 | 4,377 | $32K | |
| 0771 | <1% | 4,505 | 4,033 | $22K | |
| 90750 | <1% | 786 | 758 | $18K | |
| 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% | 7,313 | 6,741 | $11K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 15,727 | 9,923 | $7K |
94 more codes
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 2,005 | $6K |
| 0307 | <1% | 1,611 | $5K | |
| 98940 | <1% | 4,431 | $5K | |
| 0309 | <1% | 332 | $4K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,630 | $3K |
| 0306 | <1% | 228 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 3,086 | $3K |
| J3490 | Unclassified drugs | <1% | 541 | $2K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 2,007 | $2K |
| 90480 | <1% | 80 | $1K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,230 | $1K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 215 | $1K |
| 92552 | <1% | 3,338 | $1K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 1,027 | $1K |
| 0900 | <1% | 11,217 | $881.57 | |
| 90715 | <1% | 834 | $827.60 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,035 | $775.81 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,345 | $665.44 |
| 90679 | <1% | 64 | $530.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 109 | $507.25 |
| 99188 | <1% | 898 | $499.00 | |
| 90686 | <1% | 2,975 | $349.57 | |
| 0929 | <1% | 13 | $208.00 | |
| J3300 | Injection, triamcinolone acetonide, preservative free, 1 mg | <1% | 45 | $204.70 |
| 99385 | <1% | 161 | $171.15 | |
| 90656 | <1% | 44 | $168.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 280 | $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 | <1% | 237 | $154.54 |
| 81025 | <1% | 417 | $138.48 | |
| 0271 | <1% | 355 | $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 | <1% | 198 | $61.10 |
| 90734 | <1% | 379 | $45.00 | |
| 99173 | <1% | 3,053 | $43.68 | |
| 96127 | <1% | 452 | $27.03 | |
| 82947 | <1% | 331 | $21.48 | |
| 85018 | <1% | 2,018 | $21.41 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,942 | $16.47 |
| 81003 | <1% | 19 | $11.05 | |
| 90651 | <1% | 487 | $9.00 | |
| 90620 | <1% | 166 | $9.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 169 | $6.99 |
| 90707 | <1% | 278 | $6.75 | |
| 90662 | 0% | 108 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 406 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 1,776 | $0.00 |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 1,511 | $0.00 |
| 90670 | 0% | 470 | $0.00 | |
| 99051 | 0% | 2,846 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 94 | $0.00 |
| 90633 | 0% | 257 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 74 | $0.00 |
| 92015 | Determination of refractive state | 0% | 1,035 | $0.00 |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 0% | 35 | $0.00 |
| 2028F | 0% | 77 | $0.00 | |
| V2020 | Frames, purchases | 0% | 550 | $0.00 |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 0% | 271 | $0.00 |
| 90700 | 0% | 29 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 460 | $0.00 |
| 69209 | 0% | 12 | $0.00 | |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 0% | 14 | $0.00 |
| 81002 | 0% | 12 | $0.00 | |
| 99442 | 0% | 151 | $0.00 | |
| G9920 | Screening performed and negative | 0% | 12 | $0.00 |
| 90685 | 0% | 32 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 14 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 7,498 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 779 | $0.00 |
| 90716 | 0% | 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 | 0% | 884 | $0.00 |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 6,548 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 260 | $0.00 |
| 90677 | 0% | 13 | $0.00 | |
| 81000 | 0% | 588 | $0.00 | |
| 90680 | 0% | 311 | $0.00 | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 0% | 212 | $0.00 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 0% | 75 | $0.00 |
| 90647 | 0% | 315 | $0.00 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 236 | $0.00 |
| 90723 | 0% | 385 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 228 | $0.00 |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | 0% | 121 | $0.00 |
| 99443 | 0% | 127 | $0.00 | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 0% | 257 | $0.00 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 0% | 14 | $0.00 |
| 92250 | 0% | 388 | $0.00 | |
| H0001 | Alcohol and/or drug assessment | 0% | 84 | $0.00 |
| 99402 | 0% | 105 | $0.00 | |
| 82044 | 0% | 15 | $0.00 | |
| 99383 | 0% | 12 | $0.00 | |
| 99386 | 0% | 12 | $0.00 | |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 0% | 14 | $0.00 |
| 90696 | 0% | 12 | $0.00 | |
| G0009 | Administration of pneumococcal vaccine | 0% | 12 | $0.00 |
| 20610 | 0% | 13 | $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 officialCASTLE, RONALD (CHIEF EXECUTIVE OFFICER)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.