Community Health Centers of the Central Coast INC
Community Health Centers of the Central Coast INC was paid $2.28M by Medicaid between Jan 2018 and Dec 2024, across 34 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 90% of everything it billed.
SAN MIGUEL, CA 93451
Next to other Federally Qualified Health Center (FQHC) providers in California
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 5,211 | $202K | |
| 2019 | 7,450 | $218K | |
| 2020 | 2,004 | $60K | |
| 2021 | 662 | $49K | |
| 2022 | 17,336 | $603K | |
| 2023 | 12,592 | $616K | |
| 2024incomplete | 7,190 | $528K |
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 | 90% | 11,237 | 10,177 | $2.06M |
| 0521 | 6.8% | 21,970 | 8,150 | $155K | |
| 0636 | 1.5% | 2,283 | 1,315 | $34K | |
| 0761 | <1% | 539 | 488 | $7K | |
| 0770 | <1% | 992 | 980 | $4K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 203 | 162 | $4K |
| 0301 | <1% | 438 | 427 | $3K | |
| 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% | 4,405 | 3,948 | $2K |
| 0771 | <1% | 344 | 323 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 245 | 229 | $1K |
| 0124A | <1% | 28 | 18 | $1K | |
| 99051 | <1% | 650 | 637 | $925.00 |
22 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 111 | $708.99 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 30 | $324.64 |
| 0307 | <1% | 127 | $321.50 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,916 | $318.30 |
| 90656 | <1% | 228 | $189.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 36 | $163.40 |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 325 | $141.39 |
| 0309 | <1% | 30 | $129.56 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 286 | $98.23 |
| 90686 | <1% | 928 | $78.77 | |
| 99188 | <1% | 153 | $66.42 | |
| 99173 | <1% | 1,230 | $14.57 | |
| 90677 | <1% | 15 | $9.00 | |
| 90619 | <1% | 24 | $9.00 | |
| 85018 | <1% | 168 | $6.99 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 1,680 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 75 | $0.00 |
| 92552 | 0% | 1,194 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 146 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 383 | $0.00 |
| 90715 | 0% | 13 | $0.00 | |
| 90633 | 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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.