Clinic
Vista Community Clinic
Vista Community Clinic was paid $118.09M by Medicaid between Jan 2018 and Dec 2024, across 223 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 70% of everything it billed.
33Billing provider infoVISTA COMMUNITY CLINIC
VISTA, CA 92084
VISTA, CA 92084
33aNPI1295822658assigned 10/06/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$118.09M
24GClaims3,378,441
24DCodes billed223
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#16 of 826
Median peer was paid$4.05M
This provider vs. median29×
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.
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 | 293,880 | $17.32M | |
| 2019 | 363,371 | $17.62M | |
| 2020 | 334,919 | $14.94M | |
| 2021 | 432,050 | $19.20M | |
| 2022 | 385,703 | $14.50M | |
| 2023 | 683,002 | $16.32M | |
| 2024incomplete | 885,516 | $18.18M |
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 | 70% | 637,365 | 491,967 | $83.12M |
| 00003 | Internal/system code - not a standard HCPCS code | 21% | 123,254 | 94,020 | $24.37M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.6% | 433,943 | 340,906 | $1.94M |
| 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 | 1.3% | 203,038 | 157,977 | $1.54M |
| G9920 | Screening performed and negative | <1% | 77,235 | 62,938 | $1.00M |
| G9008 | Coordinated care fee, physician coordinated care oversight services | <1% | 3,129 | 2,588 | $954K |
| G9012 | Other specified case management service not elsewhere classified | <1% | 7,828 | 5,286 | $827K |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | <1% | 1,929 | 1,676 | $716K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 26,511 | 21,498 | $301K |
| 98940 | <1% | 39,651 | 21,356 | $248K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 73,071 | 56,440 | $216K |
| 11981 | <1% | 1,617 | 1,413 | $156K |
211 more codes
| 59425 | <1% | 3,810 | $149K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 31,929 | $145K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 8,584 | $123K |
| 97810 | <1% | 16,032 | $107K | |
| G0467 | Community health center visit, returning patient | <1% | 5,708 | $94K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 8,642 | $90K |
| 81002 | <1% | 73,096 | $89K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 5,655 | $87K |
| 81025 | <1% | 20,728 | $70K | |
| 92250 | <1% | 20,507 | $70K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 10,562 | $69K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 2,687 | $66K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 48,187 | $66K |
| 0002A | <1% | 922 | $62K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 5,882 | $61K |
| J3490 | Unclassified drugs | <1% | 1,129 | $58K |
| 11976 | <1% | 1,052 | $56K | |
| 58300 | <1% | 925 | $53K | |
| 0001A | <1% | 714 | $48K | |
| 92015 | Determination of refractive state | <1% | 25,141 | $45K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 5,448 | $42K |
| 99401 | <1% | 10,562 | $42K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 14,297 | $42K |
| 99402 | <1% | 7,833 | $40K | |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | <1% | 47,581 | $39K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,883 | $37K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 18,887 | $34K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 17,610 | $34K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 969 | $33K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 38,351 | $32K |
| 0011A | <1% | 474 | $32K | |
| 0012A | <1% | 432 | $29K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 21,419 | $29K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 8,880 | $27K |
| 0064A | <1% | 406 | $27K | |
| 90715 | <1% | 9,708 | $25K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 12,116 | $24K |
| 0072A | <1% | 363 | $24K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 13,868 | $24K |
| 96160 | <1% | 145,800 | $23K | |
| J7298 | Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg | <1% | 76 | $22K |
| 90837 | Psychotherapy session, about an hour | <1% | 3,547 | $21K |
| 82947 | <1% | 42,327 | $21K | |
| 92551 | <1% | 34,626 | $20K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 5,861 | $20K |
| 90461 | <1% | 15,782 | $19K | |
| 0071A | <1% | 237 | $16K | |
| 86703 | <1% | 10,776 | $16K | |
| 90651 | <1% | 8,567 | $15K | |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 1,059 | $15K |
| 58301 | <1% | 829 | $14K | |
| 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% | 2,856 | $14K |
| 59430 | <1% | 846 | $14K | |
| 85018 | <1% | 40,285 | $13K | |
| 90670 | <1% | 9,799 | $13K | |
| 59025 | Fetal non-stress test | <1% | 6,238 | $13K |
| 59426 | <1% | 2,808 | $12K | |
| 0054A | <1% | 170 | $11K | |
| 0004A | <1% | 158 | $10K | |
| A4267 | Contraceptive supply, condom, male, each | <1% | 1,673 | $10K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 1,910 | $10K |
| 99173 | <1% | 40,834 | $7K | |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 4,936 | $7K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 1,342 | $6K |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 248 | $6K |
| 90686 | <1% | 40,488 | $6K | |
| 0124A | <1% | 109 | $6K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 20,312 | $6K |
| 90619 | <1% | 2,269 | $5K | |
| 87650 | <1% | 5,906 | $5K | |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 2,850 | $5K |
| 99385 | <1% | 342 | $5K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 10,711 | $5K |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 3,319 | $5K |
| 90698 | <1% | 3,751 | $4K | |
| 57454 | <1% | 265 | $4K | |
| 0052A | <1% | 60 | $4K | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | <1% | 42,875 | $4K |
| 90710 | <1% | 4,102 | $3K | |
| 99460 | <1% | 871 | $3K | |
| 97811 | <1% | 6,030 | $3K | |
| 99397 | <1% | 209 | $2K | |
| 99403 | <1% | 1,935 | $2K | |
| 0082A | <1% | 32 | $2K | |
| 99201 | <1% | 643 | $2K | |
| 90734 | <1% | 2,688 | $2K | |
| 87428 | <1% | 1,526 | $2K | |
| 90681 | <1% | 2,982 | $2K | |
| 99188 | <1% | 12,487 | $2K | |
| 90480 | <1% | 312 | $1K | |
| 0031A | <1% | 22 | $1K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 327 | $1K |
| 99462 | <1% | 716 | $1K | |
| 90739 | <1% | 424 | $1K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 153 | $1K |
| 90656 | <1% | 4,676 | $1K | |
| 0051A | <1% | 17 | $1K | |
| 90620 | <1% | 2,861 | $983.28 | |
| 90633 | <1% | 5,589 | $961.84 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 857 | $938.61 |
| 90744 | <1% | 2,599 | $908.25 | |
| 99381 | <1% | 1,376 | $859.93 | |
| 99383 | <1% | 56 | $724.22 | |
| 92133 | <1% | 1,107 | $693.66 | |
| 11982 | <1% | 321 | $674.58 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 835 | $648.48 |
| 90688 | <1% | 1,228 | $499.50 | |
| 86580 | <1% | 1,360 | $470.42 | |
| 99386 | <1% | 82 | $436.78 | |
| 97803 | <1% | 1,275 | $412.09 | |
| 99404 | <1% | 461 | $354.96 | |
| 90687 | <1% | 625 | $349.96 | |
| 99384 | <1% | 92 | $330.00 | |
| 83655 | <1% | 2,406 | $328.32 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 17,435 | $324.17 |
| 90696 | <1% | 1,200 | $309.47 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 300 | $304.80 |
| 90677 | <1% | 2,272 | $293.12 | |
| 92082 | <1% | 157 | $271.73 | |
| 99000 | <1% | 100 | $268.62 | |
| 91320 | <1% | 87 | $262.20 | |
| 90700 | <1% | 1,444 | $228.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 745 | $224.60 |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 19 | $213.60 |
| 1159F | <1% | 205,851 | $209.00 | |
| 97802 | <1% | 199 | $151.47 | |
| H1000 | Prenatal care, at-risk assessment | <1% | 248 | $126.31 |
| 3074F | <1% | 81,410 | $116.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 4,880 | $98.04 |
| 90473 | <1% | 105 | $70.00 | |
| 90648 | <1% | 756 | $55.05 | |
| 90689 | <1% | 284 | $52.50 | |
| 90685 | <1% | 815 | $45.00 | |
| 90682 | <1% | 18 | $45.00 | |
| 92083 | <1% | 548 | $30.20 | |
| 90658 | <1% | 28 | $30.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 9,010 | $26.18 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 38 | $10.14 |
| Z1034 | 0% | 23,709 | $0.00 | |
| Z6410 | 0% | 15,590 | $0.00 | |
| 1126F | 0% | 3,809 | $0.00 | |
| 3079F | 0% | 22,690 | $0.00 | |
| 3052F | 0% | 455 | $0.00 | |
| 3080F | 0% | 4,476 | $0.00 | |
| 0501F | 0% | 3,147 | $0.00 | |
| Z1032 | 0% | 3,499 | $0.00 | |
| Z6406 | 0% | 2,976 | $0.00 | |
| H2000 | Comprehensive multidisciplinary evaluation | 0% | 1,164 | $0.00 |
| 3075F | 0% | 7,349 | $0.00 | |
| 0503F | 0% | 1,226 | $0.00 | |
| Z1038 | 0% | 2,178 | $0.00 | |
| 90697 | 0% | 3,958 | $0.00 | |
| Z6204 | 0% | 5,922 | $0.00 | |
| 3044F | 0% | 7,405 | $0.00 | |
| 1123F | 0% | 7,540 | $0.00 | |
| 1125F | 0% | 1,683 | $0.00 | |
| Z6402 | 0% | 2,733 | $0.00 | |
| 93000 | 0% | 40 | $0.00 | |
| 0500F | 0% | 372 | $0.00 | |
| T1019 | Help at home with bathing, dressing and eating, billed per 15 minutes | 0% | 978 | $0.00 |
| G0443 | Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes | 0% | 47 | $0.00 |
| 88720 | 0% | 639 | $0.00 | |
| 1170F | 0% | 968 | $0.00 | |
| J7050 | Infusion, normal saline solution, 250 cc | 0% | 31 | $0.00 |
| 90694 | 0% | 54 | $0.00 | |
| 90381 | 0% | 76 | $0.00 | |
| 96156 | 0% | 606 | $0.00 | |
| J2785 | Injection, regadenoson, 0.1 mg | 0% | 27 | $0.00 |
| 90716 | 0% | 149 | $0.00 | |
| 86803 | 0% | 15 | $0.00 | |
| 90657 | 0% | 67 | $0.00 | |
| 90474 | 0% | 36 | $0.00 | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | 0% | 32 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 45 | $0.00 |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 0% | 33 | $0.00 |
| 90673 | 0% | 22 | $0.00 | |
| 20610 | 0% | 14 | $0.00 | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 0% | 18 | $0.00 |
| 90632 | 0% | 15 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 12 | $0.00 |
| 3077F | 0% | 6,720 | $0.00 | |
| 3078F | 0% | 71,970 | $0.00 | |
| 0502F | 0% | 8,776 | $0.00 | |
| 1158F | 0% | 7,538 | $0.00 | |
| 1160F | 0% | 71,598 | $0.00 | |
| 3046F | 0% | 4,409 | $0.00 | |
| Z6308 | 0% | 711 | $0.00 | |
| Z6302 | 0% | 437 | $0.00 | |
| Z6414 | 0% | 4,201 | $0.00 | |
| Z6400 | 0% | 6,728 | $0.00 | |
| M1016 | Female patients unable to bear children | 0% | 3,789 | $0.00 |
| Z6304 | 0% | 1,349 | $0.00 | |
| H1002 | Prenatal care, at risk enhanced service; care coordination | 0% | 29 | $0.00 |
| G0246 | Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient history, (2) a physical examination that includes: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear, and (3) patient education | 0% | 747 | $0.00 |
| Z6200 | 0% | 1,853 | $0.00 | |
| 90655 | 0% | 16 | $0.00 | |
| 3051F | 0% | 499 | $0.00 | |
| 90672 | 0% | 17 | $0.00 | |
| S0316 | Disease management program, follow-up/reassessment | 0% | 408 | $0.00 |
| Z6208 | 0% | 453 | $0.00 | |
| 1124F | 0% | 309 | $0.00 | |
| 90713 | 0% | 104 | $0.00 | |
| G0117 | Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist | 0% | 40 | $0.00 |
| 90707 | 0% | 99 | $0.00 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 0% | 13 | $0.00 |
| 3725F | 0% | 64 | $0.00 | |
| 93015 | 0% | 31 | $0.00 | |
| 90836 | 0% | 22 | $0.00 | |
| G0468 | Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv | 0% | 19 | $0.00 |
| 92134 | 0% | 46 | $0.00 | |
| 90611 | 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 officialLAMBERT, MICHELE (CFO)
| Provider | Location | Paid |
|---|---|---|
| Vista Community Clinic | La Habra, CA | $37.01M |
| Vista Community Clinic | Vista, CA | $23.58M |
| Vista Community Clinic | Oceanside, CA | $11.11M |
| Vista Community Clinic | Oceanside, CA | $10.87M |
| Vista Community Clinic | Oceanside, CA | $8.80M |
| Vista Community Clinic | Vista, CA | $1.13M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.