Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › VISTA › VISTA COMMUNITY CLINIC

VISTA COMMUNITY CLINIC

NPI: 1295822658 · VISTA, CA 92084 · Federally Qualified Health Center (FQHC) · NPI assigned 10/06/2006

$118.09M
Total Medicaid Paid
3,378,441
Total Claims
2,707,630
Beneficiaries
223
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLAMBERT, MICHELE (CFO)
NPI Enumeration Date10/06/2006

Related Entities

Other providers sharing the same authorized official: LAMBERT, MICHELE

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 885,516 $18.18M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 637,365 491,967 $83.12M
00003 Internal/system code - not a standard HCPCS code 123,254 94,020 $24.37M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 433,943 340,906 $1.94M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 203,038 157,977 $1.54M
G9920 Screening performed and negative 77,235 62,938 $1.00M
G9008 Coordinated care fee, physician coordinated care oversight services 3,129 2,588 $954K
G9012 Other specified case management service not elsewhere classified 7,828 5,286 $827K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 1,929 1,676 $716K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 26,511 21,498 $301K
98940 39,651 21,356 $248K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 73,071 56,440 $216K
11981 1,617 1,413 $156K
59425 3,810 2,616 $149K
90832 Psychotherapy, 30 minutes with patient 31,929 18,200 $145K
90791 Psychiatric diagnostic evaluation 8,584 6,603 $123K
97810 16,032 9,241 $107K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face 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 fqhc visit 5,708 4,822 $94K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 8,642 7,011 $90K
81002 73,096 47,166 $89K
90792 Psychiatric diagnostic evaluation with medical services 5,655 4,465 $87K
81025 20,728 17,939 $70K
92250 20,507 16,916 $70K
90834 Psychotherapy, 45 minutes with patient 10,562 6,766 $69K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,687 2,278 $66K
90460 Immunization administration through 18 years of age via any route, first or only component 48,187 40,473 $66K
0002A 922 922 $62K
99215 Prolong outpt/office vis 5,882 4,204 $61K
J3490 Unclassified drugs 1,129 980 $58K
11976 1,052 572 $56K
58300 925 584 $53K
0001A 714 714 $48K
92015 Determination of refractive state 25,141 21,054 $45K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 5,448 5,225 $42K
99401 10,562 9,055 $42K
96110 Developmental screening, with scoring and documentation, per standardized instrument 14,297 9,183 $42K
99402 7,833 6,190 $40K
G9902 Patient screened for tobacco use and identified as a tobacco user 47,581 41,998 $39K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,883 1,804 $37K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 18,887 14,613 $34K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 17,610 13,527 $34K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 969 826 $33K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 38,351 31,779 $32K
0011A 474 473 $32K
0012A 432 431 $29K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 21,419 16,838 $29K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 8,880 5,329 $27K
0064A 406 404 $27K
90715 9,708 8,473 $25K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 12,116 8,625 $24K
0072A 363 360 $24K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 13,868 11,036 $24K
96160 145,800 122,726 $23K
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg 76 66 $22K
90837 Psychotherapy, 53 minutes with patient 3,547 2,322 $21K
82947 42,327 36,103 $21K
92551 34,626 27,479 $20K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 5,861 4,817 $20K
90461 15,782 13,200 $19K
0071A 237 237 $16K
86703 10,776 9,599 $16K
90651 8,567 7,016 $15K
G9919 Screening performed and positive and provision of recommendations 1,059 932 $15K
58301 829 517 $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 2,856 2,851 $14K
59430 846 811 $14K
85018 40,285 32,674 $13K
90670 9,799 8,026 $13K
59025 Fetal non-stress test 6,238 2,776 $13K
59426 2,808 1,664 $12K
0054A 170 165 $11K
0004A 158 158 $10K
A4267 Contraceptive supply, condom, male, each 1,673 1,561 $10K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 1,910 1,698 $10K
99173 40,834 32,106 $7K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 4,936 4,070 $7K
99238 Hospital discharge day management, 30 minutes or less 1,342 1,221 $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 248 239 $6K
90686 40,488 33,016 $6K
0124A 109 105 $6K
83036 Hemoglobin; glycosylated (A1C) 20,312 17,159 $6K
90619 2,269 1,684 $5K
87650 5,906 4,928 $5K
H1003 Prenatal care, at-risk enhanced service; education 2,850 2,437 $5K
99385 342 302 $5K
90472 Immunization administration, each additional vaccine (list separately) 10,711 8,044 $5K
H1001 Prenatal care, at-risk enhanced service; antepartum management 3,319 2,167 $5K
90698 3,751 3,097 $4K
57454 265 178 $4K
0052A 60 59 $4K
G9903 Patient screened for tobacco use and identified as a tobacco non-user 42,875 40,224 $4K
90710 4,102 3,328 $3K
99460 871 855 $3K
97811 6,030 3,976 $3K
99397 209 190 $2K
99403 1,935 1,701 $2K
0082A 32 32 $2K
99201 643 427 $2K
90734 2,688 2,378 $2K
87428 1,526 1,232 $2K
90681 2,982 2,394 $2K
99188 12,487 9,144 $2K
90480 312 257 $1K
0031A 22 22 $1K
99231 Subsequent hospital care, per day, straightforward or low complexity 327 264 $1K
99462 716 627 $1K
90739 424 382 $1K
99232 Subsequent hospital care, per day, moderate complexity 153 119 $1K
90656 4,676 3,768 $1K
0051A 17 16 $1K
90620 2,861 2,312 $983.28
90633 5,589 4,473 $961.84
J1050 Injection, medroxyprogesterone acetate, 1 mg 857 762 $938.61
90744 2,599 2,192 $908.25
99381 1,376 1,262 $859.93
99383 56 50 $724.22
92133 1,107 793 $693.66
11982 321 239 $674.58
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 835 712 $648.48
90688 1,228 1,184 $499.50
86580 1,360 1,321 $470.42
99386 82 72 $436.78
97803 1,275 1,058 $412.09
99404 461 422 $354.96
90687 625 623 $349.96
99384 92 80 $330.00
83655 2,406 1,696 $328.32
36415 Collection of venous blood by venipuncture 17,435 15,034 $324.17
90696 1,200 1,020 $309.47
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 300 247 $304.80
90677 2,272 1,586 $293.12
92082 157 113 $271.73
99000 100 99 $268.62
91320 87 80 $262.20
90700 1,444 1,220 $228.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 745 614 $224.60
99239 Hospital discharge day management, more than 30 minutes 19 14 $213.60
1159F 205,851 181,195 $209.00
97802 199 199 $151.47
H1000 Prenatal care, at-risk assessment 248 248 $126.31
3074F 81,410 75,150 $116.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 4,880 3,716 $98.04
90473 105 73 $70.00
90648 756 642 $55.05
90689 284 284 $52.50
90685 815 809 $45.00
90682 18 12 $45.00
92083 548 367 $30.20
90658 28 28 $30.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 9,010 6,609 $26.18
J1885 Injection, ketorolac tromethamine, per 15 mg 38 25 $10.14
Z1034 23,709 16,381 $0.00
Z6410 15,590 12,695 $0.00
1126F 3,809 3,693 $0.00
3079F 22,690 21,399 $0.00
3052F 455 386 $0.00
3080F 4,476 4,246 $0.00
0501F 3,147 2,303 $0.00
Z1032 3,499 3,489 $0.00
Z6406 2,976 2,962 $0.00
H2000 Comprehensive multidisciplinary evaluation 1,164 891 $0.00
3075F 7,349 7,055 $0.00
0503F 1,226 1,111 $0.00
Z1038 2,178 2,065 $0.00
90697 3,958 3,001 $0.00
Z6204 5,922 4,726 $0.00
3044F 7,405 6,663 $0.00
1123F 7,540 7,425 $0.00
1125F 1,683 1,633 $0.00
Z6402 2,733 2,719 $0.00
93000 40 31 $0.00
0500F 372 350 $0.00
T1019 Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) 978 906 $0.00
G0443 Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes 47 41 $0.00
88720 639 445 $0.00
1170F 968 921 $0.00
J7050 Infusion, normal saline solution, 250 cc 31 31 $0.00
90694 54 50 $0.00
90381 76 54 $0.00
96156 606 578 $0.00
J2785 Injection, regadenoson, 0.1 mg 27 27 $0.00
90716 149 140 $0.00
86803 15 15 $0.00
90657 67 60 $0.00
90474 36 26 $0.00
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 32 32 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 45 45 $0.00
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 33 33 $0.00
90673 22 21 $0.00
20610 14 13 $0.00
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 18 18 $0.00
90632 15 15 $0.00
G0008 Administration of influenza virus vaccine 12 12 $0.00
3077F 6,720 6,282 $0.00
3078F 71,970 66,746 $0.00
0502F 8,776 6,130 $0.00
1158F 7,538 7,416 $0.00
1160F 71,598 62,793 $0.00
3046F 4,409 3,819 $0.00
Z6308 711 642 $0.00
Z6302 437 434 $0.00
Z6414 4,201 3,342 $0.00
Z6400 6,728 6,364 $0.00
M1016 Female patients unable to bear children 3,789 3,257 $0.00
Z6304 1,349 1,306 $0.00
H1002 Prenatal care, at risk enhanced service; care coordination 29 28 $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 747 629 $0.00
Z6200 1,853 1,851 $0.00
90655 16 16 $0.00
3051F 499 431 $0.00
90672 17 16 $0.00
S0316 Disease management program, follow-up/reassessment 408 302 $0.00
Z6208 453 451 $0.00
1124F 309 305 $0.00
90713 104 100 $0.00
G0117 Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist 40 38 $0.00
90707 99 94 $0.00
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 13 13 $0.00
3725F 64 64 $0.00
93015 31 31 $0.00
90836 22 14 $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 19 19 $0.00
92134 46 36 $0.00
90611 13 13 $0.00