Medicaid Provider Spending

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

COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC

NPI: 1326065103 · LOMPOC, CA 93436 · Federally Qualified Health Center (FQHC) · NPI assigned 07/16/2006

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

Authorized official ALLEN, BARBARA controls 15+ related entities in our dataset. Read more

$27.25M
Total Medicaid Paid
604,440
Total Claims
378,956
Beneficiaries
100
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialALLEN, BARBARA (DIRECTOR OF BUSINESS OFFICE)
NPI Enumeration Date07/16/2006

Related Entities

Other providers sharing the same authorized official: ALLEN, BARBARA

ProviderCityStateTotal Paid
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC NIPOMO CA $51.61M
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC SANTA MARIA CA $49.45M
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC SANTA MARIA CA $23.34M
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC PASO ROBLES CA $20.79M
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC OCEANO CA $20.78M
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC TEMPLETON CA $13.71M
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC ARROYO GRANDE CA $12.19M
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC ARROYO GRANDE CA $8.96M
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC ARROYO GRANDE CA $5.87M
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC ATASCADERO CA $2.15M
RAINBOW PEDIATRICS, LLC STAMFORD CT $1.59M
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC CAMBRIA CA $840K
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC OCEANO CA $458K
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC NEW CUYAMA CA $181K
BLUE WATER ANESTHESIA SERVICES PORT ST LUCIE FL $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 73,970 $3.44M
2019 86,936 $3.26M
2020 101,063 $3.42M
2021 105,830 $4.40M
2022 92,768 $3.77M
2023 82,583 $4.55M
2024 61,290 $4.41M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 119,140 91,889 $18.16M
00003 Internal/system code - not a standard HCPCS code 37,500 31,012 $6.79M
0521 244,445 90,047 $1.41M
0636 22,403 13,308 $427K
0301 8,038 7,741 $59K
92340 Fitting of spectacles, except for aphakia; monofocal 3,807 2,335 $55K
V2020 Frames, purchases 3,879 2,378 $53K
0761 4,561 4,227 $48K
0770 5,352 5,215 $41K
0271 2,709 1,599 $35K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,498 1,121 $26K
0771 4,464 4,225 $23K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 26,231 22,851 $20K
0309 1,479 1,354 $11K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,045 1,000 $8K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 920 742 $8K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 14,164 8,488 $8K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 22,790 19,621 $8K
92250 980 899 $5K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1,230 1,180 $5K
0307 2,434 2,076 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,534 3,068 $4K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 745 502 $3K
90750 87 67 $3K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,424 1,388 $3K
0300 318 210 $3K
92015 Determination of refractive state 2,528 2,269 $3K
0929 144 143 $2K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 546 543 $2K
0306 137 137 $2K
90746 914 912 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 560 417 $2K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 325 304 $1K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 2,279 1,093 $1K
83036 Hemoglobin; glycosylated (A1C) 1,097 990 $1K
91320 12 12 $1K
0632 33 33 $1K
90480 93 77 $1K
0064A 71 55 $1K
0124A 14 14 $938.00
0011A 111 68 $884.00
90677 369 286 $828.66
0900 4,851 3,247 $743.03
97803 28 28 $513.86
90656 428 406 $420.00
0412 44 42 $384.01
G0442 Annual alcohol misuse screening, 5 to 15 minutes 1,332 1,309 $324.64
90619 371 322 $243.00
90662 278 278 $240.00
99188 1,350 1,312 $221.12
90686 3,513 3,314 $210.33
81025 760 736 $150.17
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 103 90 $135.72
90834 Psychotherapy, 45 minutes with patient 3,624 2,579 $124.03
90837 Psychotherapy, 53 minutes with patient 1,537 785 $108.30
82947 85 66 $100.27
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,289 2,207 $87.92
90832 Psychotherapy, 30 minutes with patient 1,382 939 $68.28
81000 1,175 1,119 $61.38
85018 4,446 4,029 $49.82
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,056 1,100 $31.66
83655 285 243 $11.92
99173 3,580 3,535 $9.32
G0008 Administration of influenza virus vaccine 345 345 $5.49
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 1,158 1,118 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,145 1,129 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,344 1,314 $0.00
90700 25 24 $0.00
99051 4,080 3,826 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,504 1,482 $0.00
2028F 1,075 1,053 $0.00
90633 414 382 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 760 731 $0.00
90734 190 186 $0.00
92552 3,667 3,652 $0.00
90791 Psychiatric diagnostic evaluation 568 455 $0.00
90715 121 118 $0.00
99215 Prolong outpt/office vis 291 281 $0.00
90707 356 327 $0.00
90670 463 450 $0.00
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 77 70 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 41 41 $0.00
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 16 16 $0.00
90472 Immunization administration, each additional vaccine (list separately) 12 12 $0.00
90716 404 370 $0.00
90647 581 506 $0.00
90620 153 150 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 4,843 4,769 $0.00
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 643 595 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 257 255 $0.00
90651 724 670 $0.00
99385 111 110 $0.00
90680 246 218 $0.00
90723 533 468 $0.00
99443 17 17 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 208 104 $0.00
93000 39 39 $0.00
90696 62 53 $0.00
G0396 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes 14 14 $0.00
99381 26 24 $0.00