Community Health Centers of the Central Coast INC
Community Health Centers of the Central Coast INC was paid $27.25M by Medicaid between Jan 2018 and Dec 2024, across 100 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 67% of everything it billed.
LOMPOC, CA 93436
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 | 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 | |
| 2024incomplete | 61,290 | $4.41M |
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 | 67% | 119,140 | 91,889 | $18.16M |
| 00003 | Internal/system code - not a standard HCPCS code | 25% | 37,500 | 31,012 | $6.79M |
| 0521 | 5.2% | 244,445 | 90,047 | $1.41M | |
| 0636 | 1.6% | 22,403 | 13,308 | $427K | |
| 0301 | <1% | 8,038 | 7,741 | $59K | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 3,807 | 2,335 | $55K |
| V2020 | Frames, purchases | <1% | 3,879 | 2,378 | $53K |
| 0761 | <1% | 4,561 | 4,227 | $48K | |
| 0770 | <1% | 5,352 | 5,215 | $41K | |
| 0271 | <1% | 2,709 | 1,599 | $35K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 1,498 | 1,121 | $26K |
| 0771 | <1% | 4,464 | 4,225 | $23K |
88 more codes
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 26,231 | $20K |
| 0309 | <1% | 1,479 | $11K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 1,045 | $8K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 920 | $8K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 14,164 | $8K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 22,790 | $8K |
| 92250 | <1% | 980 | $5K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 1,230 | $5K |
| 0307 | <1% | 2,434 | $4K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 3,534 | $4K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 745 | $3K |
| 90750 | <1% | 87 | $3K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,424 | $3K |
| 0300 | <1% | 318 | $3K | |
| 92015 | Determination of refractive state | <1% | 2,528 | $3K |
| 0929 | <1% | 144 | $2K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 546 | $2K |
| 0306 | <1% | 137 | $2K | |
| 90746 | <1% | 914 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 560 | $2K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 325 | $1K |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 2,279 | $1K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,097 | $1K |
| 91320 | <1% | 12 | $1K | |
| 0632 | <1% | 33 | $1K | |
| 90480 | <1% | 93 | $1K | |
| 0064A | <1% | 71 | $1K | |
| 0124A | <1% | 14 | $938.00 | |
| 0011A | <1% | 111 | $884.00 | |
| 90677 | <1% | 369 | $828.66 | |
| 0900 | <1% | 4,851 | $743.03 | |
| 97803 | <1% | 28 | $513.86 | |
| 90656 | <1% | 428 | $420.00 | |
| 0412 | <1% | 44 | $384.01 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 1,332 | $324.64 |
| 90619 | <1% | 371 | $243.00 | |
| 90662 | <1% | 278 | $240.00 | |
| 99188 | <1% | 1,350 | $221.12 | |
| 90686 | <1% | 3,513 | $210.33 | |
| 81025 | <1% | 760 | $150.17 | |
| G0467 | Community health center visit, returning patient | <1% | 103 | $135.72 |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 3,624 | $124.03 |
| 90837 | Psychotherapy session, about an hour | <1% | 1,537 | $108.30 |
| 82947 | <1% | 85 | $100.27 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,289 | $87.92 |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 1,382 | $68.28 |
| 81000 | <1% | 1,175 | $61.38 | |
| 85018 | <1% | 4,446 | $49.82 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,056 | $31.66 |
| 83655 | <1% | 285 | $11.92 | |
| 99173 | <1% | 3,580 | $9.32 | |
| G0008 | Administration of influenza virus vaccine | <1% | 345 | $5.49 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 1,158 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 1,145 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 1,344 | $0.00 |
| 90700 | 0% | 25 | $0.00 | |
| 99051 | 0% | 4,080 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 1,504 | $0.00 |
| 2028F | 0% | 1,075 | $0.00 | |
| 90633 | 0% | 414 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 760 | $0.00 |
| 90734 | 0% | 190 | $0.00 | |
| 92552 | 0% | 3,667 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 568 | $0.00 |
| 90715 | 0% | 121 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 291 | $0.00 |
| 90707 | 0% | 356 | $0.00 | |
| 90670 | 0% | 463 | $0.00 | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 0% | 77 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 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 | 0% | 16 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 12 | $0.00 |
| 90716 | 0% | 404 | $0.00 | |
| 90647 | 0% | 581 | $0.00 | |
| 90620 | 0% | 153 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 4,843 | $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% | 643 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 257 | $0.00 |
| 90651 | 0% | 724 | $0.00 | |
| 99385 | 0% | 111 | $0.00 | |
| 90680 | 0% | 246 | $0.00 | |
| 90723 | 0% | 533 | $0.00 | |
| 99443 | 0% | 17 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 208 | $0.00 |
| 93000 | 0% | 39 | $0.00 | |
| 90696 | 0% | 62 | $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% | 14 | $0.00 |
| 99381 | 0% | 26 | $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.