Centro De Salud De LA Comunidad De San Ysidro, INC.
Centro De Salud De LA Comunidad De San Ysidro, INC. was paid $121.15M by Medicaid between Jan 2018 and Dec 2024, across 141 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 66% of everything it billed.
CHULA VISTA, CA 91910
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 | 119,397 | $19.09M | |
| 2019 | 126,125 | $18.79M | |
| 2020 | 159,768 | $17.15M | |
| 2021 | 241,014 | $19.15M | |
| 2022 | 188,970 | $13.72M | |
| 2023 | 192,484 | $15.21M | |
| 2024incomplete | 161,339 | $18.03M |
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 | 66% | 449,121 | 384,007 | $79.48M |
| 00003 | Internal/system code - not a standard HCPCS code | 33% | 169,130 | 87,537 | $40.42M |
| 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% | 130,916 | 120,759 | $248K |
| 0011A | <1% | 2,621 | 1,372 | $135K | |
| 0012A | <1% | 2,429 | 1,272 | $127K | |
| 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% | 36,752 | 34,619 | $98K |
| G0467 | Community health center visit, returning patientFederally 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 | <1% | 3,834 | 3,305 | $94K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 44,149 | 41,160 | $76K |
| 0064A | <1% | 1,263 | 748 | $68K | |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 5,315 | 4,639 | $59K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 17,956 | 14,976 | $49K |
| 0001A | <1% | 906 | 472 | $48K |
129 more codes
| 0002A | <1% | 759 | $40K | |
| 0004A | <1% | 489 | $26K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 1,865 | $24K |
| 0072A | <1% | 398 | $21K | |
| 0071A | <1% | 313 | $17K | |
| 0134A | <1% | 165 | $11K | |
| 0054A | <1% | 146 | $9K | |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 12,983 | $7K |
| 0031A | <1% | 118 | $6K | |
| 0124A | <1% | 79 | $5K | |
| 98940 | <1% | 8,747 | $5K | |
| 99000 | <1% | 17,544 | $5K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,404 | $4K |
| G9920 | Screening performed and negative | <1% | 2,148 | $4K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 396 | $4K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 2,038 | $4K |
| 96156 | <1% | 1,638 | $4K | |
| 90686 | <1% | 3,171 | $4K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 336 | $4K |
| 97813 | <1% | 3,881 | $3K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 2,459 | $3K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,899 | $3K |
| 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% | 365 | $3K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,957 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 5,614 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 7,446 | $2K |
| 81025 | <1% | 7,461 | $2K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 544 | $2K |
| 0034A | <1% | 38 | $2K | |
| 92551 | <1% | 4,670 | $2K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 1,416 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 5,196 | $1K |
| 96160 | <1% | 3,088 | $1K | |
| 97026 | <1% | 3,024 | $976.99 | |
| 90688 | <1% | 968 | $922.57 | |
| D0330 | Panoramic radiographic image | <1% | 14 | $873.60 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,106 | $872.88 |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 97 | $813.13 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 687 | $767.27 |
| 81002 | <1% | 11,265 | $748.58 | |
| 90651 | <1% | 442 | $681.25 | |
| D9430 | <1% | 27 | $648.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 244 | $629.20 |
| 85018 | <1% | 8,108 | $591.21 | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 12 | $576.00 |
| 90677 | <1% | 61 | $570.60 | |
| 99173 | <1% | 4,489 | $518.70 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 151 | $511.01 |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit | <1% | 12 | $469.10 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,329 | $459.73 |
| 93000 | <1% | 426 | $415.57 | |
| 90670 | <1% | 1,341 | $360.00 | |
| 82947 | <1% | 2,496 | $303.27 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 1,307 | $196.48 |
| 90662 | <1% | 41 | $175.76 | |
| 90633 | <1% | 528 | $171.00 | |
| 90647 | <1% | 678 | $162.00 | |
| S9452 | Nutrition classes, non-physician provider, per session | <1% | 20,837 | $133.53 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 553 | $132.70 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 959 | $121.99 |
| 82962 | <1% | 1,212 | $109.84 | |
| 90723 | <1% | 453 | $99.00 | |
| 90648 | <1% | 207 | $72.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 2,159 | $59.97 |
| 99201 | <1% | 14 | $45.80 | |
| 90715 | <1% | 181 | $45.00 | |
| 99381 | <1% | 104 | $44.88 | |
| 90710 | <1% | 105 | $36.00 | |
| 90700 | <1% | 190 | $36.00 | |
| 99188 | <1% | 332 | $35.64 | |
| 89240 | <1% | 580 | $33.66 | |
| 90756 | <1% | 84 | $27.25 | |
| 97810 | <1% | 286 | $19.80 | |
| 90681 | <1% | 175 | $18.00 | |
| 90734 | <1% | 160 | $18.00 | |
| 90680 | <1% | 66 | $18.00 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 18,182 | $10.50 |
| 90620 | <1% | 58 | $9.00 | |
| 87420 | <1% | 43 | $5.78 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 31,341 | $3.32 |
| 36416 | <1% | 668 | $0.97 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 795 | $0.46 |
| S9451 | Exercise classes, non-physician provider, per session | <1% | 16,947 | $0.09 |
| 3085F | 0% | 92 | $0.00 | |
| 3078F | 0% | 470 | $0.00 | |
| 90461 | 0% | 46 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 2,201 | $0.00 |
| 1159F | 0% | 50,001 | $0.00 | |
| Z6400 | 0% | 1,536 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 88 | $0.00 |
| 97602 | 0% | 179 | $0.00 | |
| Z6304 | 0% | 137 | $0.00 | |
| Z6300 | 0% | 291 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 101 | $0.00 |
| Z6200 | 0% | 156 | $0.00 | |
| 1160F | 0% | 15 | $0.00 | |
| 96165 | 0% | 76 | $0.00 | |
| 90473 | 0% | 40 | $0.00 | |
| 72100 | 0% | 16 | $0.00 | |
| Z6308 | 0% | 12 | $0.00 | |
| 3077F | 0% | 13 | $0.00 | |
| 83655 | 0% | 26 | $0.00 | |
| 90707 | 0% | 12 | $0.00 | |
| 3008F | 0% | 21,879 | $0.00 | |
| Z1032 | 0% | 39 | $0.00 | |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | 0% | 5,777 | $0.00 |
| 72040 | 0% | 65 | $0.00 | |
| Z1034 | 0% | 1,763 | $0.00 | |
| 1000F | 0% | 435 | $0.00 | |
| Z6406 | 0% | 1,534 | $0.00 | |
| 1125F | 0% | 318 | $0.00 | |
| Z6204 | 0% | 120 | $0.00 | |
| 3074F | 0% | 149 | $0.00 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 0% | 13 | $0.00 |
| 4010F | 0% | 134 | $0.00 | |
| Z6402 | 0% | 279 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 65 | $0.00 |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | 0% | 12 | $0.00 |
| Z6404 | 0% | 12 | $0.00 | |
| 90732 | 0% | 12 | $0.00 | |
| 90619 | 0% | 15 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 36 | $0.00 |
| 3044F | 0% | 55 | $0.00 | |
| 99383 | 0% | 12 | $0.00 | |
| 1126F | 0% | 65 | $0.00 | |
| 74019 | 0% | 15 | $0.00 | |
| 90716 | 0% | 13 | $0.00 | |
| 72080 | 0% | 39 | $0.00 | |
| 1220F | 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.