Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Chula Vista › NPI 1326486861
Clinic

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.

33Billing provider infoCENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.
CHULA VISTA, CA 91910
33aNPI1326486861assigned 06/06/2013
28Total paid$121.15M
24GClaims1,189,097
24DCodes billed141
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Federally Qualified Health Center (FQHC) providers in California

Rank by total paid#15 of 826
Median peer was paid$4.05M
This provider vs. median30×

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.

Entity ProliferationAuthorized official MATTSON, KEVIN controls 16+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$1.0M$2.0M$3.0M2018201920202021202220232024
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
YearClaimsPaid
2018119,397$19.09M
2019126,125$18.79M
2020159,768$17.15M
2021241,014$19.15M
2022188,970$13.72M
2023192,484$15.21M
2024incomplete161,339$18.03M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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.

From NPPES

Who's on the registration

Authorized officialMATTSON, KEVIN (PRESIDENT AND CEO)
Same official

Other billing entities under MATTSON, KEVIN

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.