Community Health Centers of the Central Coast INC
Community Health Centers of the Central Coast INC was paid $5.87M by Medicaid between Jan 2018 and Dec 2024, across 53 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 89% of everything it billed.
ARROYO GRANDE, CA 93420
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 | 15,404 | $650K | |
| 2019 | 5,032 | $159K | |
| 2020 | 16,854 | $530K | |
| 2021 | 25,606 | $1.15M | |
| 2022 | 23,750 | $984K | |
| 2023 | 20,141 | $1.16M | |
| 2024incomplete | 16,076 | $1.23M |
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 | 89% | 30,646 | 26,079 | $5.23M |
| 0521 | 6.5% | 55,980 | 23,083 | $383K | |
| 0636 | 2.2% | 1,973 | 1,590 | $131K | |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 1,284 | 547 | $36K |
| 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% | 13,003 | 11,775 | $29K |
| 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% | 2,969 | 2,867 | $15K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 13 | 13 | $8K |
| 0771 | <1% | 1,274 | 1,142 | $6K | |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 751 | 402 | $4K |
| 0309 | <1% | 424 | 388 | $3K | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 583 | 476 | $3K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 883 | 871 | $3K |
41 more codes
| 97803 | <1% | 326 | $2K | |
| 0301 | <1% | 358 | $2K | |
| 90750 | <1% | 92 | $2K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 82 | $2K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,243 | $1K |
| 0307 | <1% | 442 | $1K | |
| 0300 | <1% | 89 | $1K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 668 | $960.30 |
| 0412 | <1% | 55 | $817.65 | |
| 0306 | <1% | 44 | $534.06 | |
| 0064A | <1% | 18 | $240.00 | |
| 90656 | <1% | 36 | $210.00 | |
| 59430 | <1% | 14 | $208.65 | |
| S9452 | Nutrition classes, non-physician provider, per session | <1% | 17 | $193.40 |
| 99401 | <1% | 70 | $183.73 | |
| 81025 | <1% | 419 | $150.95 | |
| 99385 | <1% | 109 | $117.33 | |
| 97802 | <1% | 53 | $88.96 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 25 | $70.36 |
| 81003 | <1% | 43 | $33.12 | |
| 0271 | <1% | 33 | $32.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 437 | $1.92 |
| 99051 | 0% | 238 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 404 | $0.00 |
| 96160 | 0% | 96 | $0.00 | |
| 0900 | 0% | 213 | $0.00 | |
| 90662 | 0% | 47 | $0.00 | |
| 99442 | 0% | 59 | $0.00 | |
| 90715 | 0% | 33 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 24 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 5,669 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 640 | $0.00 |
| 90686 | 0% | 559 | $0.00 | |
| 90677 | 0% | 26 | $0.00 | |
| 81000 | 0% | 103 | $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% | 98 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 31 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 102 | $0.00 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 0% | 35 | $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% | 12 | $0.00 |
| 99386 | 0% | 18 | $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.