CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC
NPI: 1366053167
· CHULA VISTA, CA 91910
· 261QF0400X
$13.00M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
24,830 |
$501K |
| 2022 |
49,652 |
$2.65M |
| 2023 |
93,222 |
$5.07M |
| 2024 |
54,187 |
$4.79M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
57,486 |
56,852 |
$12.73M |
| 99213 |
|
25,677 |
24,070 |
$90K |
| 99214 |
|
13,143 |
12,302 |
$62K |
| 99203 |
|
2,619 |
2,270 |
$49K |
| 99215 |
Prolong outpt/office vis |
2,708 |
2,549 |
$14K |
| 87811 |
|
5,112 |
4,833 |
$12K |
| 87502 |
|
2,808 |
2,642 |
$12K |
| 87804 |
|
6,389 |
6,005 |
$7K |
| 99212 |
|
2,789 |
2,639 |
$5K |
| 87880 |
|
4,642 |
4,386 |
$3K |
| G0467 |
Fqhc visit, estab pt |
93 |
80 |
$3K |
| 93000 |
|
1,034 |
972 |
$2K |
| 96372 |
|
2,040 |
1,935 |
$2K |
| 99202 |
|
123 |
117 |
$2K |
| 99000 |
|
5,511 |
5,201 |
$1K |
| 81025 |
|
2,736 |
2,536 |
$892.46 |
| 99204 |
|
57 |
46 |
$891.33 |
| 81002 |
|
6,270 |
5,930 |
$785.70 |
| 80048 |
|
799 |
753 |
$323.80 |
| J1885 |
Ketorolac tromethamine inj |
1,435 |
1,382 |
$302.48 |
| 80047 |
|
468 |
434 |
$285.39 |
| 85007 |
|
1,238 |
1,165 |
$232.61 |
| 89240 |
|
793 |
751 |
$133.67 |
| 87420 |
|
190 |
182 |
$96.44 |
| 94640 |
|
68 |
63 |
$38.70 |
| 36415 |
|
2,199 |
2,137 |
$28.20 |
| G8510 |
Scr dep neg, no plan reqd |
9,659 |
9,280 |
$6.33 |
| 82962 |
|
13 |
12 |
$2.00 |
| J7620 |
Albuterol ipratrop non-comp |
66 |
65 |
$0.14 |
| 1159F |
|
8,017 |
7,895 |
$0.02 |
| 3079F |
|
3,771 |
3,722 |
$0.00 |
| 3351F |
|
144 |
135 |
$0.00 |
| 3074F |
|
9,769 |
9,582 |
$0.00 |
| 3008F |
|
5,013 |
4,950 |
$0.00 |
| 3075F |
|
1,144 |
1,133 |
$0.00 |
| 1125F |
|
5,449 |
5,361 |
$0.00 |
| 2010F |
|
12,493 |
12,237 |
$0.00 |
| 1126F |
|
1,426 |
1,406 |
$0.00 |
| G9664 |
Taking statin or rec'd order |
654 |
643 |
$0.00 |
| 3080F |
|
752 |
739 |
$0.00 |
| 3120F |
|
84 |
82 |
$0.00 |
| 4010F |
|
27 |
27 |
$0.00 |
| J8540 |
Oral dexamethasone |
47 |
47 |
$0.00 |
| 84512 |
|
14 |
13 |
$0.00 |
| 96374 |
|
12 |
12 |
$0.00 |
| 87807 |
|
17 |
15 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
13 |
12 |
$0.00 |
| 3077F |
|
1,863 |
1,827 |
$0.00 |
| 3078F |
|
8,364 |
8,192 |
$0.00 |
| 3028F |
|
4,589 |
4,495 |
$0.00 |
| G9920 |
Scrning perf and negative |
26 |
26 |
$0.00 |
| J7030 |
Normal saline solution infus |
38 |
38 |
$0.00 |