Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC

NPI: 1366053167 · CHULA VISTA, CA 91910 · Federally Qualified Health Center (FQHC) · NPI assigned 08/14/2020

$13.00M
Total Medicaid Paid
221,891
Total Claims
214,178
Beneficiaries
52
Codes Billed
2021-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWALLACE, WILLIAM (VP/CFO)
NPI Enumeration Date08/14/2020

Related Entities

Other providers sharing the same authorized official: WALLACE, WILLIAM

ProviderCityStateTotal Paid
CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC. SAN DIEGO CA $8.46M
OC TRAUMA INC MISSION VIEJO CA $144K
CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC SAN DIEGO CA $10K
SOUTH ORANGE COUNTY SURGICAL MEDICAL GROUP, INC. LAGUNA HILLS CA $10K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 24,830 $501K
2022 49,652 $2.65M
2023 93,222 $5.07M
2024 54,187 $4.79M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 57,486 56,852 $12.73M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 25,677 24,070 $90K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13,143 12,302 $62K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,619 2,270 $49K
99215 Prolong outpt/office vis 2,708 2,549 $14K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 5,112 4,833 $12K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 2,808 2,642 $12K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 6,389 6,005 $7K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,789 2,639 $5K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 4,642 4,386 $3K
G0467 Federally 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 93 80 $3K
93000 1,034 972 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,040 1,935 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 123 117 $2K
99000 5,511 5,201 $1K
81025 2,736 2,536 $892.46
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 57 46 $891.33
81002 6,270 5,930 $785.70
80048 Basic metabolic panel (calcium, ionized) 799 753 $323.80
J1885 Injection, ketorolac tromethamine, per 15 mg 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 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 68 63 $38.70
36415 Collection of venous blood by venipuncture 2,199 2,137 $28.20
G8510 Screening for depression is documented as negative, a follow-up plan is not required 9,659 9,280 $6.33
82962 13 12 $2.00
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 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 Patients who are currently statin therapy users or received an order (prescription) for statin therapy 654 643 $0.00
3080F 752 739 $0.00
3120F 84 82 $0.00
4010F 27 27 $0.00
J8540 Dexamethasone, oral, 0.25 mg 47 47 $0.00
84512 14 13 $0.00
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 12 12 $0.00
87807 17 15 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 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 Screening performed and negative 26 26 $0.00
J7030 Infusion, normal saline solution , 1000 cc 38 38 $0.00