Medicaid Provider Spending

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

COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC

NPI: 1376560151 · GUADALUPE, CA 93434 · Federally Qualified Health Center (FQHC) · NPI assigned 07/16/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official CASTLE, RONALD controls 14+ related entities in our dataset. Read more

$20.22M
Total Medicaid Paid
344,045
Total Claims
237,615
Beneficiaries
85
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCASTLE, RONALD (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date07/16/2006

Related Entities

Other providers sharing the same authorized official: CASTLE, RONALD

ProviderCityStateTotal Paid
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC SANTA MARIA CA $55.38M
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC SANTA MARIA CA $35.52M
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC TEMPLETON CA $33.31M
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC SAN LUIS OBISPO CA $31.19M
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC SAN LUIS OBISPO CA $25.47M
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC SAN LUIS OBISPO CA $10.79M
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC PASO ROBLES CA $10.30M
COMMUNITY HEALTH CENTER OF THE CENTRAL COAST INC SANTA MARIA CA $3.69M
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC SANTA MARIA CA $3.06M
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC SAN MIGUEL CA $2.28M
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC SANTA MARIA CA $1.13M
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST SANTA MARIA CA $630K
COMMUNITY HEALTH CENTER OF THE CENTRAL COAST INC SANTA MARIA CA $146K
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC SANTA MARIA CA $64K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 20,155 $684K
2019 30,478 $1.34M
2020 48,655 $1.43M
2021 53,992 $2.95M
2022 64,942 $3.29M
2023 75,382 $5.40M
2024 50,441 $5.13M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 76,666 67,254 $15.69M
00003 Internal/system code - not a standard HCPCS code 11,782 8,985 $3.62M
0521 134,854 57,680 $590K
0636 7,372 5,075 $202K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 27,693 24,927 $15K
0301 3,503 3,142 $14K
0771 2,753 2,528 $12K
90750 525 488 $11K
0761 921 851 $7K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 551 523 $7K
83036 Hemoglobin; glycosylated (A1C) 3,443 3,099 $5K
0770 1,556 1,546 $5K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 5,480 3,326 $5K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,466 4,886 $4K
0309 509 459 $3K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 924 892 $3K
0900 7,845 5,575 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 11,325 10,666 $3K
0124A 84 54 $2K
90662 331 331 $2K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 113 54 $1K
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 43 43 $1K
0307 990 817 $1K
82947 1,099 916 $1K
J3490 Unclassified drugs 389 117 $983.16
0271 76 69 $916.70
92250 28 15 $725.48
90656 238 230 $672.00
90834 Psychotherapy, 45 minutes with patient 5,024 3,408 $638.06
83721 783 717 $637.68
90677 101 94 $634.12
20552 25 14 $581.13
98940 43 32 $534.65
0300 59 57 $533.73
J7060 5% dextrose/water (500 ml = 1 unit) 130 61 $520.81
0306 41 41 $509.22
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 124 37 $394.29
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 1,942 1,845 $304.76
90686 2,076 1,923 $274.61
90837 Psychotherapy, 53 minutes with patient 384 161 $184.00
99188 243 231 $170.98
90715 249 248 $170.73
85018 2,114 1,851 $151.22
A4217 Sterile water/saline, 500 ml 45 13 $150.00
96127 1,944 1,915 $106.01
G0008 Administration of influenza virus vaccine 370 369 $93.33
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 458 451 $91.26
80061 Lipid panel 252 252 $83.46
90832 Psychotherapy, 30 minutes with patient 2,722 1,910 $50.00
99051 1,844 1,745 $50.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,129 1,097 $43.95
82962 40 38 $22.14
92552 1,129 1,123 $20.53
81025 33 32 $16.80
99173 1,281 1,273 $12.40
90619 14 13 $9.00
81000 365 355 $7.74
G8510 Screening for depression is documented as negative, a follow-up plan is not required 6,468 6,198 $0.00
90792 Psychiatric diagnostic evaluation with medical services 1,506 1,355 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 57 54 $0.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 577 561 $0.00
90651 40 40 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 86 86 $0.00
99385 31 29 $0.00
99000 16 16 $0.00
G0396 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes 34 34 $0.00
90620 35 24 $0.00
90480 16 16 $0.00
90647 38 27 $0.00
90723 21 13 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 2,332 2,157 $0.00
90791 Psychiatric diagnostic evaluation 306 274 $0.00
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 189 129 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 55 55 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 130 129 $0.00
99215 Prolong outpt/office vis 66 65 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 116 115 $0.00
90679 27 27 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 193 193 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 36 36 $0.00
90670 61 43 $0.00
2028F 45 44 $0.00
G0468 Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv 17 17 $0.00
90734 12 12 $0.00
99442 12 12 $0.00