Medicaid Provider Spending

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

COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC

NPI: 1417480294 · OCEANO, CA 93445 · Federally Qualified Health Center (FQHC) · NPI assigned 04/07/2017

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

Authorized official ALLEN, BARBARA controls 15+ related entities in our dataset. Read more

$20.78M
Total Medicaid Paid
377,394
Total Claims
252,303
Beneficiaries
75
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialALLEN, BARBARA (BUSINESS OFFICE MANGER)
NPI Enumeration Date04/07/2017

Related Entities

Other providers sharing the same authorized official: ALLEN, BARBARA

ProviderCityStateTotal Paid
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC NIPOMO CA $51.61M
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC SANTA MARIA CA $49.45M
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC LOMPOC CA $27.25M
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC SANTA MARIA CA $23.34M
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC PASO ROBLES CA $20.79M
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC TEMPLETON CA $13.71M
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC ARROYO GRANDE CA $12.19M
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC ARROYO GRANDE CA $8.96M
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC ARROYO GRANDE CA $5.87M
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC ATASCADERO CA $2.15M
RAINBOW PEDIATRICS, LLC STAMFORD CT $1.59M
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC CAMBRIA CA $840K
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC OCEANO CA $458K
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC NEW CUYAMA CA $181K
BLUE WATER ANESTHESIA SERVICES PORT ST LUCIE FL $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 41,368 $2.68M
2019 50,919 $2.81M
2020 63,889 $2.56M
2021 68,992 $2.85M
2022 57,618 $2.78M
2023 56,962 $3.67M
2024 37,646 $3.44M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 77,382 64,352 $12.70M
00003 Internal/system code - not a standard HCPCS code 28,845 22,907 $7.04M
0521 147,143 60,401 $804K
0636 12,192 7,600 $153K
0761 2,572 2,362 $17K
0301 4,863 4,791 $14K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 14,255 9,341 $10K
0771 2,111 1,990 $10K
0770 4,439 4,416 $5K
0071A 109 68 $3K
99051 441 433 $2K
0900 6,875 4,588 $2K
0054A 91 52 $2K
90480 105 63 $2K
0072A 42 40 $2K
0124A 46 27 $1K
83036 Hemoglobin; glycosylated (A1C) 1,187 1,085 $1K
G0442 Annual alcohol misuse screening, 5 to 15 minutes 612 559 $1K
0309 83 73 $671.67
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 21,199 19,350 $593.43
0300 41 41 $513.26
90619 324 236 $468.00
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 76 69 $441.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,051 3,620 $378.88
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 581 568 $323.86
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 836 828 $286.49
90834 Psychotherapy, 45 minutes with patient 4,517 2,698 $251.00
0307 161 147 $221.97
0306 16 16 $198.72
90662 97 97 $160.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,872 2,783 $147.96
90677 152 117 $144.00
90686 3,351 3,068 $87.96
90656 294 286 $84.00
85018 5,124 4,460 $81.91
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,666 1,661 $78.85
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 321 308 $42.67
99188 453 452 $22.14
98940 213 179 $18.39
83655 114 78 $11.92
G0008 Administration of influenza virus vaccine 177 177 $10.98
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,044 1,020 $10.98
90651 466 406 $0.00
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 564 543 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 5,847 5,604 $0.00
90680 77 55 $0.00
90647 115 94 $0.00
90792 Psychiatric diagnostic evaluation with medical services 1,024 925 $0.00
90723 148 114 $0.00
90620 242 205 $0.00
90716 199 178 $0.00
90732 13 13 $0.00
G0396 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes 129 128 $0.00
81000 29 29 $0.00
96127 12 12 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 12 12 $0.00
90791 Psychiatric diagnostic evaluation 784 765 $0.00
92552 4,123 4,118 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,149 1,139 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,544 1,540 $0.00
99173 4,124 4,106 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 3,051 2,688 $0.00
90707 153 123 $0.00
90832 Psychotherapy, 30 minutes with patient 861 724 $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 218 131 $0.00
90837 Psychotherapy, 53 minutes with patient 718 611 $0.00
90670 242 193 $0.00
90472 Immunization administration, each additional vaccine (list separately) 23 19 $0.00
90750 57 57 $0.00
90734 75 75 $0.00
90633 118 93 $0.00
90715 146 146 $0.00
G8511 Screening for depression documented as positive, follow-up plan not documented, reason not given 23 15 $0.00
90746 19 19 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 16 16 $0.00