Clinic
Community Health Centers of the Central Coast INC
Community Health Centers of the Central Coast INC was paid $55.38M by Medicaid between Jan 2018 and Dec 2024, across 158 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 82% of everything it billed.
33Billing provider infoCOMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC
SANTA MARIA, CA 93455
SANTA MARIA, CA 93455
33aNPI1447277355assigned 07/16/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$55.38M
24GClaims1,383,135
24DCodes billed158
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#58 of 826
Median peer was paid$4.05M
This provider vs. median14×
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.
Entity ProliferationAuthorized official CASTLE, RONALD controls 14+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 135,316 | $7.90M | |
| 2019 | 159,037 | $6.51M | |
| 2020 | 272,925 | $8.53M | |
| 2021 | 283,766 | $10.62M | |
| 2022 | 250,420 | $8.92M | |
| 2023 | 157,288 | $6.78M | |
| 2024incomplete | 124,383 | $6.12M |
Box 24 · Service lines
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 | 82% | 277,358 | 205,105 | $45.49M |
| 0521 | 11% | 631,452 | 270,614 | $6.32M | |
| 0636 | 1.7% | 55,421 | 28,215 | $936K | |
| 00003 | Internal/system code - not a standard HCPCS code | 1.5% | 5,015 | 2,340 | $839K |
| 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% | 65,934 | 59,336 | $346K |
| 0761 | <1% | 15,842 | 14,475 | $310K | |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 447 | 443 | $278K |
| J3490 | Unclassified drugs | <1% | 3,888 | 3,263 | $137K |
| 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 | <1% | 6,218 | 6,162 | $121K |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | <1% | 121 | 106 | $82K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 8,570 | 7,582 | $78K |
| 0770 | <1% | 12,218 | 11,876 | $67K |
146 more codes
| 0301 | <1% | 12,173 | $44K | |
| 98940 | <1% | 44,931 | $40K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 11,424 | $32K |
| 0771 | <1% | 4,839 | $23K | |
| 0307 | <1% | 7,983 | $21K | |
| 11981 | <1% | 141 | $16K | |
| 11976 | <1% | 400 | $15K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 523 | $15K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 651 | $14K |
| 0309 | <1% | 1,718 | $13K | |
| 99402 | <1% | 560 | $12K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 1,763 | $12K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 694 | $11K |
| 99283 | Emergency room visit (moderate) | <1% | 161 | $8K |
| 90480 | <1% | 443 | $8K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 3,444 | $7K |
| 90750 | <1% | 372 | $7K | |
| 81025 | <1% | 4,900 | $6K | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 2,989 | $6K |
| 99401 | <1% | 1,169 | $6K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 5,734 | $6K |
| 0071A | <1% | 204 | $5K | |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | <1% | 239 | $4K |
| 11750 | <1% | 294 | $4K | |
| 0306 | <1% | 323 | $4K | |
| 0270 | <1% | 372 | $4K | |
| 0072A | <1% | 100 | $4K | |
| 0300 | <1% | 295 | $4K | |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 206 | $3K |
| 90677 | <1% | 1,464 | $3K | |
| 92250 | <1% | 123 | $3K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 662 | $3K |
| 0900 | <1% | 8,340 | $2K | |
| 90651 | <1% | 1,960 | $2K | |
| 91320 | <1% | 14 | $2K | |
| 99188 | <1% | 8,269 | $2K | |
| 90715 | <1% | 1,346 | $1K | |
| 0002A | <1% | 32 | $1K | |
| 90619 | <1% | 709 | $1K | |
| H2000 | Comprehensive multidisciplinary evaluation | <1% | 620 | $1K |
| 0124A | <1% | 20 | $1K | |
| 11721 | <1% | 361 | $803.16 | |
| 90636 | <1% | 61 | $672.00 | |
| 0001A | <1% | 50 | $493.00 | |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 3,959 | $486.85 |
| 73630 | <1% | 378 | $475.61 | |
| 90656 | <1% | 1,069 | $462.00 | |
| 99051 | <1% | 4,345 | $440.00 | |
| 0929 | <1% | 28 | $384.00 | |
| 90716 | <1% | 2,633 | $378.00 | |
| 0500 | <1% | 14 | $348.18 | |
| 85018 | <1% | 13,331 | $345.58 | |
| 90707 | <1% | 2,460 | $299.00 | |
| 90837 | Psychotherapy session, about an hour | <1% | 228 | $260.00 |
| 99385 | <1% | 341 | $234.66 | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 874 | $216.92 |
| 83655 | <1% | 2,315 | $215.67 | |
| 90670 | <1% | 4,743 | $211.00 | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 7,611 | $210.00 |
| 59430 | <1% | 41 | $208.65 | |
| 69209 | <1% | 51 | $205.07 | |
| 59025 | Fetal non-stress test | <1% | 1,310 | $180.93 |
| 92552 | <1% | 10,811 | $165.30 | |
| 99173 | <1% | 10,480 | $133.44 | |
| 90686 | <1% | 13,015 | $130.92 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 14 | $130.38 |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 734 | $116.00 |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 4,081 | $107.71 |
| 90380 | <1% | 52 | $99.00 | |
| 11720 | <1% | 15 | $97.08 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 7,505 | $95.80 |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 1,561 | $88.27 |
| 90723 | <1% | 4,649 | $85.00 | |
| 0271 | <1% | 602 | $84.93 | |
| 90680 | <1% | 3,977 | $77.00 | |
| H1000 | Prenatal care, at-risk assessment | <1% | 100 | $72.63 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 4,735 | $71.13 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 36 | $70.36 |
| 81003 | <1% | 1,086 | $47.55 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,242 | $38.43 |
| Q0144 | Azithromycin dihydrate, oral, capsules/powder, 1 gram | <1% | 31 | $34.80 |
| 90647 | <1% | 4,479 | $25.00 | |
| 81000 | <1% | 458 | $22.27 | |
| 97803 | <1% | 340 | $22.24 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 175 | $17.20 |
| 86580 | <1% | 202 | $8.68 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 14 | $3.00 |
| 97802 | 0% | 267 | $0.00 | |
| Z6410 | 0% | 1,747 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 486 | $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% | 110 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 19,670 | $0.00 |
| 90620 | 0% | 601 | $0.00 | |
| 76801 | 0% | 220 | $0.00 | |
| 90696 | 0% | 334 | $0.00 | |
| Z6402 | 0% | 406 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 289 | $0.00 |
| Z6204 | 0% | 231 | $0.00 | |
| Z1034 | 0% | 2,781 | $0.00 | |
| Z1032 | 0% | 308 | $0.00 | |
| 99381 | 0% | 492 | $0.00 | |
| Z6406 | 0% | 314 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 275 | $0.00 |
| Z7610 | 0% | 118 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 526 | $0.00 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 40 | $0.00 |
| 11730 | 0% | 25 | $0.00 | |
| 76499 | 0% | 56 | $0.00 | |
| S9452 | Nutrition classes, non-physician provider, per session | 0% | 24 | $0.00 |
| 96151 | 0% | 30 | $0.00 | |
| Z1038 | 0% | 12 | $0.00 | |
| 90688 | 0% | 12 | $0.00 | |
| G0009 | Administration of pneumococcal vaccine | 0% | 13 | $0.00 |
| H0001 | Alcohol and/or drug assessment | 0% | 86 | $0.00 |
| 96127 | 0% | 144 | $0.00 | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 0% | 12 | $0.00 |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | 0% | 15 | $0.00 |
| 90633 | 0% | 3,213 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 4,598 | $0.00 |
| 2028F | 0% | 636 | $0.00 | |
| 90746 | 0% | 99 | $0.00 | |
| Z6304 | 0% | 337 | $0.00 | |
| Z6200 | 0% | 225 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 1,402 | $0.00 |
| 90700 | 0% | 720 | $0.00 | |
| 90734 | 0% | 597 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 3,113 | $0.00 |
| Z6300 | 0% | 400 | $0.00 | |
| Z6400 | 0% | 1,373 | $0.00 | |
| 76813 | 0% | 264 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 347 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 287 | $0.00 |
| H1003 | Prenatal care, at-risk enhanced service; education | 0% | 875 | $0.00 |
| 96160 | 0% | 181 | $0.00 | |
| Z6414 | 0% | 382 | $0.00 | |
| G9920 | Screening performed and negative | 0% | 222 | $0.00 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 0% | 39 | $0.00 |
| 99442 | 0% | 50 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 153 | $0.00 |
| 90662 | 0% | 103 | $0.00 | |
| 94664 | 0% | 13 | $0.00 | |
| 96152 | 0% | 13 | $0.00 | |
| Z6308 | 0% | 70 | $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 | 0% | 51 | $0.00 |
| 99201 | 0% | 17 | $0.00 | |
| Z6202 | 0% | 26 | $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.
From NPPES
Who's on the registration
Authorized officialCASTLE, RONALD (CHIEF EXECUTIVE OFFICER)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.