Clinic
Vista Community Clinic
Vista Community Clinic was paid $37.01M by Medicaid between Jan 2018 and Dec 2024, across 104 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 68% of everything it billed.
33Billing provider infoVISTA COMMUNITY CLINIC
LA HABRA, CA 90631
LA HABRA, CA 90631
33aNPI1497203541assigned 09/19/2016
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$37.01M
24GClaims316,533
24DCodes billed104
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#98 of 826
Median peer was paid$4.05M
This provider vs. median9.1×
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.
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 | 7,786 | $1.44M | |
| 2019 | 10,247 | $1.33M | |
| 2020 | 25,382 | $1.98M | |
| 2021 | 31,420 | $2.36M | |
| 2022 | 31,281 | $4.17M | |
| 2023 | 85,858 | $11.52M | |
| 2024incomplete | 124,559 | $14.21M |
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 | 68% | 109,053 | 88,454 | $25.17M |
| 00003 | Internal/system code - not a standard HCPCS code | 31% | 37,551 | 31,635 | $11.65M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 23,158 | 20,963 | $39K |
| 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% | 24,366 | 22,530 | $36K |
| G9920 | Screening performed and negative | <1% | 8,304 | 8,194 | $29K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 10,339 | 9,342 | $13K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 1,308 | 1,158 | $11K |
| 0002A | <1% | 156 | 156 | $10K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 502 | 479 | $9K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 268 | 246 | $5K |
| 0011A | <1% | 63 | 63 | $4K | |
| 0071A | <1% | 62 | 62 | $4K |
92 more codes
| 0001A | <1% | 60 | $4K | |
| 0012A | <1% | 56 | $4K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,149 | $4K |
| 97810 | <1% | 473 | $2K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 1,303 | $2K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 8,828 | $2K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 484 | $2K |
| 0004A | <1% | 27 | $2K | |
| 0072A | <1% | 25 | $2K | |
| 92551 | <1% | 3,457 | $1K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 523 | $778.10 |
| 90837 | Psychotherapy session, about an hour | <1% | 449 | $644.27 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,268 | $570.05 |
| 91320 | <1% | 43 | $393.30 | |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 75 | $319.16 |
| 81002 | <1% | 1,467 | $279.50 | |
| 90656 | <1% | 789 | $160.00 | |
| 86703 | <1% | 420 | $156.06 | |
| 99201 | <1% | 18 | $135.30 | |
| 81025 | <1% | 152 | $114.80 | |
| 85018 | <1% | 2,091 | $105.57 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,912 | $74.89 |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 13 | $29.00 |
| 99173 | 0% | 3,604 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 1,077 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 696 | $0.00 |
| 1159F | 0% | 6,593 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 937 | $0.00 |
| 90461 | 0% | 1,171 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 1,521 | $0.00 |
| 3078F | 0% | 1,019 | $0.00 | |
| 90710 | 0% | 65 | $0.00 | |
| 99188 | 0% | 2,887 | $0.00 | |
| 96160 | 0% | 14,239 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 233 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 3,189 | $0.00 |
| 1160F | 0% | 2,192 | $0.00 | |
| 92015 | Determination of refractive state | 0% | 459 | $0.00 |
| 98940 | 0% | 116 | $0.00 | |
| M1016 | Female patients unable to bear children | 0% | 787 | $0.00 |
| 90670 | 0% | 197 | $0.00 | |
| 90687 | 0% | 97 | $0.00 | |
| 83655 | 0% | 345 | $0.00 | |
| 90715 | 0% | 169 | $0.00 | |
| 82947 | 0% | 412 | $0.00 | |
| Z6400 | 0% | 509 | $0.00 | |
| 90734 | 0% | 81 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 196 | $0.00 |
| 90633 | 0% | 79 | $0.00 | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 0% | 61 | $0.00 |
| 90681 | 0% | 44 | $0.00 | |
| 0502F | 0% | 191 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 39 | $0.00 |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 0% | 12 | $0.00 |
| 1158F | 0% | 54 | $0.00 | |
| G0246 | Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient history, (2) a physical examination that includes: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear, and (3) patient education | 0% | 12 | $0.00 |
| Z6304 | 0% | 39 | $0.00 | |
| Z6302 | 0% | 12 | $0.00 | |
| 99382 | 0% | 12 | $0.00 | |
| 3079F | 0% | 101 | $0.00 | |
| 87428 | 0% | 26 | $0.00 | |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 20,367 | $0.00 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 170 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 743 | $0.00 |
| 3074F | 0% | 1,159 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 1,186 | $0.00 |
| Z6204 | 0% | 406 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 194 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 339 | $0.00 |
| 90619 | 0% | 81 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 1,175 | $0.00 |
| 90686 | 0% | 2,481 | $0.00 | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 0% | 42 | $0.00 |
| 0501F | 0% | 82 | $0.00 | |
| 90651 | 0% | 508 | $0.00 | |
| Z6406 | 0% | 40 | $0.00 | |
| 90688 | 0% | 104 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 147 | $0.00 |
| 99384 | 0% | 41 | $0.00 | |
| Z1034 | 0% | 98 | $0.00 | |
| 90697 | 0% | 297 | $0.00 | |
| 92250 | 0% | 399 | $0.00 | |
| 90677 | 0% | 400 | $0.00 | |
| Z6410 | 0% | 121 | $0.00 | |
| 90620 | 0% | 85 | $0.00 | |
| Z6402 | 0% | 13 | $0.00 | |
| 1123F | 0% | 54 | $0.00 | |
| 90698 | 0% | 12 | $0.00 | |
| 3044F | 0% | 36 | $0.00 | |
| 99383 | 0% | 41 | $0.00 | |
| 99385 | 0% | 14 | $0.00 | |
| 87650 | 0% | 13 | $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 officialLAMBERT, MICHELE (CFO)
| Provider | Location | Paid |
|---|---|---|
| Vista Community Clinic | Vista, CA | $118.09M |
| Vista Community Clinic | Vista, CA | $23.58M |
| Vista Community Clinic | Oceanside, CA | $11.11M |
| Vista Community Clinic | Oceanside, CA | $10.87M |
| Vista Community Clinic | Oceanside, CA | $8.80M |
| Vista Community Clinic | Vista, CA | $1.13M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.