Centro De Salud De LA Comunidad De San Ysidro INC
Centro De Salud De LA Comunidad De San Ysidro INC was paid $33.63M by Medicaid between Nov 2019 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) — 78% of everything it billed.
SAN YSIDRO, CA 92173
Next to other Federally Qualified Health Center (FQHC) providers in California
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 1,830 | $120K | |
| 2020 | 90,211 | $6.26M | |
| 2021 | 144,477 | $7.24M | |
| 2022 | 108,150 | $5.67M | |
| 2023 | 133,266 | $8.42M | |
| 2024incomplete | 73,862 | $5.92M |
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 | 78% | 143,548 | 119,533 | $26.23M |
| 00003 | Internal/system code - not a standard HCPCS code | 21% | 26,657 | 25,258 | $7.05M |
| 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% | 39,836 | 35,430 | $88K |
| 96156 | <1% | 11,022 | 10,587 | $40K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 9,961 | 9,439 | $35K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 18,443 | 16,636 | $35K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 8,867 | 8,451 | $20K |
| 0154A | <1% | 236 | 236 | $16K | |
| 0124A | <1% | 229 | 229 | $15K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 6,836 | 6,509 | $15K |
| 90677 | <1% | 1,442 | 1,385 | $13K | |
| 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% | 8,691 | 8,290 | $12K |
92 more codes
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 131 | $7K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 6,318 | $7K |
| 90686 | <1% | 12,240 | $7K | |
| 92551 | <1% | 13,535 | $5K | |
| 90648 | <1% | 7,697 | $4K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 264 | $3K |
| 90670 | <1% | 6,361 | $3K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 3,017 | $3K |
| 0111A | <1% | 41 | $3K | |
| 90723 | <1% | 2,965 | $2K | |
| 99000 | <1% | 14,298 | $2K | |
| 99173 | <1% | 13,438 | $2K | |
| G9920 | Screening performed and negative | <1% | 6,186 | $2K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 17,807 | $2K |
| 0134A | <1% | 24 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 9,848 | $1K |
| 81025 | <1% | 5,164 | $1K | |
| 90681 | <1% | 1,945 | $1K | |
| 90700 | <1% | 1,961 | $1K | |
| 85018 | <1% | 11,324 | $916.62 | |
| 90633 | <1% | 2,633 | $909.79 | |
| 96160 | <1% | 6,563 | $900.24 | |
| 0144A | <1% | 12 | $804.00 | |
| 0164A | <1% | 12 | $804.00 | |
| 90716 | <1% | 2,244 | $791.34 | |
| 90707 | <1% | 1,923 | $744.22 | |
| 99381 | <1% | 424 | $630.35 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 294 | $490.97 |
| 81002 | <1% | 6,453 | $460.72 | |
| 90651 | <1% | 1,233 | $368.00 | |
| 90619 | <1% | 184 | $340.92 | |
| 90713 | <1% | 393 | $316.00 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 189 | $306.66 |
| 90715 | <1% | 250 | $258.54 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 29 | $233.52 |
| 83655 | <1% | 1,441 | $182.95 | |
| 91321 | <1% | 431 | $181.92 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 329 | $98.42 |
| 90656 | <1% | 906 | $86.07 | |
| 90461 | <1% | 5,237 | $78.33 | |
| 88142 | <1% | 815 | $70.51 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 3,787 | $48.86 |
| 90688 | <1% | 1,484 | $27.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 107 | $26.37 |
| 90474 | <1% | 61 | $22.44 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 65 | $22.04 |
| 90734 | <1% | 381 | $18.00 | |
| 86580 | <1% | 204 | $13.38 | |
| 90685 | <1% | 96 | $9.00 | |
| 96165 | <1% | 132 | $7.94 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 17,982 | $3.15 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 9,414 | $0.60 |
| S9451 | Exercise classes, non-physician provider, per session | <1% | 5,568 | $0.10 |
| S9452 | Nutrition classes, non-physician provider, per session | <1% | 4,896 | $0.09 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 612 | $0.08 |
| Z6414 | 0% | 579 | $0.00 | |
| Z6208 | 0% | 275 | $0.00 | |
| 1159F | 0% | 38,493 | $0.00 | |
| Z6400 | 0% | 3,453 | $0.00 | |
| Z6300 | 0% | 1,145 | $0.00 | |
| Z6308 | 0% | 92 | $0.00 | |
| Z6200 | 0% | 965 | $0.00 | |
| 99201 | 0% | 27 | $0.00 | |
| 3078F | 0% | 199 | $0.00 | |
| Z6304 | 0% | 249 | $0.00 | |
| 3085F | 0% | 36 | $0.00 | |
| 90687 | 0% | 28 | $0.00 | |
| 99188 | 0% | 140 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 17 | $0.00 |
| 59425 | 0% | 14 | $0.00 | |
| Z6408 | 0% | 16 | $0.00 | |
| 91322 | 0% | 14 | $0.00 | |
| 3008F | 0% | 3,493 | $0.00 | |
| Z1034 | 0% | 8,501 | $0.00 | |
| 36416 | 0% | 1,974 | $0.00 | |
| Z6406 | 0% | 2,116 | $0.00 | |
| Z6402 | 0% | 1,497 | $0.00 | |
| 90480 | 0% | 15 | $0.00 | |
| 3074F | 0% | 212 | $0.00 | |
| Z6204 | 0% | 638 | $0.00 | |
| 89240 | 0% | 28 | $0.00 | |
| Z1032 | 0% | 223 | $0.00 | |
| 1000F | 0% | 13 | $0.00 | |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 0% | 19 | $0.00 |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | 0% | 13 | $0.00 |
| Z1038 | 0% | 39 | $0.00 | |
| 90696 | 0% | 36 | $0.00 | |
| 96127 | 0% | 12 | $0.00 | |
| 90647 | 0% | 12 | $0.00 | |
| 90381 | 0% | 56 | $0.00 | |
| 90680 | 0% | 25 | $0.00 | |
| 99383 | 0% | 16 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.