Centro De Salud De LA Comunidad De San Ysidro, INC.
Centro De Salud De LA Comunidad De San Ysidro, INC. was paid $64.14M by Medicaid between Jan 2018 and Dec 2024, across 124 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 83% of everything it billed.
EL CAJON, CA 92020
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 | |
|---|---|---|---|
| 2018 | 11,796 | $1.36M | |
| 2019 | 14,210 | $1.40M | |
| 2020 | 41,182 | $5.21M | |
| 2021 | 126,415 | $11.21M | |
| 2022 | 157,362 | $13.21M | |
| 2023 | 177,493 | $15.75M | |
| 2024incomplete | 142,731 | $16.00M |
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 | 83% | 237,342 | 187,673 | $53.54M |
| 00003 | Internal/system code - not a standard HCPCS code | 12% | 23,271 | 19,099 | $7.44M |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 1.6% | 3,038 | 2,674 | $1.02M |
| H2017 | Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes | <1% | 2,003 | 1,680 | $478K |
| H2010 | Comprehensive medication services, per 15 minutes | <1% | 1,185 | 1,156 | $292K |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | <1% | 1,630 | 1,156 | $287K |
| 0011A | <1% | 2,448 | 1,284 | $125K | |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 38,943 | 21,832 | $114K |
| 0012A | <1% | 2,021 | 1,054 | $106K | |
| H0032 | Mental health service plan development by non-physician | <1% | 192 | 192 | $93K |
| 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% | 63,043 | 54,543 | $93K |
| 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% | 39,130 | 34,372 | $91K |
112 more codes
| 90791 | Psychiatric diagnostic evaluation | <1% | 5,128 | $65K |
| 0064A | <1% | 898 | $47K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 2,658 | $46K |
| G0467 | Community health center visit, returning patient | <1% | 2,354 | $41K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 27,892 | $37K |
| D9430 | <1% | 852 | $21K | |
| 0031A | <1% | 405 | $20K | |
| 0002A | <1% | 342 | $18K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 1,556 | $18K |
| 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% | 1,527 | $18K |
| 0001A | <1% | 327 | $17K | |
| 0071A | <1% | 278 | $15K | |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 9,870 | $14K |
| 0004A | <1% | 226 | $12K | |
| 0072A | <1% | 195 | $10K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 1,442 | $9K |
| 90837 | Psychotherapy session, about an hour | <1% | 202 | $7K |
| 0054A | <1% | 129 | $7K | |
| 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 | <1% | 129 | $5K |
| 98940 | <1% | 5,323 | $4K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 2,087 | $4K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,437 | $4K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 804 | $3K |
| 0051A | <1% | 40 | $2K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 116 | $2K |
| D4910 | <1% | 24 | $2K | |
| 0052A | <1% | 32 | $2K | |
| 99000 | <1% | 6,494 | $2K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 22 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 28 | $1K |
| 90899 | <1% | 95 | $1K | |
| 80305 | <1% | 1,437 | $1K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 698 | $1K |
| 96156 | <1% | 2,083 | $970.22 | |
| 0134A | <1% | 14 | $921.25 | |
| 0124A | <1% | 15 | $904.50 | |
| D0274 | Bitewings - four radiographic images | <1% | 21 | $840.00 |
| D0120 | Dental checkup, returning patient | <1% | 25 | $700.00 |
| 92551 | <1% | 1,338 | $521.68 | |
| 90686 | <1% | 434 | $514.09 | |
| G9920 | Screening performed and negative | <1% | 655 | $426.59 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,197 | $304.32 |
| 90677 | <1% | 28 | $287.29 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 413 | $237.80 |
| 90715 | <1% | 150 | $237.66 | |
| 96160 | <1% | 1,731 | $220.90 | |
| 90651 | <1% | 50 | $215.00 | |
| H0014 | Alcohol and/or drug services; ambulatory detoxification | <1% | 493 | $192.50 |
| 99173 | <1% | 1,528 | $171.97 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 173 | $148.82 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 214 | $109.63 |
| 90698 | <1% | 19 | $108.85 | |
| 90656 | <1% | 74 | $106.16 | |
| 98942 | <1% | 175 | $105.35 | |
| 99205 | Prolong outpt/office vis | <1% | 125 | $82.70 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 41 | $68.68 |
| 99383 | <1% | 18 | $54.83 | |
| 97026 | <1% | 720 | $42.92 | |
| 90744 | <1% | 17 | $35.00 | |
| 90670 | <1% | 79 | $27.00 | |
| 90648 | <1% | 41 | $18.00 | |
| 90723 | <1% | 14 | $18.00 | |
| 85018 | <1% | 397 | $17.89 | |
| 83655 | <1% | 42 | $10.63 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 54,681 | $9.32 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,511 | $8.24 |
| 81002 | <1% | 92 | $4.30 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 1,872 | $0.79 |
| S9451 | Exercise classes, non-physician provider, per session | <1% | 9,435 | $0.19 |
| 1125F | <1% | 385 | $0.05 | |
| S9452 | Nutrition classes, non-physician provider, per session | <1% | 13,541 | $0.05 |
| 1159F | <1% | 55,223 | $0.04 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 80 | $0.00 |
| 90734 | 0% | 12 | $0.00 | |
| 97813 | 0% | 373 | $0.00 | |
| 97810 | 0% | 197 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 79 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 186 | $0.00 |
| 3077F | 0% | 12 | $0.00 | |
| 97811 | 0% | 197 | $0.00 | |
| 90461 | 0% | 203 | $0.00 | |
| 3078F | 0% | 714 | $0.00 | |
| 90750 | 0% | 14 | $0.00 | |
| 90633 | 0% | 56 | $0.00 | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 0% | 33 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 59 | $0.00 |
| 96165 | 0% | 32 | $0.00 | |
| 3085F | 0% | 149 | $0.00 | |
| 4064F | 0% | 26 | $0.00 | |
| 4004F | 0% | 48 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 12 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 14 | $0.00 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 12 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 7,101 | $0.00 |
| 3008F | 0% | 14,507 | $0.00 | |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | 0% | 6,550 | $0.00 |
| 3074F | 0% | 878 | $0.00 | |
| 97814 | 0% | 316 | $0.00 | |
| 3075F | 0% | 26 | $0.00 | |
| 3351F | 0% | 258 | $0.00 | |
| 90688 | 0% | 92 | $0.00 | |
| 36416 | 0% | 69 | $0.00 | |
| 1000F | 0% | 78 | $0.00 | |
| 3079F | 0% | 197 | $0.00 | |
| 1126F | 0% | 18 | $0.00 | |
| 2023F | 0% | 52 | $0.00 | |
| H0049 | Alcohol and/or drug screening | 0% | 35 | $0.00 |
| 3354F | 0% | 30 | $0.00 | |
| 96127 | 0% | 30 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 47 | $0.00 |
| 90619 | 0% | 12 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 28 | $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.