Medicaid Provider Spending

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

COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC

NPI: 1598064008 · ARROYO GRANDE, CA 93420 · Community Health Clinic/Center · NPI assigned 03/23/2011

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

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

$12.19M
Total Medicaid Paid
364,175
Total Claims
244,671
Beneficiaries
95
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialALLEN, BARBARA (BUSINESS OFFICE MANAGER)
NPI Enumeration Date03/23/2011

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 OCEANO CA $20.78M
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC TEMPLETON CA $13.71M
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 35,832 $1.31M
2019 52,552 $1.42M
2020 61,601 $1.90M
2021 63,411 $1.89M
2022 56,023 $1.70M
2023 52,449 $1.97M
2024 42,307 $2.00M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 68,055 61,119 $10.24M
0521 150,827 57,528 $1.33M
0636 14,307 8,280 $243K
92340 Fitting of spectacles, except for aphakia; monofocal 7,743 5,365 $83K
V2020 Frames, purchases 8,380 5,956 $78K
0761 3,796 3,519 $50K
0770 4,754 4,575 $31K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 7,242 6,968 $25K
0301 5,563 5,414 $15K
0771 3,001 2,735 $11K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,212 1,154 $10K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 657 601 $8K
0309 861 809 $7K
92250 860 796 $7K
90750 449 405 $7K
92015 Determination of refractive state 8,309 7,790 $5K
0124A 130 89 $4K
0929 258 258 $4K
99051 233 228 $3K
83036 Hemoglobin; glycosylated (A1C) 2,288 2,126 $3K
90480 179 123 $3K
0071A 82 47 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 954 928 $2K
99308 Subsequent nursing facility care, per day, straightforward 837 768 $2K
0306 174 170 $2K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16,964 15,298 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 119 91 $2K
0300 189 140 $2K
0524 2,560 1,200 $808.65
0004A 46 27 $760.00
90662 353 353 $720.00
90677 326 251 $674.00
99188 1,861 1,838 $567.82
82947 1,169 1,058 $485.97
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 81 36 $473.62
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5,015 4,735 $406.80
90715 366 356 $385.07
90679 19 17 $347.24
0307 228 218 $309.56
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,503 1,449 $264.60
99402 277 273 $225.00
0054A 16 12 $214.00
90619 247 195 $189.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 616 614 $111.68
90656 339 328 $105.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,407 1,356 $104.73
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,560 1,501 $98.67
0271 139 131 $86.90
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 45 45 $85.30
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face 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 fqhc visit 66 64 $83.21
99215 Prolong outpt/office vis 2,178 2,082 $70.36
G0008 Administration of influenza virus vaccine 500 499 $49.41
82044 26 16 $48.20
85018 5,254 4,613 $41.34
92552 3,880 3,853 $20.53
83655 147 118 $11.92
99173 3,919 3,869 $6.20
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,292 1,242 $0.00
90707 277 262 $0.00
90670 902 823 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 50 46 $0.00
90633 407 374 $0.00
90734 194 194 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 191 189 $0.00
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 92 92 $0.00
0900 225 148 $0.00
2028F 152 146 $0.00
G0468 Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv 16 16 $0.00
90472 Immunization administration, each additional vaccine (list separately) 21 21 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 60 59 $0.00
99497 13 12 $0.00
90647 803 701 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,854 4,690 $0.00
90651 598 485 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 3,660 3,616 $0.00
90680 685 587 $0.00
90686 2,828 2,569 $0.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 293 293 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,224 1,201 $0.00
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 102 99 $0.00
82962 24 24 $0.00
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 453 451 $0.00
90723 832 717 $0.00
90716 341 305 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 67 61 $0.00
90620 287 234 $0.00
G0396 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes 85 85 $0.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 78 40 $0.00
93000 40 40 $0.00
V2784 Lens, polycarbonate or equal, any index, per lens 325 325 $0.00
99443 34 33 $0.00
81000 54 54 $0.00
99385 24 24 $0.00
99381 12 12 $0.00
99386 14 14 $0.00