Community Health Centers of the Central Coast, INC
Community Health Centers of the Central Coast, INC was paid $12.19M by Medicaid between Jan 2018 and Dec 2024, across 95 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 84% of everything it billed.
ARROYO GRANDE, CA 93420
Next to other Community Health Clinic/Center 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 | 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 | |
| 2024incomplete | 42,307 | $2.00M |
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 | 84% | 68,055 | 61,119 | $10.24M |
| 0521 | 11% | 150,827 | 57,528 | $1.33M | |
| 0636 | 2.0% | 14,307 | 8,280 | $243K | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 7,743 | 5,365 | $83K |
| V2020 | Frames, purchases | <1% | 8,380 | 5,956 | $78K |
| 0761 | <1% | 3,796 | 3,519 | $50K | |
| 0770 | <1% | 4,754 | 4,575 | $31K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 7,242 | 6,968 | $25K |
| 0301 | <1% | 5,563 | 5,414 | $15K | |
| 0771 | <1% | 3,001 | 2,735 | $11K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 1,212 | 1,154 | $10K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 657 | 601 | $8K |
83 more codes
| 0309 | <1% | 861 | $7K | |
| 92250 | <1% | 860 | $7K | |
| 90750 | <1% | 449 | $7K | |
| 92015 | Determination of refractive state | <1% | 8,309 | $5K |
| 0124A | <1% | 130 | $4K | |
| 0929 | <1% | 258 | $4K | |
| 99051 | <1% | 233 | $3K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,288 | $3K |
| 90480 | <1% | 179 | $3K | |
| 0071A | <1% | 82 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 954 | $2K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 837 | $2K |
| 0306 | <1% | 174 | $2K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 16,964 | $2K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 119 | $2K |
| 0300 | <1% | 189 | $2K | |
| 0524 | <1% | 2,560 | $808.65 | |
| 0004A | <1% | 46 | $760.00 | |
| 90662 | <1% | 353 | $720.00 | |
| 90677 | <1% | 326 | $674.00 | |
| 99188 | <1% | 1,861 | $567.82 | |
| 82947 | <1% | 1,169 | $485.97 | |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 81 | $473.62 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 5,015 | $406.80 |
| 90715 | <1% | 366 | $385.07 | |
| 90679 | <1% | 19 | $347.24 | |
| 0307 | <1% | 228 | $309.56 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,503 | $264.60 |
| 99402 | <1% | 277 | $225.00 | |
| 0054A | <1% | 16 | $214.00 | |
| 90619 | <1% | 247 | $189.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 616 | $111.68 |
| 90656 | <1% | 339 | $105.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,407 | $104.73 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,560 | $98.67 |
| 0271 | <1% | 139 | $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 | <1% | 45 | $85.30 |
| G0467 | Community health center visit, returning patient | <1% | 66 | $83.21 |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 2,178 | $70.36 |
| G0008 | Administration of influenza virus vaccine | <1% | 500 | $49.41 |
| 82044 | <1% | 26 | $48.20 | |
| 85018 | <1% | 5,254 | $41.34 | |
| 92552 | <1% | 3,880 | $20.53 | |
| 83655 | <1% | 147 | $11.92 | |
| 99173 | <1% | 3,919 | $6.20 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 1,292 | $0.00 |
| 90707 | 0% | 277 | $0.00 | |
| 90670 | 0% | 902 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 50 | $0.00 |
| 90633 | 0% | 407 | $0.00 | |
| 90734 | 0% | 194 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 191 | $0.00 |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 0% | 92 | $0.00 |
| 0900 | 0% | 225 | $0.00 | |
| 2028F | 0% | 152 | $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 | 0% | 16 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 21 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 60 | $0.00 |
| 99497 | 0% | 13 | $0.00 | |
| 90647 | 0% | 803 | $0.00 | |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 4,854 | $0.00 |
| 90651 | 0% | 598 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 3,660 | $0.00 |
| 90680 | 0% | 685 | $0.00 | |
| 90686 | 0% | 2,828 | $0.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 293 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 1,224 | $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% | 102 | $0.00 |
| 82962 | 0% | 24 | $0.00 | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 0% | 453 | $0.00 |
| 90723 | 0% | 832 | $0.00 | |
| 90716 | 0% | 341 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 67 | $0.00 |
| 90620 | 0% | 287 | $0.00 | |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | 0% | 85 | $0.00 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 0% | 78 | $0.00 |
| 93000 | 0% | 40 | $0.00 | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 0% | 325 | $0.00 |
| 99443 | 0% | 34 | $0.00 | |
| 81000 | 0% | 54 | $0.00 | |
| 99385 | 0% | 24 | $0.00 | |
| 99381 | 0% | 12 | $0.00 | |
| 99386 | 0% | 14 | $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.