Clinic
Community Health Centers of the Central Coast, INC
Community Health Centers of the Central Coast, INC was paid $31.19M by Medicaid between Jan 2018 and Dec 2024, across 106 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 92% of everything it billed.
33Billing provider infoCOMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC
SAN LUIS OBISPO, CA 93405
SAN LUIS OBISPO, CA 93405
33aNPI1629377452assigned 03/18/2011
33bProvider typeCommunity Health Clinic/Center
28Total paid$31.19M
24GClaims768,772
24DCodes billed106
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Community Health Clinic/Center providers in California
Rank by total paid#8 of 288
Median peer was paid$2.15M
This provider vs. median14×
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.
Entity ProliferationAuthorized official CASTLE, RONALD controls 14+ related entities in our dataset. Read more
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 | 96,051 | $4.36M | |
| 2019 | 111,366 | $3.81M | |
| 2020 | 149,182 | $5.07M | |
| 2021 | 124,656 | $5.60M | |
| 2022 | 122,877 | $4.02M | |
| 2023 | 101,058 | $4.47M | |
| 2024incomplete | 63,582 | $3.84M |
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 | 92% | 176,769 | 144,782 | $28.77M |
| 0521 | 5.4% | 328,501 | 134,558 | $1.69M | |
| 0636 | 1.4% | 27,625 | 16,006 | $448K | |
| 0761 | <1% | 7,408 | 6,823 | $102K | |
| 0301 | <1% | 9,284 | 9,035 | $29K | |
| 0771 | <1% | 5,124 | 4,738 | $23K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 2,929 | 2,847 | $17K |
| 98940 | <1% | 18,292 | 10,538 | $17K | |
| 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% | 380 | 380 | $12K |
| 0770 | <1% | 6,786 | 6,726 | $10K | |
| 90750 | <1% | 352 | 329 | $7K | |
| 0412 | <1% | 236 | 219 | $6K |
94 more codes
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 3,060 | $6K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 8,980 | $6K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 4,431 | $6K |
| 0309 | <1% | 949 | $5K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 57,492 | $5K |
| 0300 | <1% | 246 | $3K | |
| 0306 | <1% | 191 | $2K | |
| 99385 | <1% | 873 | $2K | |
| 99460 | <1% | 69 | $2K | |
| 0071A | <1% | 81 | $2K | |
| 0011A | <1% | 157 | $2K | |
| 0124A | <1% | 48 | $2K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 9,400 | $1K |
| 0900 | <1% | 10,268 | $1K | |
| 0632 | <1% | 30 | $1K | |
| 0012A | <1% | 34 | $986.00 | |
| 99386 | <1% | 135 | $975.81 | |
| 96127 | <1% | 631 | $865.13 | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 10,116 | $764.02 |
| 0307 | <1% | 741 | $737.34 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 79 | $504.00 |
| 90480 | <1% | 29 | $480.00 | |
| 90662 | <1% | 439 | $480.00 | |
| G0467 | Community health center visit, returning patient | <1% | 340 | $466.00 |
| 90677 | <1% | 141 | $378.18 | |
| 0004A | <1% | 19 | $360.00 | |
| 99188 | <1% | 2,472 | $331.26 | |
| 82274 | <1% | 73 | $325.37 | |
| 90715 | <1% | 452 | $303.72 | |
| 0064A | <1% | 18 | $280.00 | |
| 93000 | <1% | 114 | $264.80 | |
| 85018 | <1% | 7,161 | $210.89 | |
| 90656 | <1% | 463 | $188.81 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 5,052 | $171.30 |
| 90619 | <1% | 196 | $171.00 | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 2,665 | $164.42 |
| 0001A | <1% | 19 | $153.00 | |
| 99051 | <1% | 4,617 | $150.00 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 305 | $146.26 |
| 99406 | <1% | 15 | $102.48 | |
| 90686 | <1% | 5,787 | $94.21 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 12 | $58.83 |
| 0271 | <1% | 241 | $54.24 | |
| G0008 | Administration of influenza virus vaccine | <1% | 651 | $43.92 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,317 | $41.98 |
| 83655 | <1% | 109 | $23.84 | |
| 99173 | <1% | 5,598 | $11.41 | |
| 81000 | 0% | 449 | $0.00 | |
| 90651 | 0% | 765 | $0.00 | |
| 90716 | 0% | 614 | $0.00 | |
| 90723 | 0% | 625 | $0.00 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 259 | $0.00 |
| 90620 | 0% | 375 | $0.00 | |
| 90680 | 0% | 408 | $0.00 | |
| 90647 | 0% | 724 | $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% | 1,038 | $0.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 137 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 9,167 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 1,109 | $0.00 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 234 | $0.00 |
| 20610 | 0% | 119 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 165 | $0.00 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 0% | 76 | $0.00 |
| J3490 | Unclassified drugs | 0% | 152 | $0.00 |
| G0009 | Administration of pneumococcal vaccine | 0% | 27 | $0.00 |
| 90696 | 0% | 42 | $0.00 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 0% | 32 | $0.00 |
| 99381 | 0% | 13 | $0.00 | |
| 99384 | 0% | 14 | $0.00 | |
| 92552 | 0% | 5,463 | $0.00 | |
| 90837 | Psychotherapy session, about an hour | 0% | 555 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 844 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 156 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 2,112 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 30 | $0.00 |
| 90670 | 0% | 945 | $0.00 | |
| 99442 | 0% | 292 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 3,521 | $0.00 |
| 90707 | 0% | 609 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 2,245 | $0.00 |
| 90700 | 0% | 84 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 618 | $0.00 |
| 69209 | 0% | 16 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 1,828 | $0.00 |
| 90734 | 0% | 441 | $0.00 | |
| 2028F | 0% | 32 | $0.00 | |
| 90633 | 0% | 580 | $0.00 | |
| 94375 | 0% | 65 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 57 | $0.00 |
| G8511 | Screening for depression documented as positive, follow-up plan not documented, reason not given | 0% | 26 | $0.00 |
| 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 | 0% | 640 | $0.00 |
| 81025 | 0% | 14 | $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% | 41 | $0.00 |
| 20600 | 0% | 12 | $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 officialCASTLE, RONALD (CHIEF EXECUTIVE OFFICER)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.