Medicaid Provider Spending

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

COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC

NPI: 1629377452 · SAN LUIS OBISPO, CA 93405 · Community Health Clinic/Center · NPI assigned 03/18/2011

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

Authorized official CASTLE, RONALD controls 14+ related entities in our dataset. Read more

$31.19M
Total Medicaid Paid
768,772
Total Claims
497,600
Beneficiaries
106
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCASTLE, RONALD (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date03/18/2011

Related Entities

Other providers sharing the same authorized official: CASTLE, RONALD

ProviderCityStateTotal Paid
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC SANTA MARIA CA $55.38M
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC SANTA MARIA CA $35.52M
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC TEMPLETON CA $33.31M
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC SAN LUIS OBISPO CA $25.47M
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC GUADALUPE CA $20.22M
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC SAN LUIS OBISPO CA $10.79M
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC PASO ROBLES CA $10.30M
COMMUNITY HEALTH CENTER OF THE CENTRAL COAST INC SANTA MARIA CA $3.69M
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC SANTA MARIA CA $3.06M
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC SAN MIGUEL CA $2.28M
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC SANTA MARIA CA $1.13M
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST SANTA MARIA CA $630K
COMMUNITY HEALTH CENTER OF THE CENTRAL COAST INC SANTA MARIA CA $146K
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC SANTA MARIA CA $64K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 63,582 $3.84M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 176,769 144,782 $28.77M
0521 328,501 134,558 $1.69M
0636 27,625 16,006 $448K
0761 7,408 6,823 $102K
0301 9,284 9,035 $29K
0771 5,124 4,738 $23K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 2,929 2,847 $17K
98940 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 380 380 $12K
0770 6,786 6,726 $10K
90750 352 329 $7K
0412 236 219 $6K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 3,060 2,993 $6K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 8,980 6,060 $6K
83036 Hemoglobin; glycosylated (A1C) 4,431 4,125 $6K
0309 949 863 $5K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 57,492 50,906 $5K
0300 246 215 $3K
0306 191 189 $2K
99385 873 843 $2K
99460 69 48 $2K
0071A 81 48 $2K
0011A 157 105 $2K
0124A 48 33 $2K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,400 8,807 $1K
0900 10,268 6,507 $1K
0632 30 30 $1K
0012A 34 34 $986.00
99386 135 131 $975.81
96127 631 499 $865.13
90834 Psychotherapy, 45 minutes with patient 10,116 5,817 $764.02
0307 741 676 $737.34
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 79 72 $504.00
90480 29 17 $480.00
90662 439 439 $480.00
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 340 318 $466.00
90677 141 120 $378.18
0004A 19 13 $360.00
99188 2,472 2,459 $331.26
82274 73 73 $325.37
90715 452 447 $303.72
0064A 18 13 $280.00
93000 114 114 $264.80
85018 7,161 6,272 $210.89
90656 463 454 $188.81
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5,052 4,618 $171.30
90619 196 173 $171.00
90832 Psychotherapy, 30 minutes with patient 2,665 2,077 $164.42
0001A 19 13 $153.00
99051 4,617 4,522 $150.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 305 301 $146.26
99406 15 13 $102.48
90686 5,787 5,376 $94.21
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 12 12 $58.83
0271 241 215 $54.24
G0008 Administration of influenza virus vaccine 651 648 $43.92
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,317 2,231 $41.98
83655 109 91 $23.84
99173 5,598 5,537 $11.41
81000 449 437 $0.00
90651 765 686 $0.00
90716 614 544 $0.00
90723 625 548 $0.00
90792 Psychiatric diagnostic evaluation with medical services 259 248 $0.00
90620 375 359 $0.00
90680 408 364 $0.00
90647 724 634 $0.00
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 1,038 932 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 137 136 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 9,167 8,676 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 1,109 1,107 $0.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 234 234 $0.00
20610 119 113 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 165 149 $0.00
J1040 Injection, methylprednisolone acetate, 80 mg 76 57 $0.00
J3490 Unclassified drugs 152 96 $0.00
G0009 Administration of pneumococcal vaccine 27 27 $0.00
90696 42 42 $0.00
J1030 Injection, methylprednisolone acetate, 40 mg 32 27 $0.00
99381 13 13 $0.00
99384 14 14 $0.00
92552 5,463 5,434 $0.00
90837 Psychotherapy, 53 minutes with patient 555 395 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 844 799 $0.00
90472 Immunization administration, each additional vaccine (list separately) 156 135 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,112 2,004 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 30 30 $0.00
90670 945 836 $0.00
99442 292 247 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 3,521 3,042 $0.00
90707 609 539 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,245 2,146 $0.00
90700 84 82 $0.00
90791 Psychiatric diagnostic evaluation 618 559 $0.00
69209 16 14 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,828 1,755 $0.00
90734 441 440 $0.00
2028F 32 32 $0.00
90633 580 529 $0.00
94375 65 64 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 57 57 $0.00
G8511 Screening for depression documented as positive, follow-up plan not documented, reason not given 26 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 640 377 $0.00
81025 14 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 41 41 $0.00
20600 12 12 $0.00