Medicaid Provider Spending

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

VISTA COMMUNITY CLINIC

NPI: 1649363375 · OCEANSIDE, CA 92054 · Federally Qualified Health Center (FQHC) · NPI assigned 10/02/2006

$10.87M
Total Medicaid Paid
184,160
Total Claims
168,139
Beneficiaries
69
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLAMBERT, MICHELE (CFO)
Parent OrganizationVISTA COMMUNITY CLINIC
NPI Enumeration Date10/02/2006

Related Entities

Other providers sharing the same authorized official: LAMBERT, MICHELE

ProviderCityStateTotal Paid
VISTA COMMUNITY CLINIC VISTA CA $118.09M
VISTA COMMUNITY CLINIC LA HABRA CA $37.01M
VISTA COMMUNITY CLINIC VISTA CA $23.58M
VISTA COMMUNITY CLINIC OCEANSIDE CA $11.11M
VISTA COMMUNITY CLINIC OCEANSIDE CA $8.80M
VISTA COMMUNITY CLINIC VISTA CA $1.13M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 16,431 $1.87M
2019 19,079 $1.61M
2020 23,098 $1.27M
2021 33,972 $1.60M
2022 23,163 $1.03M
2023 36,272 $1.69M
2024 32,145 $1.80M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 86,509 75,030 $10.76M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 27,864 25,451 $43K
G9920 Screening performed and negative 2,854 2,827 $11K
0012A 147 147 $10K
0011A 131 131 $9K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 15,451 14,626 $9K
0001A 89 89 $6K
0002A 73 73 $5K
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 233 202 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 475 475 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,852 4,711 $3K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 130 87 $3K
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 193 193 $2K
0004A 21 21 $1K
99401 25 25 $476.75
86703 896 888 $379.49
81025 142 142 $249.20
G9919 Screening performed and positive and provision of recommendations 40 40 $29.00
81002 721 707 $18.06
90734 20 20 $0.00
82947 2,571 2,498 $0.00
99173 845 844 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 290 290 $0.00
90715 238 238 $0.00
96160 10,519 10,436 $0.00
1159F 1,277 1,226 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 723 712 $0.00
3078F 211 205 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 359 356 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 1,121 1,116 $0.00
90791 Psychiatric diagnostic evaluation 43 35 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 304 304 $0.00
99188 250 249 $0.00
98940 176 124 $0.00
M1016 Female patients unable to bear children 62 58 $0.00
90633 17 17 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 100 100 $0.00
1160F 265 244 $0.00
90832 Psychotherapy, 30 minutes with patient 86 74 $0.00
90472 Immunization administration, each additional vaccine (list separately) 52 52 $0.00
G0246 Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient history, (2) a physical examination that includes: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear, and (3) patient education 15 15 $0.00
99397 39 39 $0.00
90461 190 189 $0.00
1158F 56 55 $0.00
90670 27 27 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 24 24 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 84 84 $0.00
99201 13 13 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 14,616 14,020 $0.00
36415 Collection of venous blood by venipuncture 1,802 1,791 $0.00
90686 999 997 $0.00
83036 Hemoglobin; glycosylated (A1C) 1,597 1,585 $0.00
92551 921 918 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 112 112 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 826 780 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 969 966 $0.00
90656 204 204 $0.00
87650 212 211 $0.00
85018 248 248 $0.00
90651 91 91 $0.00
90744 13 13 $0.00
3074F 206 201 $0.00
1123F 56 55 $0.00
90834 Psychotherapy, 45 minutes with patient 42 38 $0.00
90688 32 32 $0.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 161 157 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 94 75 $0.00
87428 120 120 $0.00
99385 16 16 $0.00