Clinic
Vista Community Clinic
Vista Community Clinic was paid $10.87M by Medicaid between Jan 2018 and Dec 2024, across 69 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.
33Billing provider infoVISTA COMMUNITY CLINIC
OCEANSIDE, CA 92054
OCEANSIDE, CA 92054
33aNPI1649363375assigned 10/02/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$10.87M
24GClaims184,160
24DCodes billed69
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#283 of 826
Median peer was paid$4.05M
This provider vs. median2.7×
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.
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 | 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 | |
| 2024incomplete | 32,145 | $1.80M |
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 | 99% | 86,509 | 75,030 | $10.76M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 27,864 | 25,451 | $43K |
| G9920 | Screening performed and negative | <1% | 2,854 | 2,827 | $11K |
| 0012A | <1% | 147 | 147 | $10K | |
| 0011A | <1% | 131 | 131 | $9K | |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 15,451 | 14,626 | $9K |
| 0001A | <1% | 89 | 89 | $6K | |
| 0002A | <1% | 73 | 73 | $5K | |
| G0467 | Community health center visit, returning patientFederally 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 | <1% | 233 | 202 | $4K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 475 | 475 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 4,852 | 4,711 | $3K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 130 | 87 | $3K |
57 more codes
| 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% | 193 | $2K |
| 0004A | <1% | 21 | $1K | |
| 99401 | <1% | 25 | $476.75 | |
| 86703 | <1% | 896 | $379.49 | |
| 81025 | <1% | 142 | $249.20 | |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 40 | $29.00 |
| 81002 | <1% | 721 | $18.06 | |
| 90734 | 0% | 20 | $0.00 | |
| 82947 | 0% | 2,571 | $0.00 | |
| 99173 | 0% | 845 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 290 | $0.00 |
| 90715 | 0% | 238 | $0.00 | |
| 96160 | 0% | 10,519 | $0.00 | |
| 1159F | 0% | 1,277 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 723 | $0.00 |
| 3078F | 0% | 211 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 359 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 1,121 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 0% | 43 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 304 | $0.00 |
| 99188 | 0% | 250 | $0.00 | |
| 98940 | 0% | 176 | $0.00 | |
| M1016 | Female patients unable to bear children | 0% | 62 | $0.00 |
| 90633 | 0% | 17 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 100 | $0.00 |
| 1160F | 0% | 265 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 86 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 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 | 0% | 15 | $0.00 |
| 99397 | 0% | 39 | $0.00 | |
| 90461 | 0% | 190 | $0.00 | |
| 1158F | 0% | 56 | $0.00 | |
| 90670 | 0% | 27 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 24 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 84 | $0.00 |
| 99201 | 0% | 13 | $0.00 | |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 14,616 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 1,802 | $0.00 |
| 90686 | 0% | 999 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 1,597 | $0.00 |
| 92551 | 0% | 921 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 112 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 826 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 969 | $0.00 |
| 90656 | 0% | 204 | $0.00 | |
| 87650 | 0% | 212 | $0.00 | |
| 85018 | 0% | 248 | $0.00 | |
| 90651 | 0% | 91 | $0.00 | |
| 90744 | 0% | 13 | $0.00 | |
| 3074F | 0% | 206 | $0.00 | |
| 1123F | 0% | 56 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 42 | $0.00 |
| 90688 | 0% | 32 | $0.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 161 | $0.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 94 | $0.00 |
| 87428 | 0% | 120 | $0.00 | |
| 99385 | 0% | 16 | $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 officialLAMBERT, MICHELE (CFO)
Parent organizationVISTA COMMUNITY CLINIC
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.