Clinic
Vista Community Clinic
Vista Community Clinic was paid $12.77M by Medicaid between Jan 2018 and Feb 2024, across 82 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 60% of everything it billed.
33Billing provider infoVISTA COMMUNITY CLINIC
LAKE ELSINORE, CA 92530
LAKE ELSINORE, CA 92530
33aNPI1649662719assigned 02/26/2015
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$12.77M
24GClaims137,854
24DCodes billed82
24AFirst – last monthJan 2018 – Feb 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#257 of 826
Median peer was paid$4.05M
This provider vs. median3.2×
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 | 14,112 | $2.12M | |
| 2019 | 19,157 | $2.63M | |
| 2020 | 20,488 | $2.09M | |
| 2021 | 26,662 | $2.32M | |
| 2022 | 20,590 | $1.86M | |
| 2023 | 36,317 | $1.75M | |
| 2024incomplete | 528 | $72.00 |
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 | 60% | 50,504 | 42,723 | $7.69M |
| 00003 | Internal/system code - not a standard HCPCS code | 39% | 23,858 | 15,438 | $4.99M |
| 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% | 13,395 | 12,518 | $35K |
| 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% | 9,733 | 8,989 | $13K |
| 0002A | <1% | 102 | 102 | $7K | |
| G9920 | Screening performed and negative | <1% | 2,437 | 2,422 | $4K |
| 0001A | <1% | 61 | 61 | $4K | |
| 1159F | <1% | 5,099 | 4,635 | $4K | |
| 0012A | <1% | 49 | 49 | $3K | |
| 0011A | <1% | 48 | 48 | $3K | |
| 98940 | <1% | 1,331 | 1,079 | $3K | |
| 0004A | <1% | 30 | 30 | $2K |
70 more codes
| 0071A | <1% | 28 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 170 | $2K |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | <1% | 7,293 | $2K |
| 0064A | <1% | 22 | $1K | |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 212 | $1K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 787 | $1K |
| 3074F | <1% | 1,277 | $1K | |
| 0072A | <1% | 14 | $938.00 | |
| 81002 | <1% | 1,487 | $503.98 | |
| 81025 | <1% | 366 | $426.37 | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 144 | $407.10 |
| 0502F | <1% | 91 | $290.60 | |
| 96160 | <1% | 6,019 | $273.06 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,888 | $232.00 |
| 99201 | <1% | 69 | $121.77 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 13 | $119.80 |
| 86703 | <1% | 191 | $73.55 | |
| 92015 | Determination of refractive state | <1% | 151 | $55.00 |
| 90686 | <1% | 1,082 | $45.00 | |
| 82947 | <1% | 579 | $15.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 573 | $0.00 |
| 3079F | 0% | 364 | $0.00 | |
| 85018 | 0% | 416 | $0.00 | |
| 0501F | 0% | 17 | $0.00 | |
| 92551 | 0% | 194 | $0.00 | |
| Z6402 | 0% | 92 | $0.00 | |
| Z6410 | 0% | 409 | $0.00 | |
| 90744 | 0% | 15 | $0.00 | |
| Z1034 | 0% | 271 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 97 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 166 | $0.00 |
| 90651 | 0% | 63 | $0.00 | |
| 1123F | 0% | 54 | $0.00 | |
| 3075F | 0% | 143 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 43 | $0.00 |
| 92250 | 0% | 52 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 44 | $0.00 |
| Z6406 | 0% | 52 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 116 | $0.00 |
| 3080F | 0% | 42 | $0.00 | |
| 99384 | 0% | 12 | $0.00 | |
| Z1032 | 0% | 12 | $0.00 | |
| 90698 | 0% | 16 | $0.00 | |
| 99383 | 0% | 13 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 116 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 30 | $0.00 |
| 3078F | 0% | 1,047 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 1,726 | $0.00 |
| 90461 | 0% | 399 | $0.00 | |
| Z6400 | 0% | 795 | $0.00 | |
| M1016 | Female patients unable to bear children | 0% | 70 | $0.00 |
| 1158F | 0% | 54 | $0.00 | |
| 3077F | 0% | 87 | $0.00 | |
| 99173 | 0% | 255 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 67 | $0.00 |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 0% | 154 | $0.00 |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 0% | 12 | $0.00 |
| 90633 | 0% | 43 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 132 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 207 | $0.00 |
| 90710 | 0% | 15 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 107 | $0.00 |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 325 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 0% | 112 | $0.00 |
| 90715 | 0% | 127 | $0.00 | |
| 90670 | 0% | 17 | $0.00 | |
| 99188 | 0% | 21 | $0.00 | |
| 90837 | Psychotherapy session, about an hour | 0% | 67 | $0.00 |
| 59425 | 0% | 20 | $0.00 | |
| 90734 | 0% | 43 | $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 officialSANUDO, FERNANDO (CEO)