Clinic
Vista Community Clinic
Vista Community Clinic was paid $8.80M by Medicaid between Jan 2018 and Nov 2023, across 74 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 56% of everything it billed.
33Billing provider infoVISTA COMMUNITY CLINIC
OCEANSIDE, CA 92057
OCEANSIDE, CA 92057
33aNPI1689760100assigned 10/04/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$8.80M
24GClaims120,739
24DCodes billed74
24AFirst – last monthJan 2018 – Nov 2023
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#316 of 826
Median peer was paid$4.05M
This provider vs. median2.2×
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 | 18,008 | $2.20M | |
| 2019 | 21,587 | $1.96M | |
| 2020 | 20,812 | $1.30M | |
| 2021 | 38,579 | $2.12M | |
| 2022 | 21,708 | $1.22M | |
| 2023 | 45 | $0.00 |
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 | 56% | 47,569 | 40,949 | $4.96M |
| 00003 | Internal/system code - not a standard HCPCS code | 42% | 22,152 | 19,250 | $3.72M |
| 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% | 15,749 | 14,366 | $50K |
| 0002A | <1% | 224 | 224 | $15K | |
| 0001A | <1% | 198 | 198 | $13K | |
| 0011A | <1% | 173 | 173 | $12K | |
| 0012A | <1% | 165 | 165 | $11K | |
| G9920 | Screening performed and negative | <1% | 1,997 | 1,951 | $7K |
| 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% | 2,667 | 2,562 | $5K |
| 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% | 171 | 171 | $4K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 183 | 176 | $1K |
| 0071A | <1% | 13 | 13 | $871.00 |
62 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 312 | $808.66 |
| 0004A | <1% | 12 | $804.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 281 | $641.70 |
| 81025 | <1% | 379 | $585.20 | |
| 98940 | <1% | 112 | $167.72 | |
| 86703 | <1% | 255 | $130.14 | |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 39 | $101.50 |
| 81002 | <1% | 580 | $29.24 | |
| 90651 | 0% | 352 | $0.00 | |
| 85018 | 0% | 1,049 | $0.00 | |
| Z6204 | 0% | 284 | $0.00 | |
| 90686 | 0% | 1,220 | $0.00 | |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 5,883 | $0.00 |
| 92250 | 0% | 172 | $0.00 | |
| 90698 | 0% | 176 | $0.00 | |
| 90697 | 0% | 92 | $0.00 | |
| 90744 | 0% | 128 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 56 | $0.00 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 86 | $0.00 |
| 92551 | 0% | 1,394 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 190 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 365 | $0.00 |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 55 | $0.00 |
| Z1034 | 0% | 59 | $0.00 | |
| 87650 | 0% | 61 | $0.00 | |
| 90689 | 0% | 172 | $0.00 | |
| 90620 | 0% | 66 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 12 | $0.00 |
| Z6406 | 0% | 52 | $0.00 | |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | 0% | 17 | $0.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 15 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 126 | $0.00 |
| 99381 | 0% | 12 | $0.00 | |
| 96160 | 0% | 5,139 | $0.00 | |
| 99173 | 0% | 1,571 | $0.00 | |
| 90710 | 0% | 82 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 2,463 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 815 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 482 | $0.00 |
| 90715 | 0% | 219 | $0.00 | |
| 82947 | 0% | 359 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 658 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 12 | $0.00 |
| 90681 | 0% | 117 | $0.00 | |
| Z6400 | 0% | 183 | $0.00 | |
| 90734 | 0% | 148 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 207 | $0.00 |
| 90461 | 0% | 884 | $0.00 | |
| 92015 | Determination of refractive state | 0% | 197 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 734 | $0.00 |
| 90670 | 0% | 449 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 409 | $0.00 |
| Z6308 | 0% | 13 | $0.00 | |
| 90633 | 0% | 120 | $0.00 | |
| 1159F | 0% | 45 | $0.00 | |
| 90837 | Psychotherapy session, about an hour | 0% | 14 | $0.00 |
| Z6200 | 0% | 13 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 16 | $0.00 |
| Z6304 | 0% | 27 | $0.00 | |
| Z6414 | 0% | 13 | $0.00 | |
| 99080 | 0% | 12 | $0.00 | |
| 90700 | 0% | 13 | $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 | $10.87M |
| 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.