CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.

$10.92M

Total Medicaid Paid

95,711

Total Claims

73,216

Beneficiaries

43

Codes Billed

2018-02

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
T1015	Clinic service	42,162	30,808	$10.82M
90832		11,141	5,563	$39K
90791		958	788	$13K
99213		8,781	7,770	$12K
99214		5,055	4,498	$11K
90834		2,070	975	$10K
90792		696	620	$5K
90837		312	177	$2K
0031A		35	18	$2K
99212		1,656	1,420	$2K
H0014	Alcohol and/or drug services	500	384	$880.00
99204		167	156	$852.98
80305		802	681	$381.43
99203		59	56	$160.16
99000		883	797	$95.41
92551		111	107	$66.23
96160		101	100	$60.00
90686		35	33	$49.36
90471		92	84	$32.91
83036		44	40	$16.14
82947		73	68	$9.51
82962		422	415	$4.00
G8510	Scr dep neg, no plan reqd	7,060	5,957	$0.93
G8431	Pos clin depres scrn f/u doc	260	223	$0.11
S9451	Exercise class	1,124	1,076	$0.03
1159F		4,888	4,477	$0.00
3078F		321	307	$0.00
99408		37	33	$0.00
99394		12	12	$0.00
99173		111	108	$0.00
99215	Prolong outpt/office vis	13	12	$0.00
S9452	Nutrition class	1,286	1,238	$0.00
G9664	Taking statin or rec'd order	517	468	$0.00
36415		1,681	1,596	$0.00
3008F		1,591	1,515	$0.00
H0049	Alcohol/drug screening	14	13	$0.00
3074F		304	291	$0.00
36416		223	219	$0.00
99384		24	24	$0.00
3351F		42	42	$0.00
1000F		14	13	$0.00
90656		21	21	$0.00
96110		13	13	$0.00

Medicaid Provider Spending