CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC
NPI: 1821625278
· SAN DIEGO, CA 92114
· Federally Qualified Health Center (FQHC)
· NPI assigned 03/25/2020
Provider Details
| Authorized Official | WALLACE, WILLIAM (VP/CFO) |
| Parent Organization | CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC |
| NPI Enumeration Date | 03/25/2020 |
Related Entities
Other providers sharing the same authorized official: WALLACE, WILLIAM
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
92 |
$2K |
| 2022 |
126 |
$2K |
| 2023 |
134 |
$5K |
| 2024 |
45 |
$909.73 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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 |
159 |
152 |
$6K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
225 |
213 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
12 |
$0.00 |