Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC

NPI: 1841217866 · NIPOMO, CA 93444 · Federally Qualified Health Center (FQHC) · NPI assigned 07/16/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official ALLEN, BARBARA controls 15+ related entities in our dataset. Read more

$51.61M
Total Medicaid Paid
887,449
Total Claims
562,422
Beneficiaries
126
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialALLEN, BARBARA (BUSINESS OFFICE MANAGER)
NPI Enumeration Date07/16/2006

Related Entities

Other providers sharing the same authorized official: ALLEN, BARBARA

ProviderCityStateTotal Paid
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC SANTA MARIA CA $49.45M
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC LOMPOC CA $27.25M
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC SANTA MARIA CA $23.34M
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC PASO ROBLES CA $20.79M
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC OCEANO CA $20.78M
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC TEMPLETON CA $13.71M
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC ARROYO GRANDE CA $12.19M
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC ARROYO GRANDE CA $8.96M
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC ARROYO GRANDE CA $5.87M
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC ATASCADERO CA $2.15M
RAINBOW PEDIATRICS, LLC STAMFORD CT $1.59M
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC CAMBRIA CA $840K
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC OCEANO CA $458K
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC NEW CUYAMA CA $181K
BLUE WATER ANESTHESIA SERVICES PORT ST LUCIE FL $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 147,172 $11.38M
2019 129,499 $8.56M
2020 157,795 $6.84M
2021 136,355 $6.68M
2022 134,512 $5.83M
2023 106,873 $6.33M
2024 75,243 $6.00M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 161,347 136,788 $25.96M
00003 Internal/system code - not a standard HCPCS code 113,357 61,144 $21.42M
0521 361,025 146,594 $3.13M
0636 20,418 12,325 $422K
0761 5,471 5,099 $102K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 15,683 15,193 $87K
92340 Fitting of spectacles, except for aphakia; monofocal 8,829 6,731 $84K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 28,470 26,892 $81K
V2020 Frames, purchases 9,526 7,388 $77K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 9,913 9,637 $35K
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 2,925 2,901 $29K
H1001 Prenatal care, at-risk enhanced service; antepartum management 1,314 732 $27K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 41 41 $26K
0771 4,416 4,170 $17K
0770 5,637 5,608 $16K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 16,369 9,709 $13K
0301 7,408 7,290 $12K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 296 183 $10K
92250 492 473 $7K
0307 2,436 2,195 $7K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 1,586 948 $5K
0309 763 728 $5K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,638 1,615 $5K
90750 211 194 $4K
92015 Determination of refractive state 10,913 10,376 $4K
0306 303 300 $3K
0270 194 184 $3K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 2,495 2,473 $2K
0124A 59 43 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 358 265 $1K
G0442 Annual alcohol misuse screening, 5 to 15 minutes 800 775 $1K
99283 Emergency department visit for the evaluation and management, moderate severity 28 25 $1K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 335 334 $1K
90651 760 678 $1K
0500 58 40 $1K
83036 Hemoglobin; glycosylated (A1C) 1,166 1,076 $1K
0900 4,746 3,520 $891.17
0051A 26 13 $871.00
0929 59 59 $864.00
99188 2,123 2,088 $840.48
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 16,730 15,103 $761.57
0412 40 38 $755.74
99238 Hospital discharge day management, 30 minutes or less 39 39 $560.41
0300 48 47 $540.68
90677 409 314 $522.00
0271 32 30 $490.73
82947 477 396 $489.82
81025 1,060 1,037 $474.55
0064A 31 21 $440.00
G9919 Screening performed and positive and provision of recommendations 24 13 $428.04
0011A 45 28 $408.00
0003A 23 13 $400.00
90619 389 288 $360.00
0004A 23 14 $360.00
90662 126 126 $318.40
85018 7,633 6,655 $255.34
G0071 Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only 18 17 $246.42
11721 573 566 $244.56
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,955 1,896 $209.59
11720 208 201 $194.16
81003 660 581 $190.89
90834 Psychotherapy, 45 minutes with patient 4,262 2,791 $160.00
H1003 Prenatal care, at-risk enhanced service; education 26 12 $154.73
99401 209 186 $145.05
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,809 1,780 $143.60
99385 89 89 $117.33
99233 Prolong inpt eval add15 m 13 13 $105.34
90656 325 313 $105.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,970 1,919 $104.73
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 29 26 $86.92
92552 4,783 4,727 $79.34
99381 527 526 $55.75
99051 558 553 $50.00
83655 391 263 $47.68
99173 4,789 4,716 $33.09
G0008 Administration of influenza virus vaccine 286 286 $26.38
87210 117 115 $25.65
82962 13 12 $3.28
G8510 Screening for depression is documented as negative, a follow-up plan is not required 8,771 8,353 $0.00
90723 1,348 1,151 $0.00
90716 687 594 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 173 173 $0.00
H0001 Alcohol and/or drug assessment 744 743 $0.00
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 1,242 1,225 $0.00
99384 25 25 $0.00
90686 4,327 3,931 $0.00
90680 897 759 $0.00
V2784 Lens, polycarbonate or equal, any index, per lens 520 519 $0.00
90647 1,228 1,037 $0.00
96127 103 100 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,602 1,575 $0.00
99368 22 13 $0.00
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 41 41 $0.00
88720 30 27 $0.00
90620 303 274 $0.00
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 524 524 $0.00
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens 47 47 $0.00
G0396 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes 144 139 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 12 12 $0.00
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 153 153 $0.00
90696 95 78 $0.00
81000 66 66 $0.00
99383 30 30 $0.00
Z1034 15 13 $0.00
90715 206 188 $0.00
90734 330 330 $0.00
2028F 894 868 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,726 1,671 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 541 469 $0.00
90837 Psychotherapy, 53 minutes with patient 771 509 $0.00
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 49 49 $0.00
90633 651 545 $0.00
90832 Psychotherapy, 30 minutes with patient 1,418 1,032 $0.00
95251 136 132 $0.00
90670 1,277 1,127 $0.00
90791 Psychiatric diagnostic evaluation 500 370 $0.00
90707 554 468 $0.00
96160 223 212 $0.00
99442 110 109 $0.00
99215 Prolong outpt/office vis 89 89 $0.00
11056 12 12 $0.00
90679 13 13 $0.00
0524 30 13 $0.00
94375 12 12 $0.00
90700 12 12 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 13 13 $0.00