Clinic
Community Health Centers of the Central Coast INC
Community Health Centers of the Central Coast INC was paid $51.61M by Medicaid between Jan 2018 and Dec 2024, across 126 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 50% of everything it billed.
33Billing provider infoCOMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC
NIPOMO, CA 93444
NIPOMO, CA 93444
33aNPI1841217866assigned 07/16/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$51.61M
24GClaims887,449
24DCodes billed126
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#65 of 826
Median peer was paid$4.05M
This provider vs. median13×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official ALLEN, BARBARA controls 15+ related entities in our dataset. Read more
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 | 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 | |
| 2024incomplete | 75,243 | $6.00M |
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 | 50% | 161,347 | 136,788 | $25.96M |
| 00003 | Internal/system code - not a standard HCPCS code | 41% | 113,357 | 61,144 | $21.42M |
| 0521 | 6.1% | 361,025 | 146,594 | $3.13M | |
| 0636 | <1% | 20,418 | 12,325 | $422K | |
| 0761 | <1% | 5,471 | 5,099 | $102K | |
| 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% | 15,683 | 15,193 | $87K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 8,829 | 6,731 | $84K |
| 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% | 28,470 | 26,892 | $81K |
| V2020 | Frames, purchases | <1% | 9,526 | 7,388 | $77K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 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 | <1% | 2,925 | 2,901 | $29K |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 1,314 | 732 | $27K |
114 more codes
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 41 | $26K |
| 0771 | <1% | 4,416 | $17K | |
| 0770 | <1% | 5,637 | $16K | |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 16,369 | $13K |
| 0301 | <1% | 7,408 | $12K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 296 | $10K |
| 92250 | <1% | 492 | $7K | |
| 0307 | <1% | 2,436 | $7K | |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 1,586 | $5K |
| 0309 | <1% | 763 | $5K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 1,638 | $5K |
| 90750 | <1% | 211 | $4K | |
| 92015 | Determination of refractive state | <1% | 10,913 | $4K |
| 0306 | <1% | 303 | $3K | |
| 0270 | <1% | 194 | $3K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 2,495 | $2K |
| 0124A | <1% | 59 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 358 | $1K |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 800 | $1K |
| 99283 | Emergency room visit (moderate) | <1% | 28 | $1K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 335 | $1K |
| 90651 | <1% | 760 | $1K | |
| 0500 | <1% | 58 | $1K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,166 | $1K |
| 0900 | <1% | 4,746 | $891.17 | |
| 0051A | <1% | 26 | $871.00 | |
| 0929 | <1% | 59 | $864.00 | |
| 99188 | <1% | 2,123 | $840.48 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 16,730 | $761.57 |
| 0412 | <1% | 40 | $755.74 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 39 | $560.41 |
| 0300 | <1% | 48 | $540.68 | |
| 90677 | <1% | 409 | $522.00 | |
| 0271 | <1% | 32 | $490.73 | |
| 82947 | <1% | 477 | $489.82 | |
| 81025 | <1% | 1,060 | $474.55 | |
| 0064A | <1% | 31 | $440.00 | |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 24 | $428.04 |
| 0011A | <1% | 45 | $408.00 | |
| 0003A | <1% | 23 | $400.00 | |
| 90619 | <1% | 389 | $360.00 | |
| 0004A | <1% | 23 | $360.00 | |
| 90662 | <1% | 126 | $318.40 | |
| 85018 | <1% | 7,633 | $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 | <1% | 18 | $246.42 |
| 11721 | <1% | 573 | $244.56 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,955 | $209.59 |
| 11720 | <1% | 208 | $194.16 | |
| 81003 | <1% | 660 | $190.89 | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 4,262 | $160.00 |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 26 | $154.73 |
| 99401 | <1% | 209 | $145.05 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,809 | $143.60 |
| 99385 | <1% | 89 | $117.33 | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 13 | $105.34 |
| 90656 | <1% | 325 | $105.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,970 | $104.73 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 29 | $86.92 |
| 92552 | <1% | 4,783 | $79.34 | |
| 99381 | <1% | 527 | $55.75 | |
| 99051 | <1% | 558 | $50.00 | |
| 83655 | <1% | 391 | $47.68 | |
| 99173 | <1% | 4,789 | $33.09 | |
| G0008 | Administration of influenza virus vaccine | <1% | 286 | $26.38 |
| 87210 | <1% | 117 | $25.65 | |
| 82962 | <1% | 13 | $3.28 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 8,771 | $0.00 |
| 90723 | 0% | 1,348 | $0.00 | |
| 90716 | 0% | 687 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 173 | $0.00 |
| H0001 | Alcohol and/or drug assessment | 0% | 744 | $0.00 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 1,242 | $0.00 |
| 99384 | 0% | 25 | $0.00 | |
| 90686 | 0% | 4,327 | $0.00 | |
| 90680 | 0% | 897 | $0.00 | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 0% | 520 | $0.00 |
| 90647 | 0% | 1,228 | $0.00 | |
| 96127 | 0% | 103 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 1,602 | $0.00 |
| 99368 | 0% | 22 | $0.00 | |
| G0467 | Community health center visit, returning patient | 0% | 41 | $0.00 |
| 88720 | 0% | 30 | $0.00 | |
| 90620 | 0% | 303 | $0.00 | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 0% | 524 | $0.00 |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 0% | 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 | 0% | 144 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 12 | $0.00 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 0% | 153 | $0.00 |
| 90696 | 0% | 95 | $0.00 | |
| 81000 | 0% | 66 | $0.00 | |
| 99383 | 0% | 30 | $0.00 | |
| Z1034 | 0% | 15 | $0.00 | |
| 90715 | 0% | 206 | $0.00 | |
| 90734 | 0% | 330 | $0.00 | |
| 2028F | 0% | 894 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 1,726 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 541 | $0.00 |
| 90837 | Psychotherapy session, about an hour | 0% | 771 | $0.00 |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 0% | 49 | $0.00 |
| 90633 | 0% | 651 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 1,418 | $0.00 |
| 95251 | 0% | 136 | $0.00 | |
| 90670 | 0% | 1,277 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 500 | $0.00 |
| 90707 | 0% | 554 | $0.00 | |
| 96160 | 0% | 223 | $0.00 | |
| 99442 | 0% | 110 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 89 | $0.00 |
| 11056 | 0% | 12 | $0.00 | |
| 90679 | 0% | 13 | $0.00 | |
| 0524 | 0% | 30 | $0.00 | |
| 94375 | 0% | 12 | $0.00 | |
| 90700 | 0% | 12 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 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 officialALLEN, BARBARA (BUSINESS OFFICE MANAGER)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.