Clinic
Vista Community Clinic
Vista Community Clinic was paid $23.58M by Medicaid between Jan 2018 and Dec 2024, across 124 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 98% of everything it billed.
33Billing provider infoVISTA COMMUNITY CLINIC
VISTA, CA 92083
VISTA, CA 92083
33aNPI1851300123assigned 08/05/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$23.58M
24GClaims404,383
24DCodes billed124
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#156 of 826
Median peer was paid$4.05M
This provider vs. median5.8×
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 | 29,148 | $3.32M | |
| 2019 | 39,342 | $3.24M | |
| 2020 | 62,827 | $3.33M | |
| 2021 | 79,681 | $3.76M | |
| 2022 | 61,097 | $2.98M | |
| 2023 | 67,556 | $3.30M | |
| 2024incomplete | 64,732 | $3.64M |
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 | 98% | 183,380 | 154,874 | $23.08M |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 8,264 | 7,629 | $195K |
| 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% | 49,631 | 46,184 | $88K |
| G9920 | Screening performed and negative | <1% | 8,558 | 8,437 | $35K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 4,988 | 3,459 | $35K |
| 0011A | <1% | 264 | 264 | $18K | |
| 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% | 18,095 | 17,201 | $17K |
| 0002A | <1% | 209 | 209 | $14K | |
| 0001A | <1% | 195 | 195 | $13K | |
| 0012A | <1% | 183 | 183 | $12K | |
| 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% | 603 | 602 | $11K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 698 | 605 | $10K |
112 more codes
| G0467 | Community health center visit, returning patient | <1% | 457 | $9K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 3,319 | $8K |
| 0004A | <1% | 79 | $5K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,135 | $5K |
| 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% | 439 | $5K |
| 98940 | <1% | 1,437 | $4K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 8,541 | $3K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 836 | $3K |
| 0071A | <1% | 38 | $3K | |
| 90837 | Psychotherapy session, about an hour | <1% | 592 | $2K |
| 0054A | <1% | 32 | $2K | |
| 0072A | <1% | 30 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 194 | $1K |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 215 | $942.50 |
| 81025 | <1% | 633 | $770.00 | |
| 99401 | <1% | 40 | $762.80 | |
| 0124A | <1% | 12 | $737.00 | |
| 86703 | <1% | 1,793 | $723.05 | |
| A4267 | Contraceptive supply, condom, male, each | <1% | 59 | $444.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 235 | $413.22 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 31 | $337.17 |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 13 | $197.30 |
| 99201 | <1% | 98 | $135.30 | |
| 81002 | <1% | 1,426 | $62.78 | |
| 82947 | <1% | 5,334 | $3.30 | |
| 85018 | <1% | 6,737 | $1.51 | |
| 92015 | Determination of refractive state | <1% | 7,942 | $0.97 |
| 90710 | 0% | 303 | $0.00 | |
| 1159F | 0% | 2,662 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 1,772 | $0.00 |
| 96160 | 0% | 17,874 | $0.00 | |
| G0246 | Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient history, (2) a physical examination that includes: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear, and (3) patient education | 0% | 135 | $0.00 |
| 99173 | 0% | 3,892 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 2,109 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 5,665 | $0.00 |
| 90734 | 0% | 398 | $0.00 | |
| 90461 | 0% | 2,475 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 2,030 | $0.00 |
| 1160F | 0% | 951 | $0.00 | |
| 3078F | 0% | 664 | $0.00 | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 0% | 2,670 | $0.00 |
| 90633 | 0% | 444 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 915 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 688 | $0.00 |
| Z6200 | 0% | 39 | $0.00 | |
| 3046F | 0% | 18 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 2,336 | $0.00 |
| 0502F | 0% | 47 | $0.00 | |
| 90670 | 0% | 1,388 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 982 | $0.00 |
| M1016 | Female patients unable to bear children | 0% | 113 | $0.00 |
| 90681 | 0% | 242 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 508 | $0.00 |
| 99188 | 0% | 1,003 | $0.00 | |
| Z6400 | 0% | 1,172 | $0.00 | |
| Z6414 | 0% | 115 | $0.00 | |
| 90715 | 0% | 574 | $0.00 | |
| 1158F | 0% | 132 | $0.00 | |
| Z6304 | 0% | 152 | $0.00 | |
| G0117 | Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist | 0% | 96 | $0.00 |
| 83655 | 0% | 136 | $0.00 | |
| Z6302 | 0% | 12 | $0.00 | |
| Z6308 | 0% | 12 | $0.00 | |
| 90700 | 0% | 13 | $0.00 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 56 | $0.00 |
| 99397 | 0% | 24 | $0.00 | |
| 3077F | 0% | 12 | $0.00 | |
| 91320 | 0% | 14 | $0.00 | |
| 92250 | 0% | 2,264 | $0.00 | |
| 90686 | 0% | 3,869 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 3,258 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 8,826 | $0.00 |
| Z6410 | 0% | 1,404 | $0.00 | |
| 3074F | 0% | 680 | $0.00 | |
| Z6402 | 0% | 131 | $0.00 | |
| 99381 | 0% | 53 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 337 | $0.00 |
| 90656 | 0% | 362 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 844 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 1,154 | $0.00 |
| 90698 | 0% | 570 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 14 | $0.00 |
| 90689 | 0% | 54 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 2,134 | $0.00 |
| 90651 | 0% | 725 | $0.00 | |
| 92551 | 0% | 2,515 | $0.00 | |
| 3079F | 0% | 197 | $0.00 | |
| Z6204 | 0% | 511 | $0.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 268 | $0.00 |
| 99385 | 0% | 72 | $0.00 | |
| 90677 | 0% | 161 | $0.00 | |
| 90744 | 0% | 308 | $0.00 | |
| Z1034 | 0% | 118 | $0.00 | |
| Z6406 | 0% | 211 | $0.00 | |
| 87650 | 0% | 259 | $0.00 | |
| 90620 | 0% | 133 | $0.00 | |
| 90619 | 0% | 173 | $0.00 | |
| 1123F | 0% | 105 | $0.00 | |
| 90739 | 0% | 38 | $0.00 | |
| 90696 | 0% | 55 | $0.00 | |
| 3044F | 0% | 36 | $0.00 | |
| 90697 | 0% | 494 | $0.00 | |
| 90480 | 0% | 48 | $0.00 | |
| 99384 | 0% | 12 | $0.00 | |
| 87428 | 0% | 260 | $0.00 | |
| 99383 | 0% | 13 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 40 | $0.00 |
| 86580 | 0% | 14 | $0.00 | |
| 3075F | 0% | 13 | $0.00 | |
| 9214 | 0% | 13 | $0.00 | |
| 88720 | 0% | 16 | $0.00 | |
| Z1032 | 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 | Oceanside, CA | $11.11M |
| Vista Community Clinic | Oceanside, CA | $10.87M |
| Vista Community Clinic | Oceanside, CA | $8.80M |
| 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.