Centro De Salud De LA Comunidad De San Ysidro, INC.
Centro De Salud De LA Comunidad De San Ysidro, INC. was paid $28.41M by Medicaid between Jan 2018 and Dec 2024, across 33 billing codes. Its largest line is 00003, Internal/system code - not a standard HCPCS code — 78% of everything it billed.
NATIONAL CITY, CA 91950
Next to other Federally Qualified Health Center (FQHC) providers in California
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 25,337 | $5.09M | |
| 2019 | 31,184 | $6.66M | |
| 2020 | 15,864 | $2.96M | |
| 2021 | 28,965 | $4.40M | |
| 2022 | 25,530 | $3.41M | |
| 2023 | 24,223 | $3.03M | |
| 2024incomplete | 17,822 | $2.86M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 00003 | Internal/system code - not a standard HCPCS code | 78% | 87,366 | 41,303 | $22.05M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 22% | 33,217 | 27,125 | $6.32M |
| 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% | 12,705 | 11,103 | $22K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 4,629 | 3,911 | $5K |
| 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% | 2,768 | 2,536 | $5K |
| 99000 | <1% | 726 | 695 | $820.14 | |
| 92551 | <1% | 370 | 358 | $164.75 | |
| G0467 | Community health center visit, returning patientFederally 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 | <1% | 30 | 27 | $144.92 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 14 | 13 | $116.70 |
| 90686 | <1% | 172 | 170 | $78.25 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 372 | 360 | $75.74 |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 31 | 29 | $68.21 |
21 more codes
| 96160 | <1% | 155 | $60.00 | |
| 99173 | <1% | 388 | $22.22 | |
| 81002 | <1% | 87 | $21.50 | |
| 81025 | <1% | 30 | $5.60 | |
| 85018 | <1% | 153 | $4.12 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 10,704 | $2.88 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 39 | $0.01 |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | 0% | 633 | $0.00 |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 1,625 | $0.00 |
| S9452 | Nutrition classes, non-physician provider, per session | 0% | 1,647 | $0.00 |
| 3008F | 0% | 1,705 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 517 | $0.00 |
| 90688 | 0% | 69 | $0.00 | |
| 96156 | 0% | 14 | $0.00 | |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | 0% | 16 | $0.00 |
| 1159F | 0% | 8,597 | $0.00 | |
| 59425 | 0% | 23 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 79 | $0.00 |
| 59426 | 0% | 19 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 12 | $0.00 |
| 82947 | 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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.