Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

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.

33Billing provider infoCENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.
NATIONAL CITY, CA 91950
33aNPI1851757215assigned 01/14/2016
28Total paid$28.41M
24GClaims168,925
24DCodes billed33
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Federally Qualified Health Center (FQHC) providers in California

Rank by total paid#130 of 826
Median peer was paid$4.05M
This provider vs. median7.0×

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 MATTSON, KEVIN controls 16+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$250K$500K$750K2018201920202021202220232024
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
YearClaimsPaid
201825,337$5.09M
201931,184$6.66M
202015,864$2.96M
202128,965$4.40M
202225,530$3.41M
202324,223$3.03M
2024incomplete17,822$2.86M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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.

From NPPES

Who's on the registration

Authorized officialMATTSON, KEVIN (PRESIDENT/CEO)
Same official

Other billing entities under MATTSON, KEVIN

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.