Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Community Health Centers of the Central Coast, INC

Community Health Centers of the Central Coast, INC was paid $3.06M by Medicaid between Jan 2018 and Jun 2019, across 15 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 78% of everything it billed.

33Billing provider infoCOMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC
SANTA MARIA, CA 93454
33aNPI1891118147assigned 01/22/2014
28Total paid$3.06M
24GClaims40,665
24DCodes billed15
24AFirst – last monthJan 2018 – Jun 2019
Compared with peers

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

Rank by total paid#457 of 826
Median peer was paid$4.05M
This provider vs. median0.8×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official CASTLE, RONALD controls 14+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$100K$200K2018201920202021202220232024
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
201826,770$1.99M
201913,895$1.07M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 78% 19,599 6,337 $2.38M
0521 11% 14,547 2,363 $329K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5.5% 1,191 1,142 $169K
J3490 Unclassified drugs 2.5% 1,001 830 $77K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.9% 556 549 $59K
0636 1.1% 332 292 $33K
0307 <1% 2,348 1,254 $7K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity <1% 29 27 $1K
0309 <1% 198 181 $929.35
0300 <1% 304 131 $890.72
81025 <1% 260 259 $728.00
99238 Hospital discharge day management, 30 minutes or less <1% 15 15 $656.46
3 more codes
0301 <1% 204 $656.26
0771 <1% 45 $230.85
0271 0% 36 $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 officialCASTLE, RONALD (CHIEF EXECUTIVE OFFICER)
Same official

Other billing entities under CASTLE, RONALD

Full network →

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