Centro De Salud De LA Comunidad De San Ysidro, INC.
Centro De Salud De LA Comunidad De San Ysidro, INC. was paid $157.26M by Medicaid between Jan 2018 and Dec 2024, across 249 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 53% of everything it billed.
SAN YSIDRO, CA 92173
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 | 391,702 | $36.62M | |
| 2019 | 452,535 | $33.08M | |
| 2020 | 188,896 | $15.33M | |
| 2021 | 338,689 | $20.80M | |
| 2022 | 410,037 | $15.98M | |
| 2023 | 832,905 | $18.77M | |
| 2024incomplete | 525,424 | $16.69M |
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 | 53% | 392,704 | 339,784 | $83.28M |
| 00003 | Internal/system code - not a standard HCPCS code | 40% | 237,984 | 108,096 | $63.32M |
| G9012 | Other specified case management service not elsewhere classified | 4.4% | 55,948 | 17,096 | $6.84M |
| 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% | 460,910 | 397,664 | $596K |
| G9920 | Screening performed and negative | <1% | 27,693 | 25,295 | $436K |
| 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% | 207,775 | 182,667 | $391K |
| G9008 | Coordinated care fee, physician coordinated care oversight services | <1% | 2,629 | 816 | $376K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 214,798 | 168,273 | $295K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 5,677 | 3,836 | $255K |
| 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% | 14,028 | 12,259 | $241K |
| 0011A | <1% | 3,666 | 2,091 | $157K | |
| 0012A | <1% | 3,460 | 2,105 | $151K |
237 more codes
| 90832 | Psychotherapy session, about 30 minutes | <1% | 78,630 | $89K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 16,137 | $85K |
| 0001A | <1% | 1,687 | $78K | |
| 0002A | <1% | 1,396 | $66K | |
| 59425 | <1% | 1,095 | $59K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 6,715 | $50K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 5,647 | $48K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 53,468 | $31K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 1,029 | $29K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 3,369 | $29K |
| 99000 | <1% | 136,685 | $24K | |
| 0064A | <1% | 593 | $23K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 13,223 | $21K |
| 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% | 3,437 | $21K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,938 | $20K |
| 98940 | <1% | 29,432 | $19K | |
| 0031A | <1% | 439 | $18K | |
| 90686 | <1% | 23,868 | $13K | |
| 0134A | <1% | 373 | $12K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 3,502 | $12K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 558 | $10K |
| 92015 | Determination of refractive state | <1% | 12,409 | $9K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 8,061 | $8K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 55,166 | $8K |
| 0112A | <1% | 206 | $7K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 2,569 | $7K |
| 81025 | <1% | 16,222 | $7K | |
| 0124A | <1% | 203 | $7K | |
| D9430 | <1% | 222 | $5K | |
| 71045 | Radiologic examination, chest; single view | <1% | 350 | $5K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 9,042 | $5K |
| 81002 | <1% | 21,992 | $4K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 683 | $4K |
| 96156 | <1% | 14,938 | $4K | |
| 90688 | <1% | 11,219 | $4K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,413 | $4K |
| 90750 | <1% | 485 | $4K | |
| 0072A | <1% | 109 | $4K | |
| 0054A | <1% | 110 | $4K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 4,472 | $3K |
| 72040 | <1% | 287 | $3K | |
| 0111A | <1% | 82 | $3K | |
| 0071A | <1% | 73 | $3K | |
| 92250 | <1% | 1,032 | $3K | |
| 90746 | <1% | 1,320 | $3K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 8,471 | $3K |
| 97813 | <1% | 4,080 | $2K | |
| 90715 | <1% | 1,222 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 9,379 | $2K |
| 90679 | <1% | 302 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 676 | $2K |
| 95144 | <1% | 274 | $2K | |
| J3490 | Unclassified drugs | <1% | 75 | $2K |
| 96160 | <1% | 11,246 | $2K | |
| 88142 | <1% | 569 | $2K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 3,007 | $2K |
| 92551 | <1% | 21,717 | $2K | |
| 97026 | <1% | 2,741 | $1K | |
| 90670 | <1% | 2,950 | $1K | |
| G0466 | Community health center visit, new patient | <1% | 85 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 26 | $1K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 12,288 | $1K |
| 90677 | <1% | 1,136 | $1K | |
| 93000 | <1% | 1,028 | $1K | |
| 97814 | <1% | 1,568 | $1K | |
| 90739 | <1% | 384 | $968.51 | |
| 91322 | <1% | 758 | $959.05 | |
| 90682 | <1% | 264 | $951.73 | |
| 90837 | Psychotherapy session, about an hour | <1% | 881 | $936.06 |
| 82947 | <1% | 3,538 | $922.40 | |
| 90662 | <1% | 280 | $897.97 | |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 2,524 | $895.13 |
| 90632 | <1% | 477 | $865.64 | |
| D0330 | Panoramic radiographic image | <1% | 13 | $811.20 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 7,482 | $738.85 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 4,441 | $709.49 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 6,514 | $706.60 |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit | <1% | 44 | $636.16 |
| 0052A | <1% | 18 | $629.00 | |
| 90714 | <1% | 902 | $611.51 | |
| 85018 | <1% | 27,241 | $581.16 | |
| 90651 | <1% | 1,718 | $564.50 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 3,914 | $564.07 |
| 72080 | <1% | 53 | $528.30 | |
| 90756 | <1% | 317 | $517.75 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 163,278 | $487.00 |
| 87420 | <1% | 158 | $462.83 | |
| 99460 | <1% | 15 | $407.92 | |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 1,131 | $353.05 |
| 59025 | Fetal non-stress test | <1% | 62 | $352.97 |
| 99173 | <1% | 22,189 | $333.56 | |
| 90707 | <1% | 1,775 | $322.92 | |
| 97810 | <1% | 457 | $302.65 | |
| 73562 | <1% | 18 | $280.56 | |
| A4267 | Contraceptive supply, condom, male, each | <1% | 24 | $258.72 |
| 90620 | <1% | 181 | $220.96 | |
| 96150 | <1% | 216 | $218.79 | |
| 90899 | <1% | 2,274 | $214.20 | |
| 90673 | <1% | 237 | $207.03 | |
| 97802 | <1% | 394 | $201.96 | |
| 99401 | <1% | 3,266 | $193.32 | |
| 90656 | <1% | 3,288 | $190.03 | |
| 90648 | <1% | 3,139 | $187.95 | |
| 90619 | <1% | 316 | $186.98 | |
| 80305 | <1% | 1,010 | $183.53 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 143,255 | $119.97 |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 379 | $108.52 |
| 90633 | <1% | 1,381 | $107.42 | |
| 90716 | <1% | 771 | $107.00 | |
| 97811 | <1% | 212 | $106.32 | |
| 90723 | <1% | 383 | $99.00 | |
| 90732 | <1% | 60 | $91.82 | |
| 92083 | <1% | 146 | $88.48 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 19,605 | $78.07 |
| 86580 | <1% | 2,633 | $70.04 | |
| 99384 | <1% | 176 | $65.12 | |
| 85007 | <1% | 387 | $65.11 | |
| 83655 | <1% | 1,114 | $52.71 | |
| 96151 | <1% | 58 | $51.70 | |
| 98942 | <1% | 1,633 | $50.16 | |
| 90480 | <1% | 551 | $49.77 | |
| 97803 | <1% | 259 | $42.05 | |
| 82962 | <1% | 1,683 | $39.86 | |
| 89240 | <1% | 1,456 | $36.10 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 1,592 | $34.94 |
| H1000 | Prenatal care, at-risk assessment | <1% | 12 | $25.23 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 655 | $21.53 |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 117 | $20.00 |
| 90700 | <1% | 600 | $18.00 | |
| H1002 | Prenatal care, at risk enhanced service; care coordination | <1% | 41 | $16.82 |
| 82043 | <1% | 82 | $10.86 | |
| 82728 | <1% | 175 | $9.76 | |
| 90674 | <1% | 1,007 | $9.00 | |
| 90681 | <1% | 127 | $9.00 | |
| 80047 | <1% | 98 | $8.17 | |
| 81001 | <1% | 258 | $5.94 | |
| 82570 | <1% | 82 | $3.71 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 18 | $1.83 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 6,224 | $0.35 |
| S9451 | Exercise classes, non-physician provider, per session | <1% | 32,036 | $0.09 |
| 90611 | <1% | 89 | $0.03 | |
| S9452 | Nutrition classes, non-physician provider, per session | <1% | 40,885 | $0.02 |
| 1159F | <1% | 252,825 | $0.02 | |
| 1125F | <1% | 4,715 | $0.01 | |
| 3008F | 0% | 44,389 | $0.00 | |
| 3074F | 0% | 10,605 | $0.00 | |
| 1126F | 0% | 2,909 | $0.00 | |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | 0% | 7,796 | $0.00 |
| 36416 | 0% | 4,590 | $0.00 | |
| 3075F | 0% | 436 | $0.00 | |
| 4010F | 0% | 226 | $0.00 | |
| 2010F | 0% | 2,650 | $0.00 | |
| 3079F | 0% | 2,176 | $0.00 | |
| 99383 | 0% | 116 | $0.00 | |
| 90696 | 0% | 62 | $0.00 | |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | 0% | 32 | $0.00 |
| 2023F | 0% | 1,145 | $0.00 | |
| H2000 | Comprehensive multidisciplinary evaluation | 0% | 122 | $0.00 |
| 3080F | 0% | 141 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 378 | $0.00 |
| 1000F | 0% | 678 | $0.00 | |
| 3120F | 0% | 25 | $0.00 | |
| 90743 | 0% | 12 | $0.00 | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 0% | 58 | $0.00 |
| 94200 | 0% | 16 | $0.00 | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 0% | 13 | $0.00 |
| 93922 | 0% | 27 | $0.00 | |
| 84512 | 0% | 12 | $0.00 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 0% | 75 | $0.00 |
| 76819 | Fetal biophysical profile; without non-stress testing | 0% | 12 | $0.00 |
| Z1034 | 0% | 400 | $0.00 | |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 0% | 13 | $0.00 |
| 3351F | 0% | 170 | $0.00 | |
| Z6402 | 0% | 50 | $0.00 | |
| 99243 | 0% | 17 | $0.00 | |
| 82270 | 0% | 34 | $0.00 | |
| 96127 | 0% | 13 | $0.00 | |
| 90381 | 0% | 26 | $0.00 | |
| G0009 | Administration of pneumococcal vaccine | 0% | 12 | $0.00 |
| 87086 | Culture, bacterial; quantitative colony count, urine | 0% | 32 | $0.00 |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | 0% | 12 | $0.00 |
| 90889 | 0% | 61 | $0.00 | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 0% | 128 | $0.00 |
| A7015 | Aerosol mask, used with dme nebulizer | 0% | 29 | $0.00 |
| 93971 | 0% | 34 | $0.00 | |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 0% | 18 | $0.00 |
| 3354F | 0% | 16 | $0.00 | |
| 90647 | 0% | 27 | $0.00 | |
| Z6406 | 0% | 24 | $0.00 | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 0% | 19 | $0.00 |
| 3078F | 0% | 9,601 | $0.00 | |
| 90461 | 0% | 4,977 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 828 | $0.00 |
| 90713 | 0% | 67 | $0.00 | |
| 3077F | 0% | 705 | $0.00 | |
| 1160F | 0% | 778 | $0.00 | |
| 2022F | 0% | 476 | $0.00 | |
| 3028F | 0% | 798 | $0.00 | |
| 93880 | 0% | 33 | $0.00 | |
| 90734 | 0% | 471 | $0.00 | |
| 99408 | 0% | 235 | $0.00 | |
| Z6200 | 0% | 26 | $0.00 | |
| 59426 | 0% | 27 | $0.00 | |
| 90658 | 0% | 56 | $0.00 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 0% | 141 | $0.00 |
| 99188 | 0% | 362 | $0.00 | |
| 91321 | 0% | 325 | $0.00 | |
| 84156 | 0% | 29 | $0.00 | |
| Z6400 | 0% | 108 | $0.00 | |
| 92552 | 0% | 51 | $0.00 | |
| Z6414 | 0% | 30 | $0.00 | |
| 3085F | 0% | 239 | $0.00 | |
| 90687 | 0% | 28 | $0.00 | |
| 4187F | 0% | 188 | $0.00 | |
| 88175 | Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer | 0% | 36 | $0.00 |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 0% | 39 | $0.00 |
| 90655 | 0% | 12 | $0.00 | |
| 92134 | 0% | 57 | $0.00 | |
| 92133 | 0% | 43 | $0.00 | |
| H0014 | Alcohol and/or drug services; ambulatory detoxification | 0% | 148 | $0.00 |
| 4064F | 0% | 33 | $0.00 | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 0% | 48 | $0.00 |
| 99382 | 0% | 13 | $0.00 | |
| 93925 | 0% | 27 | $0.00 | |
| 11720 | 0% | 13 | $0.00 | |
| Z6300 | 0% | 30 | $0.00 | |
| 93970 | 0% | 63 | $0.00 | |
| 11719 | 0% | 21 | $0.00 | |
| 90710 | 0% | 53 | $0.00 | |
| 90630 | 0% | 12 | $0.00 | |
| 81003 | 0% | 17 | $0.00 | |
| 83037 | 0% | 31 | $0.00 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 0% | 32 | $0.00 |
| 90785 | 0% | 12 | $0.00 | |
| 72070 | 0% | 24 | $0.00 | |
| 72100 | 0% | 27 | $0.00 | |
| 99201 | 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.