Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or California for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to California only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. California (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Centro De Salud De La Comunidad De San Ysidro, Inc. (NPI 1326486861)

Field	Value
Entity Type	Organization
Organization	Centro De Salud De La Comunidad De San Ysidro, Inc.
Address	678 3rd Ave
City	Chula Vista
State	CA
ZIP	91910
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	June 6, 2013

Payer Source	Total Paid
Medicaid	$121.2M
Medicare	$0

Key Findings

CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC. reports no Medicare revenue on file and $121.2M in lifetime Medicaid revenue, making it effectively single-payer (Medicaid) in the available data. Its NPI was enumerated on 2013-06-06 (~13 years ago), indicating over a decade of active participation in the Medicaid program and an established operational footprint as an FQHC in Chula Vista, CA.

Revenue is extremely concentrated: the precomputed top three Medicaid codes account for 99.2% of this provider's total Medicaid revenue. Those three drivers are T1015 ($79.5M, 65.6% of Medicaid revenue), 00003 ($40.4M, 33.4% of Medicaid revenue), and 99213 ($261.8K, 0.2% of Medicaid revenue), which indicates the organization’s financial performance is heavily dependent on a very small set of billing lines.

The provider’s largest single revenue line is T1015 (Clinic visit/encounter, all-inclusive), with 449.1K claims and $177 avg paid/claim generating $79.5M. T1015 ranks #21 of 1550 providers in-state (99th percentile; extreme outlier, far above typical state volume for this code), which aligns with the entity’s Federally Qualified Health Center taxonomy and suggests its operations are organized around high-volume, bundled clinic encounters typical for FQHC reimbursement models.

Code 00003 (no description available) is the second-largest driver with 169.1K claims, $239 avg paid/claim, and $40.4M revenue; it ranks #9 of 688 providers in-state (99th percentile; notably above typical state volume for this code). Although the code label is unspecified in the file, its high avg paid/claim and material share of revenue indicate a distinct, high-value service line that is a strategic revenue center for the organization.

99213 shows an unusual utilization pattern: 130.9K claims but only $2 avg paid/claim, producing $261.8K in revenue; it ranks #173 of 14524 providers in-state (99th percentile; extreme outlier, far above typical state volume for this code). This combination of very high claim volume and very low per-claim payment suggests heavy use of E/M coding within the FQHC payment context or bundled visit arrangements that result in low unit payments under Medicaid.

Beyond the top three, the provider bills a broad mix of codes consistent with comprehensive primary-care and behavioral-health services: notable Medicaid activity includes 90791 (5.3K claims, $11 avg, $58.5K; ranks #43 of 2115, 98th percentile) and 90832 (18K claims, $3 avg, $53.9K; ranks #59 of 1431, 96th percentile), indicating integrated mental health services. Telehealth and FQHC-specific codes such as G2025 (1.9K claims, $13 avg, $24.2K) and G0467 (3.8K claims, $25 avg, $95.9K) are present but generate only modest revenue relative to T1015 and 00003.

From a competitive-standpoint in-state, the provider is a major, high-volume participant for its top codes: both T1015 and 00003 sit in the 99th percentile statewide and are described as extreme or notably above typical state volume, which positions the center as a dominant FQHC operator in its markets for those specific service lines. However, because overall revenue is so concentrated in those few codes, payer negotiations or policy changes affecting T1015 or 00003 could disproportionately impact the center's financial position.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

141 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	449,120	$180	$79.5M
00003	N/A	169,130	$240	$40.4M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	130,920	$1	$261.8K
0011A	N/A	2,620	$50	$136.3K
0012A	N/A	2,430	$50	$126.3K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	36,750	$1	$110.3K
G0467	Federally 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…	3,830	$30	$95.8K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	44,150	$1	$88.3K
0064A	N/A	1,260	$50	$68.2K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	5,320	$10	$58.5K

Showing 1–10 of 141

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.

Claims Volume vs. California Distribution

Centro De Salud De La Comunidad De San Ysidro, Inc. — 9 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. California median

141 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	21	1,550	38,050	$190	$14.1M
00003	N/A	9	690	14,940	$260	$7.7M
G0467	Federally 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…	230	1,030	1,050	$70	$219.7K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	936	1,950	500	$80	$179K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	328	13,300	640	$40	$169.6K
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…	155	160	190	$180	$141.3K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	1,989	4,230	210	$110	$135K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	173	14,520	760	$10	$122.8K
87624	The lab analyst performs a test to determine the presence of human papillomavirus, or HPV. The provider uses nucleic acid detection for high–risk types and produces a pooled result.	281	300	250	$10	$121.5K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	59	1,430	640	$30	$93.9K

Showing 1–10 of 141

Related Providers

Other providers that share a Tax Identification Number (TIN) with Centro De Salud De La Comunidad De San Ysidro, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Centro De Salud De La Comunidad De San Ysidro, Inc.	CA	Federally Qualified Health Center (FQHC)	$0	$157M
Centro De Salud De La Comunidad De San Ysidro, Inc.	CA	Federally Qualified Health Center (FQHC)	$0	$69.5M
Centro De Salud De La Comunidad De San Ysidro, Inc.	CA	Federally Qualified Health Center (FQHC)	$0	$64.2M
Centro De Salud De La Comunidad De San Ysidro Inc	CA	Federally Qualified Health Center (FQHC)	$0	$37.3M
Centro De Salud De La Comunidad De San Ysidro Inc	CA	Federally Qualified Health Center (FQHC)	$0	$33.6M
Centro De Salud De La Comunidad De San Ysidro, Inc.	CA	Federally Qualified Health Center (FQHC)	$0	$28.4M
Centro De Salud De La Comunidad De San Ysidro, Inc.	CA	Federally Qualified Health Center (FQHC)	$0	$24.1M
Mehran Moussavian	CA	Interventional Cardiology Physician	$3M	$67.3K
Hassan Kafri	CA	Cardiovascular Disease Physician	$945.1K	$6.5K
Georgios Papastergiou	CA	Retina Specialist (Ophthalmology) Physician	$523K	$0

Nearby Providers

Other providers in the same ZIP code as Centro De Salud De La Comunidad De San Ysidro, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Family Health Centers Of San Diego, Inc	CA	Federally Qualified Health Center (FQHC)	$0	$48M
Nazli Keri Dds Apc	CA	Pediatric Dentistry	$0	$42.2M
The Safoura Massouri Professional Dental Corp	CA	Pediatric Dentistry	$0	$25.9M
City Of Chula Vista	CA	Land Ambulance	$1.6M	$10.8M
Erick Mafong	CA	MOHS-Micrographic Surgery Physician	$1.3M	$0
Alexander Stein	CA	Dermatology Physician	$799.3K	$232.6K
Markus Ploesser	CA	Forensic Psychiatry Physician	$192.3K	$389.5K
Mark Willoughby	CA	Dermatology Physician	$503.5K	$0
John Grimaldi	CA	Urology Physician	$480.1K	$0
Brett Berman	CA	Cardiovascular Disease Physician	$322K	$32.1K

Centro De Salud De La Comunidad De San Ysidro, Inc. — Billing Profile & Reimbursement Data

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Centro De Salud De La Comunidad De San Ysidro, Inc. — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References