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    OpenPayerNPI Medicare & MedicaidCommunity Health Centers Of The Central Coast Inc
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    Community Health Centers Of The Central Coast Inc — Billing Profile & Reimbursement Data

    NPI 1447277355 · Santa Maria, CA · Federally Qualified Health Center (FQHC)

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    Community Health Centers Of The Central Coast Inc is a federally qualified health center (fqhc) provider located in Santa Maria, California. This profile covers 0 Medicare and 158 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationCommunity Health Centers Of The Central Coast Inc
    Address2801 Santa Maria Way
    CitySanta Maria
    StateCA
    ZIP93455
    TaxonomyFederally Qualified Health Center (FQHC)
    NPI EnumeratedJuly 16, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$55.4M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    158 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1015Clinic visit/encounter, all-inclusive277,360$160$45.5M
    0521N/A631,450$10$6.3M
    0636N/A55,420$20$942.2K
    00003N/A5,020$170$837.5K
    99213The 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…65,930$10$329.7K
    0761N/A15,840$20$316.8K
    59409In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…450$620$278K
    J3490Unclassified drugs3,890$40$136.1K
    G0511Rural 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…6,220$20$118.1K
    J7307Etonogestrel (contraceptive) implant system, including implant and supplies120$680$81.8K

    Showing 1–10 of 158

    • More pages

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. California median

    158 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1015Clinic visit/encounter, all-inclusive771,55038,050$190$14.1M
    00003N/A52269014,940$260$7.7M
    99283The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.1,0391,570680$110$1.1M
    0521N/A1703,300$10$573.5K
    90837In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…3,1754,290780$140$400.1K
    J7307Etonogestrel (contraceptive) implant system, including implant and supplies124250120$850$378K
    76499Use 76499 to report diagnostic radiographic procedures that do not have a specific code.31060$120$240.5K
    59409In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…104410130$430$193.6K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…1,2332,670540$40$183.4K
    90834In 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…1251,950500$80$179K

    Showing 1–10 of 158

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    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Community Health Centers Of The Central Coast Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Health Centers Of The Central Coast IncCAFederally Qualified Health Center (FQHC)$0$51.8M
    Community Health Centers Of The Central Coast IncCAFederally Qualified Health Center (FQHC)$0$49.6M
    Community Health Centers Of The Central Coast IncCAClinic/Center$0$35.7M
    Community Health Centers Of The Central Coast, IncCAFederally Qualified Health Center (FQHC)$0$33.3M
    Community Health Centers Of The Central Coast IncCAFederally Qualified Health Center (FQHC)$0$27.3M
    Community Health Centers Of The Central Coast IncCAFederally Qualified Health Center (FQHC)$0$25.3M
    Community Health Centers Of The Central Coast IncCAFederally Qualified Health Center (FQHC)$0$23.3M
    Barry EibschutzCARheumatology Physician$6.6M$583.6K

    Nearby Providers

    Other providers in the same ZIP code as Community Health Centers Of The Central Coast Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Santa Barbara County Department Of Behavioral WellnessCAAdult Mental Health Clinic/Center$0$47.8M
    Santa Barbara County County Auditor's OfficeCAFederally Qualified Health Center (FQHC)$0$33.3M
    Kristen NelsonCAFamily Nurse Practitioner$1M$0
    Patrick WaylandCAPhysical Therapist$414.7K$0
    Robert OkerblomCAFamily Medicine Physician$414.7K$0
    Marie DuschCASurgery of the Hand (Surgery) Physician$205.4K$0
    Laura WalkerCAFoot & Ankle Surgery Podiatrist$204.3K$0
    Brian KistlerCAOrthopaedic Trauma Physician$135.3K$0
    Wayne MillerCAChiropractor$53.9K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. California Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. California Distribution
    Community Health Centers Of The Central Coast Inc — 9 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California