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.

Community Health Centers Of The Central Coast, Inc (NPI 1629377452)

Field	Value
Entity Type	Organization
Organization	Community Health Centers Of The Central Coast, Inc
Address	77 Casa St Ste 201
City	San Luis Obispo
State	CA
ZIP	93405
Taxonomy	Community Health Clinic/Center
NPI Enumerated	March 18, 2011

Payer Source	Total Paid
Medicaid	$31.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

106 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	176,770	$160	$28.8M
0521	N/A	328,500	$10	$1.6M
0636	N/A	27,630	$20	$442K
0761	N/A	7,410	$10	$103.7K
0301	N/A	9,280	$1	$27.9K
0771	N/A	5,120	$1	$20.5K
98940	The provider applies manipulation to influence joint and neurophysiological function by a variety of techniques and modalities in one to two spinal regions.	18,290	$1	$18.3K
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	2,930	$10	$17.6K
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…	380	$30	$12.5K
98941	The provider applies manipulation to influence joint and neurophysiological function by a variety of techniques and modalities in three to four spinal regions.	8,980	$1	$9K

Showing 1–10 of 106

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

Community Health Centers Of The Central Coast, Inc — 6 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

106 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	170	1,550	38,050	$190	$14.1M
0521	N/A	4	70	3,300	$10	$573.5K
90837	In 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…	2,476	4,290	780	$140	$400.1K
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…	710	1,030	1,050	$70	$219.7K
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	743	760	1,930	$20	$196K
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…	84	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…	1,379	13,300	640	$40	$169.6K
J3490	Unclassified drugs	984	1,390	670	$20	$159.5K
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…	35	160	190	$180	$141.3K
0761	N/A	20	200	880	$30	$134.3K

Showing 1–10 of 106

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.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Barry Eibschutz	CA	Rheumatology Physician	$6.6M	$583.6K
Galileo Surgery Center, LP	CA	Ambulatory Surgical Clinic/Center	$1.4M	$1.1M
Michael Heffernan	CA	Dermatology Physician	$2.1M	$0
Joseph Diehl	CA	MOHS-Micrographic Surgery Physician	$1.6M	$0
Jeffrey Wu	CA	Radiation Oncology Physician	$1.4M	$0
Cheryl Ketelsen	CA	Medical Physician Assistant	$1.2M	$0
Christopher Johnson	CA	Urology Physician	$896.5K	$0
Craig Canfield	CA	Urology Physician	$785.9K	$0
Magnetic Resonance Imaging Of San Luis Obispo, Inc.	CA	Diagnostic Radiology Physician	$652.7K	$6.2K
Nicholas Caggiano	CA	Surgery of the Hand (Surgery) Physician	$558.5K	$0

Community Health Centers Of The Central Coast, Inc — Billing Profile & Reimbursement Data

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Community Health Centers Of The Central Coast, Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References