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    v1.0.28
    OpenPayerNPI Medicare & MedicaidCentro De Salud De La Comunidad De San Ysidro, Inc…
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    Centro De Salud De La Comunidad De San Ysidro, Inc. — Billing Profile & Reimbursement Data

    NPI 1851757215 · National City, CA · Federally Qualified Health Center (FQHC)

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    Centro De Salud De La Comunidad De San Ysidro, Inc. is a federally qualified health center (fqhc) provider located in National City, California. This profile covers 0 Medicare and 33 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
    OrganizationCentro De Salud De La Comunidad De San Ysidro, Inc.
    Address330-340 E. 8th St
    CityNational City
    StateCA
    ZIP91950
    TaxonomyFederally Qualified Health Center (FQHC)
    NPI EnumeratedJanuary 14, 2016

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

    Payer SourceTotal Paid
    Medicaid$28.4M
    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.

    33 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    00003N/A87,370$250$22M
    T1015Clinic visit/encounter, all-inclusive33,220$190$6.3M
    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…12,710$1$25.4K
    99214The 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…2,770$1$5.5K
    99212The 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,…4,630$1$4.6K
    99000Use this code for the in office preparation of a specimen for lab analysis and or its transport from the office to the outside testing laboratory.730$1$730
    G0467Federally 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…30$10$150
    G2025Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only10$10$110
    99204The provider sees a new 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 provider…30$1$60
    1159FNo Summary found for this code8,600$0$0

    Showing 1–10 of 33

    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

    33 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1015Clinic visit/encounter, all-inclusive8211,55038,050$190$14.1M
    00003N/A3869014,940$260$7.7M
    G0467Federally 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…9591,0301,050$70$219.7K
    99214The 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…3,42513,300640$40$169.6K
    59425This service is considered a mini global code for the provider who provides only four to six of the patient’s antepartum visits. This can happen when the patient transfers out of the practice prior…9661,040660$60$147.7K
    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…1,70914,520760$10$122.8K
    87624The 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.257300250$10$121.5K
    99204The provider sees a new 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 provider…4,6835,870180$70$73K
    96156The provider assesses psychological, behavioral, emotional, cognitive, and social factors that affect a patient’s physical health, rather than assessing a specific mental health disorder. There are…1,3321,420400$30$52.1K
    99212The 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,…9855,600440$10$44.4K

    Showing 1–10 of 33

    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.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Centro De Salud De La Comunidad De San Ysidro, Inc.CAFederally Qualified Health Center (FQHC)$0$157M
    Centro De Salud De La Comunidad De San Ysidro, Inc.CAFederally Qualified Health Center (FQHC)$0$121.2M
    Centro De Salud De La Comunidad De San Ysidro, Inc.CAFederally Qualified Health Center (FQHC)$0$69.5M
    Centro De Salud De La Comunidad De San Ysidro, Inc.CAFederally Qualified Health Center (FQHC)$0$64.2M
    Centro De Salud De La Comunidad De San Ysidro IncCAFederally Qualified Health Center (FQHC)$0$37.3M
    Centro De Salud De La Comunidad De San Ysidro IncCAFederally Qualified Health Center (FQHC)$0$33.6M
    Centro De Salud De La Comunidad De San Ysidro, Inc.CAFederally Qualified Health Center (FQHC)$0$24.1M
    Mehran MoussavianCAInterventional Cardiology Physician$3M$67.3K
    Hassan KafriCACardiovascular Disease Physician$945.1K$6.5K
    Georgios PapastergiouCARetina 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.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Operation Samahan, Inc.CAFederally Qualified Health Center (FQHC)$0$26.2M
    Advantage Ambulance IncCAAmbulance$3.2M$7.4M
    Albert SharfCACardiovascular Disease Physician$1.3M$819.5K
    Nathan UebelhoerCAMOHS-Micrographic Surgery Physician$1.3M$0
    Jeannie KimCAPulmonary Disease Physician$687.4K$10.7K
    Raul OviedoCAClinical Cardiac Electrophysiology Physician$334.5K$290.6K
    Benjamin CamachoCACardiovascular Disease Physician$483.8K$42.6K
    Samuel KugelCAPsychiatry Physician$313.7K$78.4K
    Dottie Ann SazonCAPulmonary Disease Physician$113.9K$0
    Abhilasha TyagiCADermatology Physician$58.2K$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
    Centro De Salud De La Comunidad De San Ysidro, Inc. — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California