Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.

Clinic/Center, Federally Qualified Health Center (FQHC)·EL CAJON, CA·NPI: 1568845741Share

Compared to Clinic/Center, Federally Qualified Health Center (FQHC) Peers

Total spending distribution among 16 providers in this specialty

P25MedianP75P90

This provider's total spending of $64.1M is at the below 25th percentile among 16 Clinic/Center, Federally Qualified Health Center (FQHC) providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$64.1M

$64,143,744

Total Claims

671K

Beneficiaries

548K

1.2 claims/patient

Avg Cost/Claim

$96

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+3%
2019
$1.4M
+273%
2020
$5.2M
+115%
2021
$11.2M
+18%
2022
$13.2M
+19%
2023
$15.8M
+2%
2024
$16.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (T1015 (Clinic visit/encounter, all-inclusive)) accounts for 83% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$53.5M

237K claims · 83.5%

Your Cost: $225.58/claim|Median: $121.16
1.9× median
00003Top 25%

Anesthesia services

$7.4M

23K claims · 11.6%

Your Cost: $319.61/claim|Median: $223.77
1.4× median
H2015Top 10%

Comprehensive community support services, per 15 min

$1.0M

3,038 claims · 1.6%

Your Cost: $336.61/claim|Median: $96.24
3.5× median
H2017Top 10%

Psychosocial rehabilitation services, per 15 min

$478K

2,003 claims · 0.7%

Your Cost: $238.58/claim|Median: $91.63
2.6× median
H2010Top 25%

Comprehensive medication services, per 15 min

$292K

1,185 claims · 0.5%

Your Cost: $246.09/claim|Median: $62.69
3.9× median
T1017Top 25%

Targeted case management, per 15 min

$287K

1,630 claims · 0.4%

Your Cost: $176.34/claim|Median: $69.56
2.5× median
0011ATop 10%

COVID-19 vaccine admin, Moderna, 1st dose

$125K

2,448 claims · 0.2%

Your Cost: $50.92/claim|Median: $25.93
2.0× median
90832Normal range

Psychotherapy, 30 minutes

$114K

39K claims · 0.2%

Your Cost: $2.93/claim|Median: $41.28
0.1× median
0012ATop 10%

COVID-19 vaccine admin, Moderna, 2nd dose

$106K

2,021 claims · 0.2%

Your Cost: $52.28/claim|Median: $33.85
1.5× median
H0032Top 1%

Mental health service plan development

$93K

192 claims · 0.1%

Your Cost: $483.99/claim|Median: $80.64
6.0× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$93K

63K claims · 0.1%

Your Cost: $1.47/claim|Median: $37.81
0.0× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$91K

39K claims · 0.1%

Your Cost: $2.33/claim|Median: $53.41
0.0× median
90791Normal range

Psychiatric diagnostic evaluation

$65K

5,128 claims · 0.1%

Your Cost: $12.77/claim|Median: $99.21
0.1× median
0064ATop 10%

$47K

898 claims · 0.1%

Your Cost: $52.50/claim|Median: $34.17
1.5× median
G2025Normal range

$46K

2,658 claims · 0.1%

Your Cost: $17.27/claim|Median: $15.63
1.1× median
G0467Normal range

Federally qualified health center visit, mental health

$41K

2,354 claims · 0.1%

Your Cost: $17.53/claim|Median: $21.91
0.8× median
99212Normal range

Office/outpatient visit, low complexity

$37K

28K claims · 0.1%

Your Cost: $1.31/claim|Median: $25.06
0.1× median
D9430Normal range

$21K

852 claims · 0.0%

Your Cost: $24.53/claim|Median: $31.69
0.8× median
0031ATop 10%

COVID-19 vaccine admin, J&J, single dose

$20K

405 claims · 0.0%

Your Cost: $49.30/claim|Median: $32.49
1.5× median
0002ATop 10%

COVID-19 vaccine admin, Pfizer, 2nd dose

$18K

342 claims · 0.0%

Your Cost: $53.17/claim|Median: $36.70
1.4× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$18K

1,556 claims · 0.0%

Your Cost: $11.59/claim|Median: $108.91
0.1× median
G0511Normal range

RHC/FQHC visit, psychiatric collaborative care model

$18K

1,527 claims · 0.0%

Your Cost: $11.60/claim|Median: $11.35
1.0× median
0001ATop 10%

COVID-19 vaccine admin, Pfizer, 1st dose

$17K

327 claims · 0.0%

Your Cost: $53.33/claim|Median: $33.72
1.6× median
0071ATop 10%

$15K

278 claims · 0.0%

Your Cost: $53.28/claim|Median: $38.71
1.4× median
98941Normal range

Chiropractic manipulative treatment, 3-4 spinal regions

$14K

9,870 claims · 0.0%

Your Cost: $1.39/claim|Median: $20.83
0.1× median
0004ATop 10%

$12K

226 claims · 0.0%

Your Cost: $52.38/claim|Median: $35.62
1.5× median
0072ATop 25%

$10K

195 claims · 0.0%

Your Cost: $53.03/claim|Median: $39.57
1.3× median
90834Normal range

Psychotherapy, 45 minutes

$9K

1,442 claims · 0.0%

Your Cost: $6.42/claim|Median: $63.65
0.1× median
90837Normal range

Psychotherapy, 60 minutes

$7K

202 claims · 0.0%

Your Cost: $34.51/claim|Median: $85.66
0.4× median
0054ATop 25%

$7K

129 claims · 0.0%

Your Cost: $52.98/claim|Median: $35.83
1.5× median
G0470Normal range

Chronic care management services, FQHC/RHC

$5K

129 claims · 0.0%

Your Cost: $35.33/claim|Median: $45.95
0.8× median
98940Normal range

$4K

5,323 claims · 0.0%

Your Cost: $0.84/claim|Median: $14.55
0.1× median
99215Normal range

Office/outpatient visit, high complexity

$4K

2,087 claims · 0.0%

Your Cost: $2.07/claim|Median: $74.09
0.0× median
99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$4K

1,437 claims · 0.0%

Your Cost: $2.61/claim|Median: $57.85
0.0× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$3K

804 claims · 0.0%

Your Cost: $3.43/claim|Median: $84.03
0.0× median
0051ATop 10%

$2K

40 claims · 0.0%

Your Cost: $53.50/claim|Median: $36.92
1.4× median
D0220Top 10%

Intraoral periapical radiographic image, first film

$2K

116 claims · 0.0%

Your Cost: $16.00/claim|Median: $10.51
1.5× median
D4910Normal range

$2K

24 claims · 0.0%

Your Cost: $76.00/claim|Median: $75.56
1.0× median
0052ATop 25%

$2K

32 claims · 0.0%

Your Cost: $53.50/claim|Median: $37.79
1.4× median
99000Normal range

$2K

6,494 claims · 0.0%

Your Cost: $0.24/claim|Median: $2.30
0.1× median
D0230Top 1%

Intraoral, periapical radiographic image, first film

$1K

22 claims · 0.0%

Your Cost: $64.91/claim|Median: $7.33
8.9× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$1K

28 claims · 0.0%

Your Cost: $48.00/claim|Median: $32.07
1.5× median
90899Normal range

Unlisted psychiatric service/procedure

$1K

95 claims · 0.0%

Your Cost: $13.13/claim|Median: $30.72
0.4× median
80305Normal range

$1K

1,437 claims · 0.0%

Your Cost: $0.85/claim|Median: $7.44
0.1× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$1K

698 claims · 0.0%

Your Cost: $1.58/claim|Median: $40.11
0.0× median
96156Normal range

$970

2,083 claims · 0.0%

Your Cost: $0.47/claim|Median: $22.36
0.0× median
0134ATop 10%

$921

14 claims · 0.0%

Your Cost: $65.80/claim|Median: $33.54
2.0× median
0124ATop 10%

$905

15 claims · 0.0%

Your Cost: $60.30/claim|Median: $34.32
1.8× median
D0274Top 5%

Bitewings, four radiographic images

$840

21 claims · 0.0%

Your Cost: $40.00/claim|Median: $22.54
1.8× median
D0120Normal range

Periodic oral evaluation, established patient

$700

25 claims · 0.0%

Your Cost: $28.00/claim|Median: $24.34
1.2× median

Other Top Providers in California

View all →

Los Angeles County Department of Mental Health

Clinic/Center, Mental Health (Including Community

$6.78B

County of Santa Clara

Community/Behavioral Health

$1.73B

County of Riverside

Community/Behavioral Health

$1.40B

City & County of San Francisco

Community/Behavioral Health

$1.34B

Los Angeles County Department of Public Health

Public Health or Welfare

$1.13B

Similar Providers

Other top providers in Clinic/Center, Federally Qualified Health Center (FQHC)

El Rio Santa Cruz Neighborhood Health Center, INC

Tucson, AZ

$360.3M

Mountain Park Health Center

Phoenix, AZ

$352.1M

La Maestra Family Clinic, Inc.

San Diego, CA

$202.1M

Neighborhood Healthcare

Hemet, CA

$160.4M

Centro DE Salud DE La Comunidad DE San Ysidro, Inc.

San Ysidro, CA

$157.3M

← All providersAll providers in California →How we detect fraud →