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

Clinic/Center, Federally Qualified Health Center (FQHC)·San Ysidro, CA·NPI: 1952364747Share

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 $157.3M is at the 50th percentile among 16 Clinic/Center, Federally Qualified Health Center (FQHC) providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$157.3M

$157,264,168

Total Claims

3.1M

Beneficiaries

2.6M

1.2 claims/patient

Avg Cost/Claim

$50

#669 of 618K providers by total spending(top 0.1%)

🔍 Analysis

Provider Overview

Centro DE Salud DE La Comunidad DE San Ysidro, Inc. is a Clinic/Center, Federally Qualified Health Center (FQHC) provider based in San Ysidro, CA. From the 2018–2024 period, this provider received $157.3M in Medicaid payments across 3.1M claims.

Why This Matters

This provider received $157.3M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 19,658 Medicaid beneficiaries for a full year at average per-enrollee costs.

54% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$36.6M
-10%
2019
$33.1M
-54%
2020
$15.3M
+36%
2021
$20.8M
-23%
2022
$16.0M
+17%
2023
$18.8M
-11%
2024
$16.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (T1015 (Clinic visit/encounter, all-inclusive)) accounts for 53% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$83.3M

393K claims · 53.0%

Your Cost: $212.06/claim|Median: $121.16
1.8× median
00003Normal range

Anesthesia services

$63.3M

238K claims · 40.3%

Your Cost: $266.07/claim|Median: $223.77
1.2× median
G9012Normal range

Other specified case management service, per 15 minutes

$6.8M

56K claims · 4.4%

Your Cost: $122.29/claim|Median: $137.85
0.9× median
99213Normal range

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

$596K

461K claims · 0.4%

Your Cost: $1.29/claim|Median: $37.81
0.0× median
G9920Normal range

$436K

28K claims · 0.3%

Your Cost: $15.73/claim|Median: $6.56
2.4× median
99214Normal range

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

$391K

208K claims · 0.2%

Your Cost: $1.88/claim|Median: $53.41
0.0× median
G9008Normal range

Coordination of long-term care services, per month

$376K

3K claims · 0.2%

Your Cost: $143.18/claim|Median: $66.78
2.1× median
99212Normal range

Office/outpatient visit, low complexity

$295K

215K claims · 0.2%

Your Cost: $1.37/claim|Median: $25.06
0.1× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$255K

6K claims · 0.2%

Your Cost: $44.88/claim|Median: $47.08
0.9× median
G0467Normal range

Federally qualified health center visit, mental health

$241K

14K claims · 0.2%

Your Cost: $17.16/claim|Median: $21.91
0.8× median
0011ATop 10%

COVID-19 vaccine admin, Moderna, 1st dose

$157K

4K claims · 0.1%

Your Cost: $42.77/claim|Median: $25.93
1.6× median
0012ATop 25%

COVID-19 vaccine admin, Moderna, 2nd dose

$151K

3K claims · 0.1%

Your Cost: $43.73/claim|Median: $33.85
1.3× median
90832Normal range

Psychotherapy, 30 minutes

$89K

79K claims · 0.1%

Your Cost: $1.13/claim|Median: $41.28
0.0× median
90791Normal range

Psychiatric diagnostic evaluation

$85K

16K claims · 0.1%

Your Cost: $5.24/claim|Median: $99.21
0.1× median
0001ATop 25%

COVID-19 vaccine admin, Pfizer, 1st dose

$78K

2K claims · 0.0%

Your Cost: $46.20/claim|Median: $33.72
1.4× median
0002ATop 25%

COVID-19 vaccine admin, Pfizer, 2nd dose

$66K

1K claims · 0.0%

Your Cost: $46.92/claim|Median: $36.70
1.3× median
59425Normal range

Antepartum care only, 4-6 visits

$59K

1K claims · 0.0%

Your Cost: $53.45/claim|Median: $63.63
0.8× median
G2025Normal range

$50K

7K claims · 0.0%

Your Cost: $7.46/claim|Median: $15.63
0.5× median
87811Normal range

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$48K

6K claims · 0.0%

Your Cost: $8.49/claim|Median: $30.53
0.3× median
98941Normal range

Chiropractic manipulative treatment, 3-4 spinal regions

$31K

53K claims · 0.0%

Your Cost: $0.58/claim|Median: $20.83
0.0× median
J1050Normal range

Injection, medroxyprogesterone acetate, one milligram

$29K

1K claims · 0.0%

Your Cost: $28.62/claim|Median: $41.92
0.7× median
99215Normal range

Office/outpatient visit, high complexity

$29K

3K claims · 0.0%

Your Cost: $8.66/claim|Median: $74.09
0.1× median
99000Normal range

$24K

137K claims · 0.0%

Your Cost: $0.17/claim|Median: $2.30
0.1× median
0064ANormal range

$23K

593 claims · 0.0%

Your Cost: $38.69/claim|Median: $34.17
1.1× median
99211Normal range

Office/outpatient visit, minimal complexity

$21K

13K claims · 0.0%

Your Cost: $1.61/claim|Median: $12.93
0.1× median
G0511Normal range

RHC/FQHC visit, psychiatric collaborative care model

$21K

3K claims · 0.0%

Your Cost: $6.13/claim|Median: $11.35
0.5× median
99203Normal range

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

$20K

2K claims · 0.0%

Your Cost: $10.24/claim|Median: $57.85
0.2× median
98940Normal range

$19K

29K claims · 0.0%

Your Cost: $0.63/claim|Median: $14.55
0.0× median
0031ATop 25%

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

$18K

439 claims · 0.0%

Your Cost: $41.01/claim|Median: $32.49
1.3× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$13K

24K claims · 0.0%

Your Cost: $0.55/claim|Median: $7.18
0.1× median