Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PACIFIC CENTRAL COAST HEALTH CENTERS

NPI: 1023523990 · SANTA MARIA, CA 93455 · Community Health Clinic/Center · NPI assigned 12/13/2017

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official MERLO, BRANDON controls 20+ related entities in our dataset. Read more

$557K
Total Medicaid Paid
13,505
Total Claims
12,302
Beneficiaries
36
Codes Billed
2021-03
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMERLO, BRANDON (CHIEF FINANCIAL OFFICER)
Parent OrganizationPACIFIC CENTRAL COAST HEALTH CENTERS
NPI Enumeration Date12/13/2017

Related Entities

Other providers sharing the same authorized official: MERLO, BRANDON

ProviderCityStateTotal Paid
PACIFIC CENTRAL COAST HEALTH CENTERS SANTA MARIA CA $2.15M
PACIFIC CENTRAL COAST HEALTH CENTERS SANTA MARIA CA $2.02M
PACIFIC CENTRAL COAST HEALTH CENTERS SANTA MARIA CA $2.00M
PACIFIC CENTRAL COAST HEALTH CENTERS SANTA MARIA CA $1.68M
PACIFIC CENTRAL COAST HEALTH CENTERS SANTA MARIA CA $1.58M
PACIFIC CENTRAL COAST HEALTH CENTERS SANTA MARIA CA $1.43M
PACIFIC CENTRAL COAST HEALTH CENTERS SANTA MARIA CA $1.29M
PACIFIC CENTRAL COAST HEALTH CENTERS SANTA MARIA CA $1.02M
PACIFIC CENTRAL COAST HEALTH CENTERS SAN LUIS OBISPO CA $1.00M
PACIFIC CENTRAL COAST HEALTH CENTERS SANTA MARIA CA $337K
PACIFIC CENTRAL COAST HEALTH CENTERS SANTA MARIA CA $282K
PACIFIC CENTRAL COAST HEALTH CENTERS PISMO BEACH CA $270K
PACIFIC CENTRAL COAST HEALTH CENTERS OXNARD CA $256K
PACIFIC CENTRAL COAST HEALTH CENTERS ARROYO GRANDE CA $190K
PACIFIC CENTRAL COAST HEALTH CENTERS SANTA MARIA CA $158K
PACIFIC CENTRAL COAST HEALTH CENTERS ARROYO GRANDE CA $146K
PACIFIC CENTRAL COAST HEALTH CENTERS LOMPOC CA $145K
PACIFIC CENTRAL COAST HEALTH CENTERS PISMO BEACH CA $138K
PACIFIC CENTRAL COAST HEALTH CENTERS SAN LUIS OBISPO CA $134K
PACIFIC CENTRAL COAST HEALTH CENTERS SANTA MARIA CA $123K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 54 $0.00
2022 2,431 $164K
2023 6,934 $269K
2024 4,086 $124K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,112 3,894 $191K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,446 3,255 $188K
99051 887 859 $48K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 365 354 $34K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 646 225 $33K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 404 395 $20K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 887 867 $14K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 265 88 $7K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 304 295 $5K
81025 391 376 $4K
99215 Prolong outpt/office vis 114 112 $3K
71046 Radiologic examination, chest; 2 views 88 83 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 80 79 $1K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 14 14 $1K
81002 460 449 $729.27
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 27 27 $699.42
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 64 24 $628.00
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 13 13 $575.64
80375 12 12 $540.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 25 25 $519.49
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 13 12 $510.88
90686 29 29 $461.16
82962 166 165 $450.47
90674 25 25 $409.29
G8510 Screening for depression is documented as negative, a follow-up plan is not required 24 24 $146.41
90694 36 36 $140.33
90653 15 15 $75.14
81003 27 27 $53.50
G0008 Administration of influenza virus vaccine 97 97 $32.91
J1885 Injection, ketorolac tromethamine, per 15 mg 12 12 $26.56
96127 13 13 $16.51
3074F 167 149 $0.05
3078F 210 185 $0.03
0012A 29 29 $0.00
3079F 13 13 $0.00
0011A 25 25 $0.00