Clinic
Pacific Central Coast Health Centers
Pacific Central Coast Health Centers was paid $557K by Medicaid between Mar 2021 and Nov 2024, across 36 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 34% of everything it billed.
33Billing provider infoPACIFIC CENTRAL COAST HEALTH CENTERS
SANTA MARIA, CA 93455
SANTA MARIA, CA 93455
33aNPI1023523990assigned 12/13/2017
33bProvider typeCommunity Health Clinic/Center
28Total paid$557K
24GClaims13,505
24DCodes billed36
24AFirst – last monthMar 2021 – Nov 2024
Compared with peers
Next to other Community Health Clinic/Center providers in California
Rank by total paid#188 of 288
Median peer was paid$2.15M
This provider vs. median0.3×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official MERLO, BRANDON controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 54 | $0.00 | |
| 2022 | 2,431 | $164K | |
| 2023 | 6,934 | $269K | |
| 2024incomplete | 4,086 | $124K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 34% | 4,112 | 3,894 | $191K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 34% | 3,446 | 3,255 | $188K |
| 99051 | 8.6% | 887 | 859 | $48K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 6.0% | 365 | 354 | $34K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 6.0% | 646 | 225 | $33K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 3.6% | 404 | 395 | $20K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.5% | 887 | 867 | $14K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 1.2% | 265 | 88 | $7K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 304 | 295 | $5K |
| 81025 | <1% | 391 | 376 | $4K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 114 | 112 | $3K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 88 | 83 | $3K |
24 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 80 | $1K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 14 | $1K |
| 81002 | <1% | 460 | $729.27 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 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 | <1% | 64 | $628.00 |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 13 | $575.64 |
| 80375 | <1% | 12 | $540.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 25 | $519.49 |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 13 | $510.88 |
| 90686 | <1% | 29 | $461.16 | |
| 82962 | <1% | 166 | $450.47 | |
| 90674 | <1% | 25 | $409.29 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 24 | $146.41 |
| 90694 | <1% | 36 | $140.33 | |
| 90653 | <1% | 15 | $75.14 | |
| 81003 | <1% | 27 | $53.50 | |
| G0008 | Administration of influenza virus vaccine | <1% | 97 | $32.91 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 12 | $26.56 |
| 96127 | <1% | 13 | $16.51 | |
| 3074F | <1% | 167 | $0.05 | |
| 3078F | <1% | 210 | $0.03 | |
| 0012A | 0% | 29 | $0.00 | |
| 3079F | 0% | 13 | $0.00 | |
| 0011A | 0% | 25 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialMERLO, BRANDON (CHIEF FINANCIAL OFFICER)
Parent organizationPACIFIC CENTRAL COAST HEALTH CENTERS
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.