Clinic
Pacific Central Coast Health Centers
Pacific Central Coast Health Centers was paid $2.22M by Medicaid between Jan 2018 and Nov 2024, across 105 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 35% of everything it billed.
33Billing provider infoPACIFIC CENTRAL COAST HEALTH CENTERS
SANTA MARIA, CA 93454
SANTA MARIA, CA 93454
33aNPI1063496651assigned 12/06/2005
33bProvider typeCommunity Health Clinic/Center
28Total paid$2.22M
24GClaims69,869
24DCodes billed105
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Community Health Clinic/Center providers in California
Rank by total paid#142 of 288
Median peer was paid$2.15M
This provider vs. median1.0×
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.
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 | |
|---|---|---|---|
| 2018 | 17,962 | $426K | |
| 2019 | 6,819 | $217K | |
| 2020 | 7,005 | $277K | |
| 2021 | 11,346 | $493K | |
| 2022 | 12,143 | $505K | |
| 2023 | 8,927 | $214K | |
| 2024incomplete | 5,667 | $86K |
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 | 35% | 20,447 | 19,590 | $783K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 12,079 | 11,425 | $298K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 8.1% | 3,614 | 3,481 | $181K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 5.3% | 1,091 | 1,085 | $117K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 5.1% | 934 | 931 | $114K |
| Z1034 | 4.9% | 1,947 | 1,351 | $109K | |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 3.8% | 1,058 | 923 | $85K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 3.5% | 881 | 869 | $78K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 2.9% | 2,016 | 2,003 | $64K |
| 90686 | 1.5% | 2,291 | 2,268 | $33K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.3% | 1,650 | 1,641 | $29K |
| 99497 | 1.2% | 652 | 652 | $27K |
93 more codes
| 99204 | Doctor's office visit, new patient (more involved) | 1.1% | 296 | $25K |
| 92551 | 1.1% | 1,886 | $24K | |
| 83036 | Hemoglobin; glycosylated (A1C) | 1.1% | 3,773 | $23K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.0% | 242 | $23K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 312 | $20K |
| 20610 | <1% | 333 | $14K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 766 | $12K |
| 90674 | <1% | 472 | $11K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 177 | $9K |
| Z6410 | <1% | 1,227 | $9K | |
| 73564 | <1% | 158 | $8K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 614 | $7K |
| 93351 | <1% | 40 | $7K | |
| Z6500 | <1% | 54 | $7K | |
| 99460 | <1% | 72 | $6K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 187 | $6K |
| 0011A | <1% | 139 | $5K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 80 | $5K |
| 99173 | <1% | 1,552 | $5K | |
| 0012A | <1% | 111 | $4K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 143 | $4K |
| 85018 | <1% | 1,607 | $4K | |
| 93224 | <1% | 57 | $4K | |
| 90651 | <1% | 62 | $4K | |
| Z6400 | <1% | 155 | $3K | |
| 99385 | <1% | 18 | $3K | |
| 90656 | <1% | 147 | $3K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 128 | $2K |
| 90694 | <1% | 252 | $2K | |
| 93000 | <1% | 184 | $2K | |
| 97802 | <1% | 12 | $2K | |
| J0897 | Injection, denosumab, 1 mg | <1% | 12 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 135 | $2K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 87 | $2K |
| 93320 | <1% | 40 | $2K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 31 | $2K |
| 90670 | <1% | 126 | $2K | |
| 11100 | <1% | 33 | $2K | |
| 93227 | <1% | 83 | $1K | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 89 | $1K |
| 0001A | <1% | 35 | $1K | |
| 96127 | <1% | 273 | $1K | |
| 80053 | Comprehensive metabolic panel | <1% | 131 | $1K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 80 | $1K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 269 | $1K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 531 | $1K |
| 80061 | Lipid panel | <1% | 82 | $945.23 |
| J3490 | Unclassified drugs | <1% | 33 | $927.88 |
| Z6406 | <1% | 120 | $926.72 | |
| 90698 | <1% | 94 | $846.00 | |
| Z6304 | <1% | 121 | $829.60 | |
| Z6204 | <1% | 107 | $750.08 | |
| 76813 | <1% | 14 | $747.96 | |
| 0002A | <1% | 18 | $720.00 | |
| 83655 | <1% | 61 | $648.43 | |
| Z1038 | <1% | 12 | $639.55 | |
| 99462 | <1% | 17 | $570.28 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 227 | $567.95 |
| 90744 | <1% | 60 | $560.85 | |
| 90734 | <1% | 50 | $551.43 | |
| 99283 | Emergency room visit (moderate) | <1% | 121 | $547.43 |
| 0031A | <1% | 13 | $520.00 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 37 | $505.66 |
| G9920 | Screening performed and negative | <1% | 16 | $464.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 31 | $440.95 |
| 90715 | <1% | 17 | $436.73 | |
| 90653 | <1% | 51 | $414.40 | |
| 90633 | <1% | 36 | $324.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 30 | $256.80 |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 24 | $214.08 |
| 77080 | <1% | 20 | $209.27 | |
| 17000 | <1% | 14 | $207.71 | |
| 81003 | <1% | 90 | $166.37 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 118 | $147.49 |
| 81025 | <1% | 63 | $137.26 | |
| 93016 | <1% | 14 | $133.64 | |
| 90685 | <1% | 13 | $117.00 | |
| G0008 | Administration of influenza virus vaccine | <1% | 473 | $109.20 |
| 90662 | <1% | 15 | $96.06 | |
| Z6308 | <1% | 12 | $90.84 | |
| Z6414 | <1% | 12 | $90.84 | |
| Z6208 | <1% | 12 | $90.84 | |
| 93018 | <1% | 14 | $89.40 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 21 | $54.97 |
| 82962 | <1% | 15 | $44.25 | |
| 99000 | <1% | 12 | $42.40 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 90 | $18.09 |
| 81002 | <1% | 156 | $12.16 | |
| 3074F | <1% | 455 | $0.02 | |
| 3078F | <1% | 348 | $0.02 | |
| 3075F | <1% | 238 | $0.01 | |
| 3079F | 0% | 383 | $0.00 | |
| 3077F | 0% | 18 | $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 officialRICHARDSON, MATTHEW (CHIEF FINANCIAL OFFICER)
Parent organizationPACIFIC CENTRAL COAST HEALTH CENTERS
| Provider | Location | Paid |
|---|---|---|
| Rogue Family Eye Care | Grants Pass, OR | $424K |
| Dignity Health | Santa Maria, CA | $348K |
| Pacific Central Coast Health Centers | Santa Maria, CA | $230K |
| Pacific Central Coast Health Centers | Santa Maria, CA | $177K |
| Pacific Central Coast Health Centers | Ventura, CA | $80K |
| Pacific Central Coast Health Centers | San Luis Obispo, CA | $19K |
| Pacific Central Coast Health Centers | Santa Barbara, CA | $2K |
| Pacific Central Coast Health Centers | San Luis Obispo, CA | $899.48 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.