Medicaid Provider Spending

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

PACIFIC CENTRAL COAST HEALTH CENTERS

NPI: 1093105470 · SAN LUIS OBISPO, CA 93401 · Community Health Clinic/Center · NPI assigned 01/23/2015

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

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

$80K
Total Medicaid Paid
1,242
Total Claims
1,171
Beneficiaries
5
Codes Billed
2018-10
First Month
2024-10
Last Month

Provider Details

Authorized OfficialMERLO, BRANDON (CHIEF FINANCIAL OFFICER)
Parent OrganizationPACIFIC CENTRAL COAST HEALTH CENTERS
NPI Enumeration Date01/23/2015

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 $557K
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 25 $416.79
2019 50 $3K
2020 266 $16K
2021 348 $22K
2022 283 $18K
2023 225 $16K
2024 45 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 943 894 $58K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 200 181 $11K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 67 67 $6K
31231 16 15 $3K
99243 16 14 $2K