Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Pacific Central Coast Health Centers

Pacific Central Coast Health Centers was paid $80K by Medicaid between Oct 2018 and Oct 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 73% of everything it billed.

33Billing provider infoPACIFIC CENTRAL COAST HEALTH CENTERS
SAN LUIS OBISPO, CA 93401
33aNPI1093105470assigned 01/23/2015
28Total paid$80K
24GClaims1,242
24DCodes billed5
24AFirst – last monthOct 2018 – Oct 2024
Compared with peers

Next to other Community Health Clinic/Center providers in California

Rank by total paid#233 of 288
Median peer was paid$2.15M
This provider vs. median0.0×

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.

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
201825$416.79
201950$3K
2020266$16K
2021348$22K
2022283$18K
2023225$16K
2024incomplete45$5K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 73% 943 894 $58K
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% 200 181 $11K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 7.5% 67 67 $6K
31231 3.5% 16 15 $3K
99243 2.7% 16 14 $2K

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
Same official

Other billing entities under MERLO, BRANDON

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.