NPI: 1225307317 · SANTA MARIA, CA 93454 · Community Health Clinic/Center · NPI assigned 12/20/2011
| Authorized Official | RICHARDSON, MATTHEW (CHIEF FINANCIAL OFFICER) |
| Parent Organization | PACIFIC CENTRAL COAST HEALTH CENTERS |
| NPI Enumeration Date | 12/20/2011 |
Other providers sharing the same authorized official: RICHARDSON, MATTHEW
| Provider | City | State | Total Paid |
|---|---|---|---|
| PACIFIC CENTRAL COAST HEALTH CENTERS | SANTA MARIA | CA | $2.22M |
| 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 | 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 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,397 | $27K |
| 2019 | 1,128 | $31K |
| 2020 | 1,303 | $48K |
| 2021 | 1,321 | $59K |
| 2022 | 196 | $12K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 4,163 | 3,968 | $151K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 646 | 628 | $21K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 151 | 151 | $3K |
| 90686 | 87 | 87 | $1K | |
| 90674 | 36 | 36 | $617.15 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 12 | 12 | $373.20 |
| 90694 | 66 | 66 | $59.78 | |
| Q2035 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) | 22 | 22 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 162 | 162 | $0.00 |