Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Santa Maria › NPI 1225307317
Clinic

Pacific Central Coast Health Centers

Pacific Central Coast Health Centers was paid $177K by Medicaid between Jan 2018 and Feb 2022, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 85% of everything it billed.

33Billing provider infoPACIFIC CENTRAL COAST HEALTH CENTERS
SANTA MARIA, CA 93454
33aNPI1225307317assigned 12/20/2011
28Total paid$177K
24GClaims5,345
24DCodes billed9
24AFirst – last monthJan 2018 – Feb 2022
Compared with peers

Next to other Community Health Clinic/Center providers in California

Rank by total paid#210 of 288
Median peer was paid$2.15M
This provider vs. median0.1×

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

$0$5.0K$10K2018201920202021202220232024
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
20181,397$27K
20191,128$31K
20201,303$48K
20211,321$59K
2022196$12K
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 85% 4,163 3,968 $151K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12% 646 628 $21K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1.5% 151 151 $3K
90686 <1% 87 87 $1K
90674 <1% 36 36 $617.15
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 12 12 $373.20
90694 <1% 66 66 $59.78
Q2035 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) 0% 22 22 $0.00
G0008 Administration of influenza virus vaccine 0% 162 162 $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
Same official

Other billing entities under RICHARDSON, MATTHEW

Full network →
ProviderLocationPaid
Pacific Central Coast Health CentersSanta Maria, CA$2.22M
Rogue Family Eye CareGrants Pass, OR$424K
Dignity HealthSanta Maria, CA$348K
Pacific Central Coast Health CentersSanta Maria, CA$230K
Pacific Central Coast Health CentersVentura, CA$80K
Pacific Central Coast Health CentersSan Luis Obispo, CA$19K
Pacific Central Coast Health CentersSanta Barbara, CA$2K
Pacific Central Coast Health CentersSan Luis Obispo, CA$899.48

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