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

Central Coast Medical Group

Central Coast Medical Group was paid $57K by Medicaid between Jan 2018 and Oct 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 67% of everything it billed.

33Billing provider infoCENTRAL COAST MEDICAL GROUP
LOMPOC, CA 93436
33aNPI1255768057assigned 10/11/2013
28Total paid$57K
24GClaims3,437
24DCodes billed7
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Family Medicine Physician providers in California

Rank by total paid#793 of 2,511
Median peer was paid$13K
This provider vs. median4.4×

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$2.0K$4.0K2018201920202021202220232024
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
20181,330$10K
20191,003$20K
2020580$18K
2021201$6K
2022183$1K
2023104$1K
2024incomplete36$1K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 67% 2,036 1,846 $38K
99308 Subsequent nursing facility care, per day, straightforward 12% 964 906 $7K
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 9.8% 207 202 $6K
90756 5.2% 95 94 $3K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 3.8% 37 37 $2K
99051 2.2% 25 25 $1K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 73 62 $64.21

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 officialSAWYER, JOHN (PARTNER)