Physician
Children's Central Coast
Children's Central Coast was paid $265K by Medicaid between Jan 2018 and Nov 2020, across 6 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 30% of everything it billed.
33Billing provider infoCHILDREN'S CENTRAL COAST
SANTA BARBARA, CA 93105
SANTA BARBARA, CA 93105
33aNPI1265681399assigned 09/12/2008
33bProvider typePediatric Gastroenterology Physician
28Total paid$265K
24GClaims3,102
24DCodes billed6
24AFirst – last monthJan 2018 – Nov 2020
Compared with peers
Next to other Pediatric Gastroenterology Physician providers in California
Rank by total paid#7 of 26
Median peer was paid$5K
This provider vs. median50×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 994 | $62K | |
| 2019 | 1,310 | $125K | |
| 2020 | 798 | $78K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 30% | 650 | 619 | $79K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 1,245 | 1,209 | $69K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 21% | 464 | 454 | $56K |
| 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 | 19% | 680 | 655 | $51K |
| 99205 | Prolong outpt/office vis | 2.1% | 47 | 47 | $6K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 1.6% | 16 | 16 | $4K |
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 officialMESSENGER, DONNA (DIRECTOR OF OPERATIONS)