Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PACIFIC CENTRAL COAST HEALTH CENTERS

NPI: 1275974461 · SANTA MARIA, CA 93454 · Community Health Clinic/Center · NPI assigned 07/16/2013

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official MERLO, BRANDON controls 20+ related entities in our dataset. Read more

$2.15M
Total Medicaid Paid
48,400
Total Claims
38,073
Beneficiaries
53
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMERLO, BRANDON (CHIEF FINANCIAL OFFICER)
Parent OrganizationPACIFIC CENTRAL COAST HEALTH CENTERS
NPI Enumeration Date07/16/2013

Related Entities

Other providers sharing the same authorized official: MERLO, BRANDON

ProviderCityStateTotal Paid
PACIFIC CENTRAL COAST HEALTH CENTERS SANTA MARIA CA $2.02M
PACIFIC CENTRAL COAST HEALTH CENTERS SANTA MARIA CA $2.00M
PACIFIC CENTRAL COAST HEALTH CENTERS SANTA MARIA CA $1.68M
PACIFIC CENTRAL COAST HEALTH CENTERS SANTA MARIA CA $1.58M
PACIFIC CENTRAL COAST HEALTH CENTERS SANTA MARIA CA $1.43M
PACIFIC CENTRAL COAST HEALTH CENTERS SANTA MARIA CA $1.29M
PACIFIC CENTRAL COAST HEALTH CENTERS SANTA MARIA CA $1.02M
PACIFIC CENTRAL COAST HEALTH CENTERS SAN LUIS OBISPO CA $1.00M
PACIFIC CENTRAL COAST HEALTH CENTERS SANTA MARIA CA $557K
PACIFIC CENTRAL COAST HEALTH CENTERS SANTA MARIA CA $337K
PACIFIC CENTRAL COAST HEALTH CENTERS SANTA MARIA CA $282K
PACIFIC CENTRAL COAST HEALTH CENTERS PISMO BEACH CA $270K
PACIFIC CENTRAL COAST HEALTH CENTERS OXNARD CA $256K
PACIFIC CENTRAL COAST HEALTH CENTERS ARROYO GRANDE CA $190K
PACIFIC CENTRAL COAST HEALTH CENTERS SANTA MARIA CA $158K
PACIFIC CENTRAL COAST HEALTH CENTERS ARROYO GRANDE CA $146K
PACIFIC CENTRAL COAST HEALTH CENTERS LOMPOC CA $145K
PACIFIC CENTRAL COAST HEALTH CENTERS PISMO BEACH CA $138K
PACIFIC CENTRAL COAST HEALTH CENTERS SAN LUIS OBISPO CA $134K
PACIFIC CENTRAL COAST HEALTH CENTERS SANTA MARIA CA $123K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,548 $213K
2019 3,479 $155K
2020 5,365 $240K
2021 9,216 $440K
2022 8,856 $429K
2023 9,215 $387K
2024 7,721 $290K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H1001 Prenatal care, at-risk enhanced service; antepartum management 8,804 6,440 $554K
Z1034 4,614 3,413 $255K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,645 1,543 $192K
J3490 Unclassified drugs 1,076 956 $182K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1,163 1,069 $111K
59025 Fetal non-stress test 2,509 1,422 $102K
H1003 Prenatal care, at-risk enhanced service; education 8,266 5,540 $86K
H1000 Prenatal care, at-risk assessment 532 518 $73K
59430 231 210 $60K
H2000 Comprehensive multidisciplinary evaluation 382 373 $56K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 662 614 $56K
97803 1,500 1,478 $41K
76830 Ultrasound, transvaginal 312 306 $37K
99401 1,816 1,731 $36K
59425 476 326 $36K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 3,228 2,325 $30K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 217 217 $25K
90715 617 578 $22K
Z6410 2,575 1,794 $20K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 99 96 $17K
96158 1,051 1,027 $16K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 793 727 $16K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 917 766 $15K
81025 1,456 1,306 $13K
Z6500 96 96 $12K
90674 388 373 $11K
Z1032 64 64 $10K
Z6400 624 560 $7K
90678 24 17 $7K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 30 30 $6K
S9452 Nutrition classes, non-physician provider, per session 332 324 $6K
96159 324 313 $6K
96151 189 182 $5K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 41 41 $5K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 59 57 $4K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 39 30 $3K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 31 31 $3K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 331 298 $3K
97802 104 102 $2K
90686 92 92 $2K
Z6406 141 141 $2K
96156 137 135 $2K
Z6204 130 130 $2K
Z6304 131 131 $2K
99244 Office or other outpatient consultation, moderate to high complexity 14 14 $1K
99221 12 12 $954.47
Z1038 14 14 $734.81
90656 25 25 $600.65
96150 25 25 $552.84
Z6208 12 12 $181.68
Z6308 12 12 $181.68
Z6414 12 12 $174.11
81002 26 25 $85.23