Medicaid Provider Spending

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

PACIFIC CENTRAL COAST HEALTH CENTERS

NPI: 1306225941 · SANTA MARIA, CA 93455 · Community Health Clinic/Center · NPI assigned 05/28/2015

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

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

$2.02M
Total Medicaid Paid
32,861
Total Claims
31,892
Beneficiaries
30
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 Date05/28/2015

Related Entities

Other providers sharing the same authorized official: MERLO, BRANDON

ProviderCityStateTotal Paid
PACIFIC CENTRAL COAST HEALTH CENTERS SANTA MARIA CA $2.15M
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 2,978 $96K
2019 4,295 $217K
2020 4,432 $288K
2021 4,814 $384K
2022 5,893 $470K
2023 6,761 $363K
2024 3,688 $200K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,348 8,062 $812K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,350 8,977 $636K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,990 1,968 $229K
99051 1,843 1,781 $103K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,241 1,220 $55K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 645 638 $52K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,356 1,338 $21K
99215 Prolong outpt/office vis 124 124 $17K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 428 423 $15K
81025 1,346 1,324 $14K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 870 861 $13K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 688 656 $11K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 246 245 $10K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 208 204 $9K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 48 46 $9K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 47 46 $4K
81002 2,017 1,965 $3K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 121 115 $2K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,486 1,455 $2K
86308 95 93 $458.86
69209 15 12 $215.05
93000 12 12 $140.96
81003 55 54 $135.50
82962 41 40 $128.21
85018 12 12 $24.85
J1885 Injection, ketorolac tromethamine, per 15 mg 12 12 $24.08
J0696 Injection, ceftriaxone sodium, per 250 mg 13 12 $16.96
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 109 103 $12.66
3074F 56 55 $0.05
3078F 39 39 $0.04