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

Pacific Central Coast Health Centers

Pacific Central Coast Health Centers was paid $1.02M by Medicaid between Jul 2019 and Sep 2024, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 77% of everything it billed.

33Billing provider infoPACIFIC CENTRAL COAST HEALTH CENTERS
SANTA MARIA, CA 93454
33aNPI1306319595assigned 01/10/2019
28Total paid$1.02M
24GClaims12,931
24DCodes billed3
24AFirst – last monthJul 2019 – Sep 2024
Compared with peers

Next to other Community Health Clinic/Center providers in California

Rank by total paid#170 of 288
Median peer was paid$2.15M
This provider vs. median0.5×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official MERLO, BRANDON controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$20K$40K2018201920202021202220232024
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
20191,202$51K
20202,409$157K
20212,603$160K
20222,928$270K
20232,824$272K
2024incomplete965$108K
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 77% 8,820 6,837 $783K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 21% 3,972 3,824 $215K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 1.9% 139 114 $19K

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 officialMERLO, BRANDON (CHIEF FINANCIAL OFFICER)
Parent organizationPACIFIC CENTRAL COAST HEALTH CENTERS
Same official

Other billing entities under MERLO, BRANDON

Full network →

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