Arthritis Medical Center of the Central Coast a Medical Corporation

Arthritis Medical Center of the Central Coast a Medical Corporation was paid $271K by Medicaid between Jan 2018 and Nov 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 41% of everything it billed.

33Billing provider infoARTHRITIS MEDICAL CENTER OF THE CENTRAL COAST A MEDICAL CORPORATION
ARROYO GRANDE, CA 93420

33aNPI1477571370assigned 07/18/2006

33bProvider typeRheumatology Physician

28Total paid$271K

24GClaims2,462

24DCodes billed5

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Rheumatology Physician providers in California

Rank by total paid#45 of 147

Median peer was paid$43K

This provider vs. median6.3×

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	314	$24K
2019	316	$26K
2020	401	$44K
2021	581	$75K
2022	323	$41K
2023	405	$44K
2024incomplete	122	$19K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	41%	821	799	$112K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	40%	1,303	1,289	$107K
96413	Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance	11%	220	201	$30K
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	6.6%	105	104	$18K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	1.2%	13	13	$3K

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 officialSCOTT, FRANK (PRESIDENT)