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 $96K by Medicaid between Oct 2018 and Oct 2024, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 86% of everything it billed.

33Billing provider infoPACIFIC CENTRAL COAST HEALTH CENTERS
NIPOMO, CA 93444
33aNPI1508237629assigned 10/15/2015
28Total paid$96K
24GClaims2,313
24DCodes billed4
24AFirst – last monthOct 2018 – Oct 2024
Compared with peers

Next to other Community Health Clinic/Center providers in California

Rank by total paid#229 of 288
Median peer was paid$2.15M
This provider vs. median0.0×

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$2.0K$4.0K2018201920202021202220232024
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
201818$35.42
2019184$6K
2020477$20K
2021466$26K
2022410$22K
2023566$16K
2024incomplete192$6K
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 86% 1,963 1,890 $83K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13% 296 285 $13K
90686 <1% 25 25 $343.56
99308 Subsequent nursing facility care, per day, straightforward <1% 29 29 $251.36

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.