Pacific Central Coast Health Centers
Pacific Central Coast Health Centers was paid $270K by Medicaid between Dec 2019 and Nov 2024, across 25 billing codes. Its largest line is 99392, Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) — 23% of everything it billed.
PISMO BEACH, CA 93449
Next to other Community Health Clinic/Center providers in California
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 16 | $1K | |
| 2020 | 68 | $3K | |
| 2022 | 2,914 | $140K | |
| 2023 | 3,999 | $83K | |
| 2024incomplete | 2,210 | $42K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 23% | 736 | 697 | $61K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 1,518 | 1,375 | $53K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 19% | 657 | 583 | $51K |
| 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 | 15% | 873 | 823 | $40K |
| 92551 | 4.1% | 818 | 807 | $11K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.6% | 116 | 113 | $10K |
| 90648 | 1.8% | 441 | 391 | $5K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.7% | 97 | 96 | $5K |
| 90677 | 1.6% | 120 | 93 | $4K | |
| 99173 | 1.5% | 1,071 | 1,040 | $4K | |
| 90461 | 1.4% | 77 | 77 | $4K | |
| 90686 | 1.3% | 310 | 302 | $3K |
13 more codes
| 90670 | 1.2% | 286 | $3K | |
| 85018 | 1.1% | 1,176 | $3K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.1% | 30 | $3K |
| 90723 | 1.1% | 263 | $3K | |
| 90680 | <1% | 185 | $2K | |
| 90633 | <1% | 133 | $1K | |
| 83655 | <1% | 94 | $1K | |
| 90656 | <1% | 48 | $542.35 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 88 | $503.11 |
| 90700 | <1% | 22 | $243.54 | |
| 90707 | <1% | 18 | $199.26 | |
| 90716 | <1% | 18 | $199.26 | |
| 90710 | <1% | 12 | $132.84 |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.