Medicaid Provider Spending

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

PACIFIC CENTRAL COAST HEALTH CENTERS

NPI: 1538618590 · PISMO BEACH, CA 93449 · Community Health Clinic/Center · NPI assigned 09/30/2016

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

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

$270K
Total Medicaid Paid
9,207
Total Claims
8,650
Beneficiaries
25
Codes Billed
2019-12
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMERLO, BRANDON (CHIEF FINANCIAL OFFICER)
Parent OrganizationPACIFIC CENTRAL COAST HEALTH CENTERS
NPI Enumeration Date09/30/2016

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 $2.02M
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 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
2019 16 $1K
2020 68 $3K
2022 2,914 $140K
2023 3,999 $83K
2024 2,210 $42K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 736 697 $61K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,518 1,375 $53K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 657 583 $51K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 873 823 $40K
92551 818 807 $11K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 116 113 $10K
90648 441 391 $5K
90460 Immunization administration through 18 years of age via any route, first or only component 97 96 $5K
90677 120 93 $4K
99173 1,071 1,040 $4K
90461 77 77 $4K
90686 310 302 $3K
90670 286 285 $3K
85018 1,176 1,142 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 30 30 $3K
90723 263 246 $3K
90680 185 172 $2K
90633 133 123 $1K
83655 94 83 $1K
90656 48 48 $542.35
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 88 74 $503.11
90700 22 12 $243.54
90707 18 13 $199.26
90716 18 13 $199.26
90710 12 12 $132.84