Medicaid Provider Spending

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

PACIFIC CENTRAL COAST HEALTH CENTERS

NPI: 1538650825 · PISMO BEACH, CA 93449 · Community Health Clinic/Center · NPI assigned 05/23/2018

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

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

$83K
Total Medicaid Paid
3,551
Total Claims
3,471
Beneficiaries
19
Codes Billed
2019-07
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMERLO, BRANDON (CHIEF FINANCIAL OFFICER)
Parent OrganizationPACIFIC CENTRAL COAST HEALTH CENTERS
NPI Enumeration Date05/23/2018

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 PISMO BEACH CA $270K
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 91 $1K
2020 188 $7K
2021 98 $5K
2022 169 $8K
2023 1,506 $36K
2024 1,499 $26K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,750 1,694 $46K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 112 111 $13K
99497 194 193 $9K
99215 Prolong outpt/office vis 206 200 $7K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 102 102 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 13 13 $2K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 161 160 $1K
83036 Hemoglobin; glycosylated (A1C) 237 236 $1K
90686 68 68 $1K
90656 26 26 $484.34
90674 13 13 $352.45
90694 34 34 $348.10
90653 12 12 $225.42
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16 14 $169.87
3074F 187 184 $0.02
3078F 214 205 $0.02
3079F 84 84 $0.01
3075F 74 74 $0.01
G0008 Administration of influenza virus vaccine 48 48 $0.00