Central Coast Renal Care INC

Central Coast Renal Care INC was paid $189K by Medicaid between Jan 2018 and May 2024, across 8 billing codes. Its largest line is 90960, End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits — 62% of everything it billed.

33Billing provider infoCENTRAL COAST RENAL CARE INC
SAN LUIS OBISPO, CA 93401

33aNPI1578716759assigned 10/31/2008

33bProvider typeNephrology Physician

28Total paid$189K

24GClaims2,960

24DCodes billed8

24AFirst – last monthJan 2018 – May 2024

Compared with peers

Next to other Nephrology Physician providers in California

Rank by total paid#138 of 363

Median peer was paid$80K

This provider vs. median2.4×

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	854	$33K
2019	918	$46K
2020	417	$37K
2021	284	$22K
2022	174	$20K
2023	200	$21K
2024incomplete	113	$11K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90960	End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits	62%	1,259	1,259	$118K
90961		26%	631	631	$49K
90966		7.1%	236	236	$13K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	2.5%	424	160	$5K
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	1.8%	361	354	$3K
99441		<1%	14	14	$496.18
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	<1%	21	13	$404.24
99358	Prolong nursin fac eval 15m	<1%	14	14	$114.66

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 officialPENTON, BRIAN (PRESIDENT)