PACIFIC CENTRAL COAST HEALTH CENTERS
NPI: 1588225353
· SAN LUIS OBISPO, CA 93401
· Community Health Clinic/Center
· NPI assigned 06/24/2019
$899.48
Total Medicaid Paid
Provider Details
| Authorized Official | RICHARDSON, MATTHEW (CHIEF FINANCIAL OFFICER) |
| Parent Organization | PACIFIC CENTRAL COAST HEALTH CENTERS |
| NPI Enumeration Date | 06/24/2019 |
Related Entities
Other providers sharing the same authorized official: RICHARDSON, MATTHEW
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
38 |
$399.21 |
| 2024 |
14 |
$500.27 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
40 |
39 |
$784.75 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$114.73 |