Central Coast Allergy and Asthma
Central Coast Allergy and Asthma was paid $10.72M by Medicaid between Jan 2018 and Nov 2024, across 27 billing codes. Its largest line is 95144, — 22% of everything it billed.
33Billing provider infoCENTRAL COAST ALLERGY AND ASTHMA
SALINAS, CA 93901
SALINAS, CA 93901
33aNPI1619037975assigned 12/09/2006
33bProvider typeSpecialist
28Total paid$10.72M
24GClaims171,030
24DCodes billed27
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in California
Rank by total paid#16 of 1,230
Median peer was paid$51K
This provider vs. median209×
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 | 18,847 | $1.29M | |
| 2019 | 21,595 | $1.36M | |
| 2020 | 27,389 | $1.46M | |
| 2021 | 27,407 | $1.52M | |
| 2022 | 26,553 | $1.74M | |
| 2023 | 26,960 | $1.86M | |
| 2024incomplete | 22,279 | $1.49M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 95144 | 22% | 15,796 | 3,511 | $2.41M | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 20% | 9,495 | 8,749 | $2.14M |
| 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% | 13,492 | 13,254 | $1.56M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.2% | 10,784 | 10,432 | $882K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 7.3% | 4,395 | 4,392 | $785K |
| 94150 | 7.0% | 27,274 | 13,180 | $749K | |
| 94010 | 3.3% | 10,867 | 10,242 | $358K | |
| 95117 | 3.1% | 27,385 | 13,170 | $330K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.9% | 1,195 | 1,180 | $206K |
| 94060 | 1.8% | 3,770 | 3,658 | $195K | |
| 95115 | 1.8% | 18,838 | 9,226 | $192K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.7% | 7,740 | 5,716 | $182K |
15 more codes
| 94375 | 1.7% | 4,434 | $177K | |
| 99204 | Doctor's office visit, new patient (more involved) | 1.4% | 899 | $147K |
| 99245 | 1.2% | 555 | $126K | |
| 94664 | <1% | 3,545 | $65K | |
| 99243 | <1% | 543 | $64K | |
| 95044 | <1% | 140 | $46K | |
| 99205 | Prolong outpt/office vis | <1% | 169 | $36K |
| 95180 | <1% | 111 | $33K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,391 | $29K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 74 | $8K |
| 90756 | <1% | 59 | $1K | |
| 90674 | <1% | 18 | $525.00 | |
| 90688 | <1% | 13 | $284.33 | |
| 96160 | <1% | 40 | $21.15 | |
| 4004F | 0% | 8,008 | $0.00 |
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 officialSMOTHERMAN, MICHAEL (CREDENTIALING LIAISON)