Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Pacific Central Coast Health Centers

Pacific Central Coast Health Centers was paid $95K by Medicaid between May 2019 and Oct 2024, across 5 billing codes. Its largest line is 76805, Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation — 64% of everything it billed.

33Billing provider infoPACIFIC CENTRAL COAST HEALTH CENTERS
SAN LUIS OBISPO, CA 93401
33aNPI1689024259assigned 06/15/2016
28Total paid$95K
24GClaims1,651
24DCodes billed5
24AFirst – last monthMay 2019 – Oct 2024
Compared with peers

Next to other Community Health Clinic/Center providers in California

Rank by total paid#230 of 288
Median peer was paid$2.15M
This provider vs. median0.0×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official MERLO, BRANDON controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
201945$2K
2020146$7K
2021415$22K
2022409$20K
2023382$19K
2024incomplete254$25K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 64% 1,114 1,086 $61K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 19% 166 159 $18K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 16% 310 252 $15K
76813 <1% 12 12 $724.83
76801 <1% 49 48 $544.00

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 officialMERLO, BRANDON (CHIEF FINANCIAL OFFICER)
Parent organizationPACIFIC CENTRAL COAST HEALTH CENTERS
Same official

Other billing entities under MERLO, BRANDON

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.