Medicaid Provider Spending

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

PACIFIC CENTRAL COAST HEALTH CENTERS

NPI: 1760723910 · SANTA MARIA, CA 93454 · Community Health Clinic/Center · NPI assigned 03/13/2013

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

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

$1.43M
Total Medicaid Paid
42,723
Total Claims
40,931
Beneficiaries
48
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMERLO, BRANDON (CHIEF FINANCIAL OFFICER)
Parent OrganizationPACIFIC CENTRAL COAST HEALTH CENTERS
NPI Enumeration Date03/13/2013

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 $1.29M
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
PACIFIC CENTRAL COAST HEALTH CENTERS SANTA MARIA CA $123K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,094 $79K
2019 4,643 $136K
2020 5,483 $222K
2021 7,360 $323K
2022 7,558 $354K
2023 8,641 $203K
2024 3,944 $115K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 22,609 21,853 $678K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,272 9,979 $396K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 557 536 $56K
99480 Subsequent intensive care, per day, low birth weight infant 357 127 $43K
99479 Subsequent intensive care, per day, very low birth weight infant 255 76 $30K
90686 1,856 1,831 $25K
99308 Subsequent nursing facility care, per day, straightforward 764 695 $24K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 282 262 $21K
99309 Subsequent nursing facility care, per day, low to moderate complexity 432 387 $19K
99493 122 122 $17K
98926 381 354 $14K
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 34 12 $13K
92551 853 846 $11K
99460 137 132 $11K
99305 170 165 $10K
99238 Hospital discharge day management, 30 minutes or less 178 166 $10K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 422 421 $7K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 58 58 $6K
90648 303 290 $3K
99173 959 952 $3K
90674 121 121 $3K
97802 26 26 $3K
99462 72 57 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 98 94 $3K
90670 226 222 $2K
99383 13 13 $2K
83036 Hemoglobin; glycosylated (A1C) 307 307 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 13 13 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 27 27 $2K
90656 119 119 $2K
90677 65 57 $2K
0012A 50 50 $2K
97803 26 24 $1K
0011A 57 57 $1K
90723 111 108 $1K
90680 107 106 $1K
99306 Prolong nursin fac eval 15m 12 12 $1K
99215 Prolong outpt/office vis 43 42 $999.55
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 38 37 $971.75
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 31 30 $633.38
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 40 37 $559.42
83655 17 13 $222.19
90633 15 13 $166.05
90710 13 12 $143.91
90700 12 12 $132.84
90651 12 12 $132.84
96127 23 22 $92.00
85018 28 24 $70.14