Medicaid Provider Spending

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

PACIFIC CENTRAL COAST HEALTH CENTERS

NPI: 1760861306 · SANTA MARIA, CA 93455 · Community Health Clinic/Center · NPI assigned 05/28/2015

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

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

$337K
Total Medicaid Paid
10,026
Total Claims
9,921
Beneficiaries
29
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 Date05/28/2015

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 $1.43M
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 $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 1,680 $34K
2019 1,532 $46K
2020 1,607 $58K
2021 1,569 $77K
2022 1,259 $65K
2023 1,532 $39K
2024 847 $17K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,109 6,053 $243K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 931 904 $25K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 214 214 $23K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 700 698 $12K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 102 102 $11K
90686 353 351 $6K
90674 189 189 $5K
99385 26 26 $3K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 366 364 $3K
90715 42 42 $1K
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 84 84 $1K
83036 Hemoglobin; glycosylated (A1C) 135 135 $706.34
90732 12 12 $678.79
99497 107 107 $582.76
90670 14 14 $553.80
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 43 43 $485.29
99215 Prolong outpt/office vis 13 13 $278.42
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 46 42 $229.14
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12 12 $156.73
96127 22 22 $116.38
90653 28 28 $75.14
90694 28 28 $69.62
3078F 135 126 $0.02
3074F 52 51 $0.01
3077F 14 12 $0.00
G0444 Annual depression screening, 5 to 15 minutes 50 50 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 63 63 $0.00
G0009 Administration of pneumococcal vaccine 14 14 $0.00
G0008 Administration of influenza virus vaccine 122 122 $0.00