Pacific Central Coast Health Centers
Pacific Central Coast Health Centers was paid $337K by Medicaid between Jan 2018 and Nov 2024, across 29 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 72% of everything it billed.
SANTA MARIA, CA 93455
Next to other Community Health Clinic/Center providers in California
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.
Paid by month
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 847 | $17K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 72% | 6,109 | 6,053 | $243K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.5% | 931 | 904 | $25K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 6.8% | 214 | 214 | $23K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.6% | 700 | 698 | $12K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 3.4% | 102 | 102 | $11K |
| 90686 | 1.7% | 353 | 351 | $6K | |
| 90674 | 1.4% | 189 | 189 | $5K | |
| 99385 | <1% | 26 | 26 | $3K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 366 | 364 | $3K |
| 90715 | <1% | 42 | 42 | $1K | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 84 | 84 | $1K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 135 | 135 | $706.34 |
17 more codes
| 90732 | <1% | 12 | $678.79 | |
| 99497 | <1% | 107 | $582.76 | |
| 90670 | <1% | 14 | $553.80 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 43 | $485.29 |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 13 | $278.42 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 46 | $229.14 |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 12 | $156.73 |
| 96127 | <1% | 22 | $116.38 | |
| 90653 | <1% | 28 | $75.14 | |
| 90694 | <1% | 28 | $69.62 | |
| 3078F | <1% | 135 | $0.02 | |
| 3074F | <1% | 52 | $0.01 | |
| 3077F | 0% | 14 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 50 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 63 | $0.00 |
| G0009 | Administration of pneumococcal vaccine | 0% | 14 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 122 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.