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 $134K by Medicaid between Mar 2018 and Oct 2024, across 2 billing codes. Its largest line is H1001, Prenatal care, at-risk enhanced service; antepartum management — 77% of everything it billed.

33Billing provider infoPACIFIC CENTRAL COAST HEALTH CENTERS
SAN LUIS OBISPO, CA 93401
33aNPI1760896104assigned 06/13/2014
28Total paid$134K
24GClaims1,916
24DCodes billed2
24AFirst – last monthMar 2018 – Oct 2024
Compared with peers

Next to other Community Health Clinic/Center providers in California

Rank by total paid#219 of 288
Median peer was paid$2.15M
This provider vs. median0.1×

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$2.5K$5.0K$7.5K2018201920202021202220232024
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
2018301$15K
201926$4K
202023$1K
2021179$11K
2022427$32K
2023638$46K
2024incomplete322$26K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H1001 Prenatal care, at-risk enhanced service; antepartum management 77% 1,659 1,097 $103K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 23% 257 251 $31K

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.