Medicaid Provider Spending

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

CENTRAL COAST PEDIATRICS INC

NPI: 1770517724 · SAN LUIS OBISPO, CA 93401 · Pediatrics Physician · NPI assigned 07/10/2006

$5.47M
Total Medicaid Paid
121,062
Total Claims
115,537
Beneficiaries
50
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMACIAS, RICHARD (PRESIDENT/CFO)
NPI Enumeration Date07/10/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 18,274 $366K
2019 18,265 $664K
2020 13,914 $776K
2021 15,765 $1.01M
2022 19,951 $1.36M
2023 21,847 $828K
2024 13,046 $471K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 11,132 10,762 $1.02M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 23,753 22,292 $928K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 10,584 9,842 $912K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 17,412 16,362 $887K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 6,072 6,057 $596K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,408 2,407 $269K
90670 6,129 5,790 $168K
90686 7,277 7,172 $149K
90698 3,809 3,531 $82K
90680 2,968 2,726 $61K
G9920 Screening performed and negative 4,057 4,004 $60K
96110 Developmental screening, with scoring and documentation, per standardized instrument 722 673 $58K
90710 1,074 1,048 $37K
90744 1,946 1,838 $36K
99173 8,555 8,530 $27K
90633 1,350 1,299 $26K
90700 1,152 1,106 $21K
90677 750 655 $17K
90651 351 351 $14K
92551 1,063 1,054 $13K
83655 955 910 $12K
90656 479 479 $12K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 346 336 $12K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 197 193 $10K
96127 1,029 957 $6K
90713 272 272 $5K
90460 Immunization administration through 18 years of age via any route, first or only component 1,569 1,478 $4K
85018 1,599 1,528 $4K
90619 148 148 $4K
90696 123 122 $4K
0071A 87 87 $3K
0072A 59 59 $2K
90734 92 92 $2K
99460 37 37 $2K
90685 201 188 $2K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 87 86 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 100 50 $1K
99051 18 18 $1K
90688 120 120 $1K
90715 44 44 $997.20
99215 Prolong outpt/office vis 15 15 $960.83
90648 81 66 $954.14
99462 28 25 $856.54
0154A 13 13 $520.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 38 38 $451.79
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 13 13 $444.74
81002 232 222 $233.03
90461 491 418 $188.21
87807 12 12 $121.07
91300 13 12 $0.00