Clinic
Pacific Central Coast Health Centers
Pacific Central Coast Health Centers was paid $2.00M by Medicaid between Apr 2018 and Nov 2024, across 46 billing codes. Its largest line is 99460, — 25% of everything it billed.
33Billing provider infoPACIFIC CENTRAL COAST HEALTH CENTERS
SANTA MARIA, CA 93454
SANTA MARIA, CA 93454
33aNPI1770997033assigned 06/16/2014
33bProvider typeCommunity Health Clinic/Center
28Total paid$2.00M
24GClaims38,532
24DCodes billed46
24AFirst – last monthApr 2018 – Nov 2024
Compared with peers
Next to other Community Health Clinic/Center providers in California
Rank by total paid#148 of 288
Median peer was paid$2.15M
This provider vs. median0.9×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 331 | $13K | |
| 2019 | 2,912 | $105K | |
| 2020 | 4,014 | $174K | |
| 2021 | 5,466 | $311K | |
| 2022 | 8,558 | $459K | |
| 2023 | 9,258 | $475K | |
| 2024incomplete | 7,993 | $461K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99460 | 25% | 5,546 | 5,291 | $505K | |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | 24% | 7,659 | 6,466 | $488K |
| 99462 | 12% | 5,951 | 4,842 | $241K | |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 6.2% | 184 | 175 | $123K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.2% | 945 | 820 | $104K |
| 59025 | Fetal non-stress test | 4.2% | 2,765 | 2,225 | $85K |
| H1003 | Prenatal care, at-risk enhanced service; education | 4.0% | 7,668 | 6,279 | $81K |
| 99463 | 2.7% | 494 | 448 | $54K | |
| Z1034 | 2.7% | 1,005 | 850 | $53K | |
| 90651 | 2.5% | 168 | 118 | $49K | |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | 2.0% | 12 | 12 | $39K |
| 97803 | 1.1% | 500 | 495 | $22K |
34 more codes
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 1,756 | $16K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 200 | $15K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 520 | $11K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 115 | $11K |
| J3490 | Unclassified drugs | <1% | 196 | $10K |
| 11981 | <1% | 12 | $10K | |
| H2000 | Comprehensive multidisciplinary evaluation | <1% | 63 | $9K |
| 99401 | <1% | 479 | $8K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 62 | $8K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 90 | $7K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 49 | $6K |
| Z6410 | <1% | 643 | $5K | |
| 59430 | <1% | 17 | $4K | |
| 96151 | <1% | 172 | $4K | |
| 96158 | <1% | 210 | $3K | |
| 97802 | <1% | 99 | $3K | |
| 90674 | <1% | 105 | $3K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 183 | $3K |
| 99221 | <1% | 31 | $3K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 22 | $2K |
| 90715 | <1% | 58 | $2K | |
| 99223 | Prolong inpt eval add15 m | <1% | 12 | $2K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 12 | $2K |
| Z6400 | <1% | 163 | $2K | |
| 81025 | <1% | 146 | $1K | |
| 96156 | <1% | 92 | $988.49 | |
| 90686 | <1% | 28 | $627.42 | |
| S9452 | Nutrition classes, non-physician provider, per session | <1% | 25 | $375.02 |
| 96150 | <1% | 12 | $265.30 | |
| 96159 | <1% | 13 | $252.25 | |
| Z6406 | <1% | 12 | $181.68 | |
| Z6204 | <1% | 12 | $181.68 | |
| Z6304 | <1% | 12 | $181.68 | |
| 91312 | 0% | 14 | $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.
From NPPES
Who's on the registration
Authorized officialMERLO, BRANDON (CHIEF FINANCIAL OFFICER)
Parent organizationPACIFIC CENTRAL COAST HEALTH CENTERS
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.