Medicaid Provider Spending

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

PACIFIC CENTRAL COAST HEALTH CENTERS

NPI: 1770997033 · SANTA MARIA, CA 93454 · Community Health Clinic/Center · NPI assigned 06/16/2014

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

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

$2.00M
Total Medicaid Paid
38,532
Total Claims
32,810
Beneficiaries
46
Codes Billed
2018-04
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMERLO, BRANDON (CHIEF FINANCIAL OFFICER)
Parent OrganizationPACIFIC CENTRAL COAST HEALTH CENTERS
NPI Enumeration Date06/16/2014

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 $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 $337K
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 331 $13K
2019 2,912 $105K
2020 4,014 $174K
2021 5,466 $311K
2022 8,558 $459K
2023 9,258 $475K
2024 7,993 $461K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99460 5,546 5,291 $505K
H1001 Prenatal care, at-risk enhanced service; antepartum management 7,659 6,466 $488K
99462 5,951 4,842 $241K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 184 175 $123K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 945 820 $104K
59025 Fetal non-stress test 2,765 2,225 $85K
H1003 Prenatal care, at-risk enhanced service; education 7,668 6,279 $81K
99463 494 448 $54K
Z1034 1,005 850 $53K
90651 168 118 $49K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 12 12 $39K
97803 500 495 $22K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 1,756 1,376 $16K
99238 Hospital discharge day management, 30 minutes or less 200 200 $15K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 520 428 $11K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 115 112 $11K
J3490 Unclassified drugs 196 143 $10K
11981 12 12 $10K
H2000 Comprehensive multidisciplinary evaluation 63 63 $9K
99401 479 460 $8K
99222 Initial hospital care, per day, moderate complexity 62 61 $8K
99232 Subsequent hospital care, per day, moderate complexity 90 52 $7K
99239 Hospital discharge day management, more than 30 minutes 49 43 $6K
Z6410 643 501 $5K
59430 17 12 $4K
96151 172 170 $4K
96158 210 206 $3K
97802 99 99 $3K
90674 105 105 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 183 128 $3K
99221 31 30 $3K
99233 Prolong inpt eval add15 m 22 14 $2K
90715 58 47 $2K
99223 Prolong inpt eval add15 m 12 12 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12 12 $2K
Z6400 163 148 $2K
81025 146 139 $1K
96156 92 88 $988.49
90686 28 28 $627.42
S9452 Nutrition classes, non-physician provider, per session 25 25 $375.02
96150 12 12 $265.30
96159 13 13 $252.25
Z6406 12 12 $181.68
Z6204 12 12 $181.68
Z6304 12 12 $181.68
91312 14 14 $0.00