Pacific Central Coast Health Centers
Pacific Central Coast Health Centers was paid $256K by Medicaid between Jan 2019 and Sep 2024, across 10 billing codes. Its largest line is 76816, Ultrasound, pregnant uterus, real time with image documentation, follow-up — 41% of everything it billed.
OXNARD, CA 93036
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 | |
|---|---|---|---|
| 2019 | 129 | $16K | |
| 2020 | 546 | $51K | |
| 2021 | 644 | $64K | |
| 2022 | 677 | $57K | |
| 2023 | 636 | $54K | |
| 2024incomplete | 242 | $14K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 41% | 1,642 | 1,525 | $105K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 30% | 411 | 407 | $76K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 20% | 461 | 451 | $50K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 3.4% | 88 | 88 | $9K |
| 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 | 1.7% | 95 | 89 | $4K |
| 76801 | 1.6% | 43 | 41 | $4K | |
| 99243 | 1.5% | 54 | 53 | $4K | |
| 99241 | <1% | 53 | 53 | $2K | |
| 76813 | <1% | 12 | 12 | $2K | |
| 81025 | <1% | 15 | 15 | $52.50 |
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.