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 $77K by Medicaid between Jun 2022 and Aug 2024, across 6 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 32% of everything it billed.

33Billing provider infoPACIFIC CENTRAL COAST HEALTH CENTERS
OXNARD, CA 93030
33aNPI1811662380assigned 08/16/2021
28Total paid$77K
24GClaims1,165
24DCodes billed6
24AFirst – last monthJun 2022 – Aug 2024
Compared with peers

Next to other Community Health Clinic/Center providers in California

Rank by total paid#236 of 288
Median peer was paid$2.15M
This provider vs. median0.0×

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$5.0K$10K$15K2018201920202021202220232024
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
202245$2K
2023534$39K
2024incomplete586$36K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99223 Prolong inpt eval add15 m 32% 215 212 $24K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 24% 357 98 $19K
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 17% 226 226 $13K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 17% 202 81 $13K
95816 8.2% 152 149 $6K
99205 Prolong outpt/office vis 2.0% 13 13 $2K

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.