Clinic
Pacific Central Coast Health Centers
Pacific Central Coast Health Centers was paid $230K by Medicaid between Jul 2020 and Aug 2022, across 21 billing codes. Its largest line is H1001, Prenatal care, at-risk enhanced service; antepartum management — 57% of everything it billed.
33Billing provider infoPACIFIC CENTRAL COAST HEALTH CENTERS
SANTA MARIA, CA 93454
SANTA MARIA, CA 93454
33aNPI1821610239assigned 05/08/2020
33bProvider typeCommunity Health Clinic/Center
28Total paid$230K
24GClaims6,429
24DCodes billed21
24AFirst – last monthJul 2020 – Aug 2022
Compared with peers
Next to other Community Health Clinic/Center providers in California
Rank by total paid#205 of 288
Median peer was paid$2.15M
This provider vs. median0.1×
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.
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 | |
|---|---|---|---|
| 2020 | 1,306 | $47K | |
| 2021 | 2,699 | $91K | |
| 2022 | 2,424 | $93K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | 57% | 2,137 | 1,590 | $131K |
| H1000 | Prenatal care, at-risk assessment | 12% | 194 | 187 | $28K |
| H1003 | Prenatal care, at-risk enhanced service; education | 8.8% | 1,698 | 1,418 | $20K |
| 59430 | 6.2% | 181 | 161 | $14K | |
| Z1034 | 3.9% | 166 | 110 | $9K | |
| H2000 | Comprehensive multidisciplinary evaluation | 3.4% | 57 | 57 | $8K |
| 59025 | Fetal non-stress test | 2.2% | 215 | 94 | $5K |
| 81025 | 1.6% | 369 | 333 | $4K | |
| 99401 | 1.1% | 295 | 285 | $3K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 14 | 14 | $2K |
| 96158 | <1% | 172 | 171 | $2K | |
| 97803 | <1% | 157 | 156 | $1K |
9 more codes
| 85018 | <1% | 480 | $941.28 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 93 | $739.25 |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 83 | $706.44 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 13 | $550.75 |
| 90715 | <1% | 13 | $521.30 | |
| 96159 | <1% | 29 | $249.05 | |
| S9452 | Nutrition classes, non-physician provider, per session | <1% | 29 | $249.05 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 13 | $69.55 |
| 82947 | <1% | 21 | $65.25 |
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 officialRICHARDSON, MATTHEW (CHIEF FINANCIAL OFFICER)
Parent organizationPACIFIC CENTRAL COAST HEALTH CENTERS
| Provider | Location | Paid |
|---|---|---|
| Pacific Central Coast Health Centers | Santa Maria, CA | $2.22M |
| Rogue Family Eye Care | Grants Pass, OR | $424K |
| Dignity Health | Santa Maria, CA | $348K |
| Pacific Central Coast Health Centers | Santa Maria, CA | $177K |
| Pacific Central Coast Health Centers | Ventura, CA | $80K |
| Pacific Central Coast Health Centers | San Luis Obispo, CA | $19K |
| Pacific Central Coast Health Centers | Santa Barbara, CA | $2K |
| Pacific Central Coast Health Centers | San Luis Obispo, CA | $899.48 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.