Medicaid Provider Spending

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

PACIFIC CENTRAL COAST HEALTH CENTERS

NPI: 1841548880 · SANTA MARIA, CA 93454 · Community Health Clinic/Center · NPI assigned 08/23/2012

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

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

$1.58M
Total Medicaid Paid
18,792
Total Claims
17,674
Beneficiaries
25
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMERLO, BRANDON (CHIEF FINANCIAL OFFICER)
Parent OrganizationPACIFIC CENTRAL COAST HEALTH CENTERS
NPI Enumeration Date08/23/2012

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 $2.00M
PACIFIC CENTRAL COAST HEALTH CENTERS SANTA MARIA CA $1.68M
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 411 $52K
2019 1,870 $207K
2020 2,360 $234K
2021 2,772 $249K
2022 3,892 $325K
2023 4,493 $302K
2024 2,994 $214K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,214 7,097 $647K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 5,913 5,836 $615K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,024 1,015 $184K
93351 151 150 $32K
99233 Prolong inpt eval add15 m 254 93 $23K
99223 Prolong inpt eval add15 m 136 124 $21K
93000 1,303 1,291 $17K
93224 204 203 $15K
99232 Subsequent hospital care, per day, moderate complexity 120 27 $7K
93320 126 125 $6K
95816 69 64 $5K
93793 1,241 644 $5K
93244 178 178 $3K
93242 168 167 $2K
93228 72 72 $1K
93280 29 29 $868.46
93294 39 39 $627.66
93297 25 25 $207.86
93248 12 12 $199.02
99152 24 24 $168.53
85610 89 62 $69.87
3074F 143 142 $0.00
3079F 61 61 $0.00
3075F 39 39 $0.00
3078F 158 155 $0.00