Physician
Central Coast Perinatal Medical Group INC
Central Coast Perinatal Medical Group INC was paid $725K by Medicaid between Jan 2018 and Apr 2019, across 14 billing codes. Its largest line is 76811, Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed — 42% of everything it billed.
33Billing provider infoCENTRAL COAST PERINATAL MEDICAL GROUP INC
SANTA BARBARA, CA 93105
SANTA BARBARA, CA 93105
33aNPI1861617045assigned 04/14/2007
33bProvider typeMaternal & Fetal Medicine Physician
28Total paid$725K
24GClaims7,167
24DCodes billed14
24AFirst – last monthJan 2018 – Apr 2019
Compared with peers
Next to other Maternal & Fetal Medicine Physician providers in California
Rank by total paid#21 of 45
Median peer was paid$631K
This provider vs. median1.1×
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 | |
|---|---|---|---|
| 2018 | 5,668 | $564K | |
| 2019 | 1,499 | $162K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 42% | 1,609 | 1,506 | $308K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 21% | 1,568 | 1,489 | $153K |
| 99242 | 8.1% | 1,138 | 1,126 | $59K | |
| 76813 | 7.2% | 428 | 401 | $52K | |
| 76801 | 5.4% | 457 | 450 | $39K | |
| 76825 | 4.8% | 409 | 407 | $35K | |
| 99243 | 3.2% | 349 | 345 | $23K | |
| 59025 | Fetal non-stress test | 1.9% | 631 | 383 | $14K |
| 93325 | 1.9% | 162 | 162 | $13K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 1.8% | 182 | 125 | $13K |
| 76827 | 1.8% | 174 | 174 | $13K | |
| 99223 | Prolong inpt eval add15 m | <1% | 15 | 14 | $1K |
2 more codes
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 officialSOFFICI, ALEJANDRO (PRESIDENT)