Medicaid Provider Spending

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

PACIFIC CENTRAL COAST HEALTH CENTERS

NPI: 1912352493 · ARROYO GRANDE, CA 93420 · Community Health Clinic/Center · NPI assigned 05/03/2016

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

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

$190K
Total Medicaid Paid
2,113
Total Claims
1,918
Beneficiaries
9
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialMERLO, BRANDON (CHIEF FINANCIAL OFFICER)
Parent OrganizationPACIFIC CENTRAL COAST HEALTH CENTERS
NPI Enumeration Date05/03/2016

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 $1.58M
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 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 46 $3K
2019 131 $12K
2020 425 $43K
2021 407 $39K
2022 431 $40K
2023 523 $38K
2024 150 $14K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,398 1,315 $140K
20610 423 346 $23K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 93 90 $12K
99205 Prolong outpt/office vis 24 24 $5K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 26 26 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 40 40 $3K
99232 Subsequent hospital care, per day, moderate complexity 42 13 $2K
99215 Prolong outpt/office vis 12 12 $1K
J1030 Injection, methylprednisolone acetate, 40 mg 55 52 $340.54