Pacific Central Coast Health Centers
Pacific Central Coast Health Centers was paid $190K by Medicaid between Jan 2018 and Oct 2024, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 74% of everything it billed.
ARROYO GRANDE, CA 93420
Next to other Community Health Clinic/Center providers in California
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 46 | $3K | |
| 2019 | 131 | $12K | |
| 2020 | 425 | $43K | |
| 2021 | 407 | $39K | |
| 2022 | 431 | $40K | |
| 2023 | 523 | $38K | |
| 2024incomplete | 150 | $14K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 74% | 1,398 | 1,315 | $140K |
| 20610 | 12% | 423 | 346 | $23K | |
| 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 | 6.1% | 93 | 90 | $12K |
| 99205 | Prolong outpt/office vis | 2.4% | 24 | 24 | $5K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.9% | 26 | 26 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.6% | 40 | 40 | $3K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.2% | 42 | 13 | $2K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 12 | 12 | $1K |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 55 | 52 | $340.54 |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.