Central Coast Oncology & Hematology

Central Coast Oncology & Hematology was paid $1.67M by Medicaid between Jan 2018 and Nov 2024, across 29 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 33% of everything it billed.

33Billing provider infoCENTRAL COAST ONCOLOGY & HEMATOLOGY
SANTA CRUZ, CA 95065

33aNPI1942473491assigned 04/04/2008

33bProvider typeMedical Oncology Physician

28Total paid$1.67M

24GClaims38,784

24DCodes billed29

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Medical Oncology Physician providers in California

Rank by total paid#3 of 33

Median peer was paid$29K

This provider vs. median57×

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	4,772	$204K
2019	7,197	$269K
2020	7,044	$261K
2021	6,220	$256K
2022	4,966	$251K
2023	5,022	$228K
2024incomplete	3,563	$201K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	33%	6,690	5,111	$554K
96413	Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance	20%	3,496	1,998	$336K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	13%	4,190	3,105	$221K
96549		6.5%	818	500	$108K
96367		4.2%	1,695	953	$71K
J1453	Injection, fosaprepitant, 1 mg	3.9%	284	172	$65K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	3.2%	502	424	$53K
J2469	Injection, palonosetron hcl, 25 mcg	3.1%	903	522	$52K
36410		2.4%	2,130	1,393	$40K
96375	Therapeutic injection; each additional sequential IV push	1.9%	1,528	787	$31K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	1.7%	7,071	4,584	$28K
99205	Prolong outpt/office vis	1.2%	109	109	$20K

17 more codes

A4223	Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately)	<1%	191	$16K
J7050	Infusion, normal saline solution, 250 cc	<1%	4,014	$15K
96368		<1%	905	$14K
99070		<1%	2,019	$10K
J0185	Injection, aprepitant, 1 mg	<1%	59	$10K
96417		<1%	167	$9K
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	1,192	$5K
96365	Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour	<1%	61	$3K
99245		<1%	13	$3K
96374	Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance	<1%	25	$1K
96415		<1%	48	$996.93
J2001	Injection, lidocaine hcl for intravenous infusion, 10 mg	<1%	273	$865.28
J7040	Infusion, normal saline solution, sterile (500 ml = 1 unit)	<1%	177	$861.72
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	13	$350.22
J1200	Injection, diphenhydramine hcl, up to 50 mg	<1%	45	$134.02
J1644	Injection, heparin sodium, per 1000 units	<1%	27	$132.55
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	139	$117.80

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 officialYEN, MICHAEL (OWNER)