Clinic
Pacific Central Coast Health Centers
Pacific Central Coast Health Centers was paid $1.68M by Medicaid between Sep 2022 and Nov 2024, across 40 billing codes. Its largest line is H1001, Prenatal care, at-risk enhanced service; antepartum management — 16% of everything it billed.
33Billing provider infoPACIFIC CENTRAL COAST HEALTH CENTERS
SANTA MARIA, CA 93454
SANTA MARIA, CA 93454
33aNPI1962148726assigned 05/05/2022
33bProvider typeCommunity Health Clinic/Center
28Total paid$1.68M
24GClaims33,575
24DCodes billed40
24AFirst – last monthSep 2022 – Nov 2024
Compared with peers
Next to other Community Health Clinic/Center providers in California
Rank by total paid#155 of 288
Median peer was paid$2.15M
This provider vs. median0.8×
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.
Entity ProliferationAuthorized official MERLO, BRANDON controls 20+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2022 | 2,899 | $143K | |
| 2023 | 15,270 | $712K | |
| 2024incomplete | 15,406 | $821K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | 16% | 3,796 | 2,459 | $260K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 14% | 2,086 | 1,886 | $235K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 12% | 3,382 | 3,029 | $207K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 9.7% | 3,116 | 2,600 | $163K |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | 7.5% | 112 | 96 | $126K |
| 59430 | 5.2% | 324 | 287 | $88K | |
| H1000 | Prenatal care, at-risk assessment | 5.1% | 483 | 469 | $85K |
| H2000 | Comprehensive multidisciplinary evaluation | 4.9% | 525 | 510 | $81K |
| H1003 | Prenatal care, at-risk enhanced service; education | 4.8% | 7,528 | 4,497 | $81K |
| 59025 | Fetal non-stress test | 3.6% | 1,218 | 433 | $61K |
| J3490 | Unclassified drugs | 3.1% | 454 | 389 | $53K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.1% | 292 | 267 | $35K |
28 more codes
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 1.7% | 318 | $29K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.6% | 261 | $27K |
| 99401 | <1% | 1,348 | $14K | |
| 76813 | <1% | 196 | $13K | |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 15 | $11K |
| 96158 | <1% | 1,058 | $10K | |
| 97803 | <1% | 1,017 | $10K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 418 | $9K |
| 90715 | <1% | 228 | $8K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 524 | $8K |
| 81025 | <1% | 854 | $8K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 41 | $7K |
| 11981 | <1% | 59 | $7K | |
| 90678 | <1% | 20 | $6K | |
| 76801 | <1% | 201 | $6K | |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 521 | $5K |
| 96159 | <1% | 505 | $5K | |
| S9452 | Nutrition classes, non-physician provider, per session | <1% | 485 | $5K |
| 82947 | <1% | 702 | $3K | |
| 85018 | <1% | 933 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 17 | $2K |
| 90686 | <1% | 89 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | $1K |
| 90656 | <1% | 18 | $430.38 | |
| 90674 | <1% | 12 | $367.92 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 90 | $279.21 |
| 3078F | <1% | 142 | $0.01 | |
| 3074F | <1% | 175 | $0.01 |
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 officialMERLO, BRANDON (CHIEF FINANCIAL OFFICER)
Parent organizationPACIFIC CENTRAL COAST HEALTH CENTERS
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.