Medicaid Provider Spending

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

PACIFIC CENTRAL COAST HEALTH CENTERS

NPI: 1962148726 · SANTA MARIA, CA 93454 · Community Health Clinic/Center · NPI assigned 05/05/2022

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

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

$1.68M
Total Medicaid Paid
33,575
Total Claims
25,802
Beneficiaries
40
Codes Billed
2022-09
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMERLO, BRANDON (CHIEF FINANCIAL OFFICER)
Parent OrganizationPACIFIC CENTRAL COAST HEALTH CENTERS
NPI Enumeration Date05/05/2022

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 $1.58M
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 ARROYO GRANDE CA $190K
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
2022 2,899 $143K
2023 15,270 $712K
2024 15,406 $821K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H1001 Prenatal care, at-risk enhanced service; antepartum management 3,796 2,459 $260K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 2,086 1,886 $235K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 3,382 3,029 $207K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 3,116 2,600 $163K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 112 96 $126K
59430 324 287 $88K
H1000 Prenatal care, at-risk assessment 483 469 $85K
H2000 Comprehensive multidisciplinary evaluation 525 510 $81K
H1003 Prenatal care, at-risk enhanced service; education 7,528 4,497 $81K
59025 Fetal non-stress test 1,218 433 $61K
J3490 Unclassified drugs 454 389 $53K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 292 267 $35K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 318 196 $29K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 261 222 $27K
99401 1,348 1,180 $14K
76813 196 186 $13K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 15 13 $11K
96158 1,058 978 $10K
97803 1,017 972 $10K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 418 347 $9K
90715 228 192 $8K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 524 452 $8K
81025 854 728 $8K
99244 Office or other outpatient consultation, moderate to high complexity 41 41 $7K
11981 59 50 $7K
90678 20 14 $6K
76801 201 191 $6K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 521 496 $5K
96159 505 492 $5K
S9452 Nutrition classes, non-physician provider, per session 485 473 $5K
82947 702 268 $3K
85018 933 877 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 17 17 $2K
90686 89 84 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 12 12 $1K
90656 18 18 $430.38
90674 12 12 $367.92
G8510 Screening for depression is documented as negative, a follow-up plan is not required 90 87 $279.21
3078F 142 126 $0.01
3074F 175 156 $0.01