Physician
Coastal Nephrology, P.A.
Coastal Nephrology, P.A. was paid $8K by Medicaid between Jan 2018 and Oct 2018, across 6 billing codes. Its largest line is 90960, End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits — 79% of everything it billed.
33Billing provider infoCOASTAL NEPHROLOGY, P.A.
JACKSONVILLE, NC 28546
JACKSONVILLE, NC 28546
33aNPI1003164922assigned 08/27/2012
33bProvider typeNephrology Physician
28Total paid$8K
24GClaims406
24DCodes billed6
24AFirst – last monthJan 2018 – Oct 2018
Compared with peers
Next to other Nephrology Physician providers in North Carolina
Rank by total paid#30 of 41
Median peer was paid$168K
This provider vs. median0.0×
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 | 406 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 79% | 203 | 111 | $6K |
| 90961 | 11% | 46 | 19 | $925.80 | |
| 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 | 9.7% | 65 | 31 | $784.57 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 26 | 13 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 40 | 25 | $0.00 |
| 4040F | 0% | 26 | 13 | $0.00 |
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 officialCAILING, MILAGROS (PRESIDENT)