Physician
Coastal Orthopaedics and Sports Medicine
Coastal Orthopaedics and Sports Medicine was paid $12K by Medicaid between Apr 2019 and Aug 2023, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 61% of everything it billed.
33Billing provider infoCOASTAL ORTHOPAEDICS AND SPORTS MEDICINE
NEW PORT RICHEY, FL 34653
NEW PORT RICHEY, FL 34653
33aNPI1013969260assigned 05/16/2006
33bProvider typeOrthopaedic Surgery Physician
28Total paid$12K
24GClaims121
24DCodes billed3
24AFirst – last monthApr 2019 – Aug 2023
Compared with peers
Next to other Orthopaedic Surgery Physician providers in Florida
Rank by total paid#46 of 104
Median peer was paid$7K
This provider vs. median1.8×
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.
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 | |
|---|---|---|---|
| 2019 | 32 | $3K | |
| 2021 | 48 | $5K | |
| 2023 | 41 | $5K |
Box 24 · Service lines
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 | 61% | 80 | 68 | $8K |
| 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 | 23% | 27 | 25 | $3K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 16% | 14 | 12 | $2K |
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 officialCANDELORA, PETER (PRACTICE OWNER)