Clinic
Coastal Carolina Health Care PA
Coastal Carolina Health Care PA was paid $568K by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 34% of everything it billed.
33Billing provider infoCOASTAL CAROLINA HEALTH CARE PA
BAYBORO, NC 28515
BAYBORO, NC 28515
33aNPI1063962074assigned 10/13/2016
33bProvider typePrimary Care Clinic/Center
28Total paid$568K
24GClaims43,298
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in North Carolina
Rank by total paid#36 of 116
Median peer was paid$226K
This provider vs. median2.5×
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 NUCKOLLS, STEPHEN controls 16+ 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 | |
|---|---|---|---|
| 2018 | 2,385 | $38K | |
| 2019 | 3,217 | $71K | |
| 2020 | 2,952 | $82K | |
| 2021 | 4,357 | $91K | |
| 2022 | 5,393 | $79K | |
| 2023 | 6,728 | $64K | |
| 2024incomplete | 18,266 | $143K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 34% | 28,734 | 15,181 | $191K |
| 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 | 22% | 3,259 | 2,513 | $124K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 20% | 5,420 | 3,480 | $116K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 16% | 3,609 | 2,852 | $89K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.8% | 1,265 | 798 | $33K |
| 99305 | 2.4% | 453 | 370 | $14K | |
| 99316 | <1% | 43 | 31 | $695.32 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 228 | 206 | $635.28 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 94 | 66 | $507.78 |
| 36415 | Collection of venous blood by venipuncture | <1% | 179 | 116 | $248.40 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 14 | 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 officialNUCKOLLS, STEPHEN (CEO)
| Provider | Location | Paid |
|---|---|---|
| Coastal Carolina Health Care PA | New Bern, NC | $371K |
| Coastal Carolina Health Care, PA | Havelock, NC | $366K |
| Coastal Carolina Health Care PA | New Bern, NC | $344K |
| Coastal Carolina Health Care | New Bern, NC | $151K |
| Coastal Carolina Health Care PA | New Bern, NC | $82K |
| Coastal Carolina Health Care PA | New Bern, NC | $81K |
| CCHC Endoscopy Center INC | New Bern, NC | $57K |
| Coastal Carolina Health Care, PA | New Bern, NC | $44K |
| Coastal Carolina Health Care PA | New Bern, NC | $39K |
| Coastal Carolina Health Care PA | New Bern, NC | $27K |
| Coastal Carolina Health Care PA | New Bern, NC | $27K |
| Coastal Carolina Health Care, PA | New Bern, NC | $25K |
| Coastal Carolina Health Care, PA | New Bern, NC | $23K |
| Coastal Carolina Health Care PA | New Bern, NC | $5K |
| Coastal Carolina Health Care PA | New Bern, NC | $4K |
| Coastal Carolina Health Care PA | New Bern, NC | $155.82 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.