Physician
Coastal Carolina Neonatology, PLLC
Coastal Carolina Neonatology, PLLC was paid $4.42M by Medicaid between Jan 2018 and Dec 2021, across 12 billing codes. Its largest line is 99469, Subsequent inpatient neonatal critical care, per day, 28 days or younger — 62% of everything it billed.
33Billing provider infoCOASTAL CAROLINA NEONATOLOGY, PLLC
WILMINGTON, NC 28401
WILMINGTON, NC 28401
33aNPI1144462631assigned 03/30/2009
33bProvider typeNeonatal-Perinatal Medicine Physician
28Total paid$4.42M
24GClaims24,278
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2021
Compared with peers
Next to other Neonatal-Perinatal Medicine Physician providers in North Carolina
Rank by total paid#1 of 17
Median peer was paid$127K
This provider vs. median35×
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 | 6,247 | $1.18M | |
| 2019 | 5,260 | $972K | |
| 2020 | 6,168 | $1.28M | |
| 2021 | 6,603 | $994K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | 62% | 9,496 | 2,844 | $2.72M |
| 99479 | Subsequent intensive care, per day, very low birth weight infant | 21% | 10,188 | 2,541 | $930K |
| 99472 | Subsequent inpatient pediatric critical care, per day, 2-5 years | 9.6% | 1,570 | 321 | $426K |
| 99480 | Subsequent intensive care, per day, low birth weight infant | 4.8% | 2,238 | 694 | $212K |
| 99468 | 2.2% | 130 | 121 | $95K | |
| 99464 | <1% | 180 | 155 | $9K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 104 | 98 | $9K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 156 | 58 | $8K |
| 96111 | <1% | 60 | 53 | $5K | |
| 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 | <1% | 128 | 116 | $5K |
| 99465 | <1% | 14 | 13 | $2K | |
| 96112 | <1% | 14 | 13 | $114.97 |
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 officialMOYA, FERNANDO (INCORPORATOR)
| Provider | Location | Paid |
|---|---|---|
| Coastal Childrens Services PLLC | Wilmington, NC | $4.28M |
| Coastal Childrens Services, PLLC | Jacksonville, NC | $504K |
| Coastal Childrens Services PLLC | Lumberton, NC | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.