Coastal Primary Health Specialists PLLC

Coastal Primary Health Specialists PLLC was paid $51K by Medicaid between Jan 2018 and Jul 2020, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 74% of everything it billed.

33Billing provider infoCOASTAL PRIMARY HEALTH SPECIALISTS PLLC
BURGAW, NC 28425

33aNPI1164702551assigned 08/17/2011

33bProvider typeFamily Medicine Physician

28Total paid$51K

24GClaims1,940

24DCodes billed5

24AFirst – last monthJan 2018 – Jul 2020

Compared with peers

Next to other Family Medicine Physician providers in North Carolina

Rank by total paid#613 of 960

Median peer was paid$135K

This provider vs. median0.4×

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	793	$20K
2019	801	$19K
2020	346	$12K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	74%	1,057	624	$37K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	25%	405	262	$13K
81002		<1%	342	177	$285.58
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	60	13	$214.31
96127		<1%	76	40	$124.73

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 officialBAKER, PAMMELA (MEMBER)