Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Coastal Inpatient Physicians, LLC

Coastal Inpatient Physicians, LLC was paid $852K by Medicaid between Jan 2018 and Jul 2024, across 11 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 70% of everything it billed.

33Billing provider infoCOASTAL INPATIENT PHYSICIANS, LLC
CHARLESTON, SC 29406
33aNPI1215043872assigned 08/23/2006
33bProvider typeSpecialist
28Total paid$852K
24GClaims17,570
24DCodes billed11
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers

Next to other Specialist providers in South Carolina

Rank by total paid#14 of 89
Median peer was paid$41K
This provider vs. median21×

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 FAILE, ROBERT controls 12+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20183,862$190K
20192,825$126K
20202,202$106K
20212,244$101K
20222,663$131K
20232,188$116K
2024incomplete1,586$82K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 70% 13,477 4,142 $599K
99222 Initial hospital care, per day, moderate complexity 11% 1,177 1,127 $98K
99239 Hospital discharge day management, more than 30 minutes 10% 1,309 1,242 $86K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 2.7% 413 389 $23K
99231 Subsequent hospital care, per day, straightforward or low complexity 2.3% 718 301 $20K
99223 Prolong inpt eval add15 m 1.7% 124 118 $14K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m <1% 104 66 $8K
90792 Psychiatric diagnostic evaluation with medical services <1% 42 40 $3K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity <1% 51 47 $2K
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 134 124 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 0% 21 20 $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 officialFAILE, ROBERT (VICE PRESIDENT)
Same official

Other billing entities under FAILE, ROBERT

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.