Coastal Carolina Health Care
Coastal Carolina Health Care was paid $151K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 54% of everything it billed.
NEW BERN, NC 28562
Next to other Gastroenterology Physician providers in North Carolina
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 487 | $12K | |
| 2019 | 668 | $15K | |
| 2020 | 203 | $9K | |
| 2021 | 315 | $17K | |
| 2022 | 724 | $37K | |
| 2023 | 564 | $32K | |
| 2024incomplete | 1,248 | $29K |
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 | 54% | 2,274 | 1,721 | $81K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 35% | 382 | 319 | $53K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.2% | 453 | 385 | $12K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 1.5% | 17 | 12 | $2K |
| 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) | 1.1% | 657 | 610 | $2K |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) | <1% | 352 | 296 | $187.70 |
| 1159F | 0% | 25 | 25 | $0.00 | |
| 1160F | 0% | 12 | 12 | $0.00 | |
| 3008F | 0% | 25 | 25 | $0.00 | |
| 3074F | 0% | 12 | 12 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Coastal Carolina Health Care PA | Bayboro, NC | $568K |
| 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 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.