Physician
Coastal Plains Physician Associates
Coastal Plains Physician Associates was paid $213K by Medicaid between Jan 2018 and Nov 2024, across 26 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.
33Billing provider infoCOASTAL PLAINS PHYSICIAN ASSOCIATES
VARNVILLE, SC 29944
VARNVILLE, SC 29944
33aNPI1316992506assigned 05/24/2006
33bProvider typeInternal Medicine Physician
28Total paid$213K
24GClaims11,596
24DCodes billed26
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in South Carolina
Rank by total paid#52 of 273
Median peer was paid$19K
This provider vs. median11×
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 | 2,740 | $44K | |
| 2019 | 2,181 | $30K | |
| 2020 | 1,188 | $17K | |
| 2021 | 1,267 | $31K | |
| 2022 | 1,322 | $31K | |
| 2023 | 1,926 | $45K | |
| 2024incomplete | 972 | $17K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 32% | 1,868 | 1,638 | $68K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 17% | 644 | 593 | $36K |
| 20610 | 12% | 1,302 | 825 | $26K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 7.8% | 3,315 | 2,765 | $17K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 4.2% | 184 | 163 | $9K |
| 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 | 3.6% | 159 | 147 | $8K |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 3.6% | 1,133 | 920 | $8K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 3.2% | 93 | 72 | $7K |
| 70450 | Computed tomography, head or brain; without contrast material | 3.1% | 279 | 252 | $7K |
| 71046 | Radiologic examination, chest; 2 views | 2.6% | 792 | 741 | $6K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 2.3% | 97 | 88 | $5K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 2.1% | 135 | 120 | $4K |
14 more codes
| 71045 | Radiologic examination, chest; single view | 2.0% | 970 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.0% | 154 | $4K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 64 | $2K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 43 | $1K |
| 73562 | <1% | 75 | $487.94 | |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 100 | $429.20 |
| 73564 | <1% | 16 | $313.58 | |
| 73610 | <1% | 27 | $172.67 | |
| 73630 | <1% | 28 | $158.44 | |
| 73130 | <1% | 27 | $155.71 | |
| 74018 | <1% | 25 | $146.27 | |
| 72100 | <1% | 18 | $121.42 | |
| 93000 | <1% | 29 | $113.26 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 19 | $92.36 |
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 officialHAMILL, DAVE (CEO)
| Provider | Location | Paid |
|---|---|---|
| Hampton Regional Medical Center | Varnville, SC | $6.15M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.