Physician
Coastal Carolina Family Practice PA
Coastal Carolina Family Practice PA was paid $1.06M by Medicaid between Jan 2018 and Dec 2024, across 36 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 43% of everything it billed.
33Billing provider infoCOASTAL CAROLINA FAMILY PRACTICE PA
HERTFORD, NC 27944
HERTFORD, NC 27944
33aNPI1326031485assigned 08/24/2005
33bProvider typeFamily Medicine Physician
28Total paid$1.06M
24GClaims113,841
24DCodes billed36
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in North Carolina
Rank by total paid#136 of 960
Median peer was paid$135K
This provider vs. median7.8×
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 | 5,040 | $70K | |
| 2019 | 3,288 | $99K | |
| 2020 | 2,870 | $92K | |
| 2021 | 10,786 | $145K | |
| 2022 | 22,833 | $170K | |
| 2023 | 25,519 | $175K | |
| 2024incomplete | 43,505 | $305K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 43% | 77,016 | 44,439 | $455K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 33% | 10,274 | 6,969 | $346K |
| 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 | 21% | 5,653 | 3,783 | $221K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 2.3% | 6,484 | 4,325 | $25K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 148 | 84 | $3K |
| 81002 | <1% | 1,727 | 1,163 | $2K | |
| 81003 | <1% | 2,169 | 1,445 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 196 | 75 | $1K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 24 | 12 | $854.38 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 47 | 40 | $438.03 |
| 90688 | <1% | 98 | 59 | $433.16 | |
| 96127 | <1% | 142 | 125 | $385.34 |
24 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 23 | $141.30 |
| 96161 | <1% | 114 | $28.72 | |
| 3078F | <1% | 714 | $0.13 | |
| 3074F | <1% | 872 | $0.12 | |
| 3008F | <1% | 5,255 | $0.12 | |
| 3079F | <1% | 543 | $0.04 | |
| 3075F | <1% | 119 | $0.03 | |
| 3077F | <1% | 351 | $0.03 | |
| 3080F | <1% | 126 | $0.02 | |
| 1170F | 0% | 286 | $0.00 | |
| 1125F | 0% | 38 | $0.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 285 | $0.00 |
| 90686 | 0% | 85 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 150 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 32 | $0.00 |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 12 | $0.00 |
| 1036F | 0% | 13 | $0.00 | |
| 99173 | 0% | 201 | $0.00 | |
| 3288F | 0% | 179 | $0.00 | |
| 1159F | 0% | 114 | $0.00 | |
| 4004F | 0% | 128 | $0.00 | |
| 1158F | 0% | 97 | $0.00 | |
| 1160F | 0% | 114 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 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.
From NPPES
Who's on the registration
Authorized officialLANE, CHRIS (MEDICAL ADM)