Coastal Childrens Clinic

Coastal Childrens Clinic was paid $20.16M by Medicaid between Jan 2018 and Dec 2024, across 93 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.

33Billing provider infoCOASTAL CHILDRENS CLINIC
NEW BERN, NC 28562

33aNPI1366418816assigned 02/24/2006

33bProvider typePediatrics Physician

28Total paid$20.16M

24GClaims1,044,136

24DCodes billed93

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pediatrics Physician providers in North Carolina

Rank by total paid#10 of 433

Median peer was paid$942K

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.

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	66,201	$1.81M
2019	71,216	$2.19M
2020	60,310	$1.86M
2021	140,488	$3.28M
2022	237,508	$4.16M
2023	233,449	$3.66M
2024incomplete	234,964	$3.20M

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	30%	98,611	83,506	$6.02M
99199	Unlisted special service, procedure or report	14%	516,643	308,694	$2.87M
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	12%	26,372	22,956	$2.38M
90460	Immunization administration through 18 years of age via any route, first or only component	9.2%	49,271	43,367	$1.85M
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	6.6%	15,091	13,480	$1.34M
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	5.2%	11,192	10,094	$1.04M
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	4.1%	9,615	8,513	$827K
87428		4.0%	14,379	11,219	$814K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	2.7%	5,364	4,766	$541K
99401		1.7%	10,385	7,574	$338K
D0145	Oral evaluation for a patient under three years of age	1.6%	9,816	8,838	$327K
99051		1.5%	12,932	11,096	$293K

81 more codes

85025	Blood count; complete (CBC), automated, and automated differential WBC count	1.1%	24,714	$221K
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	19,493	$173K
D1206	Topical application of fluoride varnish	<1%	9,818	$144K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	11,070	$142K
87070		<1%	7,725	$75K
96127		<1%	16,430	$72K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	5,351	$71K
A4627	Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler	<1%	1,615	$57K
0002A		<1%	978	$57K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	<1%	1,316	$45K
36415	Collection of venous blood by venipuncture	<1%	17,221	$44K
0001A		<1%	746	$43K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	2,240	$42K
92551		<1%	27,978	$40K
0072A		<1%	540	$32K
83036	Hemoglobin; glycosylated (A1C)	<1%	2,359	$26K
0071A		<1%	461	$23K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	1,143	$23K
94664		<1%	1,958	$20K
99173		<1%	29,375	$19K
90651		<1%	845	$18K
90461		<1%	14,041	$17K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	389	$14K
83655		<1%	968	$13K
90686		<1%	10,607	$13K
36416		<1%	15,680	$10K
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	814	$8K
0054A		<1%	122	$7K
90473		<1%	318	$6K
90672		<1%	3,371	$5K
0124A		<1%	79	$4K
90734		<1%	183	$4K
90674		<1%	4,051	$3K
0003A		<1%	55	$3K
83718		<1%	254	$2K
0082A		<1%	34	$2K
0052A		<1%	44	$2K
0074A		<1%	53	$2K
0081A		<1%	31	$2K
A7015	Aerosol mask, used with dme nebulizer	<1%	1,148	$2K
69210		<1%	49	$2K
82465		<1%	254	$1K
92587		<1%	47	$1K
0154A		<1%	27	$1K
G9919	Screening performed and positive and provision of recommendations	<1%	29	$907.70
0004A		<1%	14	$841.04
91307		<1%	1,205	$707.72
87420		<1%	49	$640.55
99070		<1%	88	$629.06
90715		<1%	91	$568.68
90619		<1%	197	$457.20
90661		<1%	1,018	$295.48
A7005	Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable	<1%	15	$254.90
96380		<1%	18	$222.82
81002		<1%	59	$154.17
90707		<1%	678	$148.74
91305		<1%	347	$134.38
90716		<1%	670	$124.91
99177		<1%	202	$96.57
90688		<1%	56	$81.75
90633		<1%	1,234	$65.24
90744		<1%	877	$55.76
90660		<1%	326	$50.88
85013		<1%	12	$35.04
91300		<1%	1,834	$34.65
J8540	Dexamethasone, oral, 0.25 mg	<1%	78	$31.79
90700		<1%	804	$29.74
90698		<1%	2,672	$9.45
99000		<1%	6,158	$0.02
90670		0%	5,273	$0.00
J7610	Albuterol, inhalation solution, compounded product, administered through dme, concentrated form, 1 mg	0%	530	$0.00
90671		0%	506	$0.00
90710		0%	18	$0.00
90685		0%	957	$0.00
91308		0%	159	$0.00
90648		0%	13	$0.00
91312		0%	72	$0.00
G9920	Screening performed and negative	0%	67	$0.00
90713		0%	69	$0.00
90680		0%	2,048	$0.00
91315		0%	27	$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 officialBARDEN, GRAHAM (PRESIDENT)