Clinic
Coastal Carolina Health Care PA
Coastal Carolina Health Care PA was paid $371K by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 46% of everything it billed.
33Billing provider infoCOASTAL CAROLINA HEALTH CARE PA
NEW BERN, NC 28562
NEW BERN, NC 28562
33aNPI1366498297assigned 05/25/2006
33bProvider typePrimary Care Clinic/Center
28Total paid$371K
24GClaims34,616
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in North Carolina
Rank by total paid#46 of 116
Median peer was paid$226K
This provider vs. median1.6×
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 NUCKOLLS, STEPHEN controls 16+ related entities in our dataset. Read more
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 | 988 | $14K | |
| 2019 | 1,268 | $36K | |
| 2020 | 845 | $38K | |
| 2021 | 3,134 | $58K | |
| 2022 | 8,483 | $69K | |
| 2023 | 9,162 | $66K | |
| 2024incomplete | 10,736 | $89K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 46% | 28,263 | 17,357 | $171K |
| 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 | 42% | 4,389 | 3,268 | $158K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.4% | 601 | 452 | $24K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.2% | 177 | 119 | $12K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 152 | 51 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 164 | 58 | $2K |
| 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 | <1% | 24 | 13 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 481 | 314 | $866.33 |
| 90688 | <1% | 64 | 26 | $181.77 | |
| 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% | 64 | 58 | $151.64 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 47 | 33 | $0.00 |
| 1159F | 0% | 116 | 112 | $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 officialNUCKOLLS, STEPHEN (CEO)
| Provider | Location | Paid |
|---|---|---|
| Coastal Carolina Health Care PA | Bayboro, NC | $568K |
| Coastal Carolina Health Care, PA | Havelock, NC | $366K |
| Coastal Carolina Health Care PA | New Bern, NC | $344K |
| Coastal Carolina Health Care | New Bern, NC | $151K |
| 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.