Physician
Coast Pulmonary & Internal Medicine Associates
Coast Pulmonary & Internal Medicine Associates was paid $74K by Medicaid between Jan 2018 and Aug 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 74% of everything it billed.
33Billing provider infoCOAST PULMONARY & INTERNAL MEDICINE ASSOCIATES
FOUNTAIN VALLEY, CA 92708
FOUNTAIN VALLEY, CA 92708
33aNPI1407974967assigned 03/26/2007
33bProvider typeDermatology Physician
28Total paid$74K
24GClaims6,517
24DCodes billed6
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Dermatology Physician providers in California
Rank by total paid#79 of 187
Median peer was paid$26K
This provider vs. median2.8×
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 | 624 | $21K | |
| 2019 | 1,135 | $31K | |
| 2020 | 13 | $545.00 | |
| 2021 | 1,181 | $7K | |
| 2022 | 2,083 | $8K | |
| 2023 | 1,390 | $4K | |
| 2024incomplete | 91 | $2K |
Box 24 · Service lines
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 | 74% | 4,332 | 3,791 | $55K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 1,148 | 1,101 | $8K |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) | 5.1% | 121 | 117 | $4K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 4.7% | 200 | 14 | $3K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.6% | 692 | 620 | $3K |
| G0181 | Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans | <1% | 24 | 24 | $528.93 |
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 officialROELL, JILL (OFFICE MANAGER)