Coastal Internal Medicine, P.A.

Coastal Internal Medicine, P.A. was paid $795K by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 55% of everything it billed.

33Billing provider infoCOASTAL INTERNAL MEDICINE, P.A.
WILMINGTON, NC 28401

33aNPI1437146800assigned 09/30/2005

33bProvider typeInternal Medicine Physician

28Total paid$795K

24GClaims56,166

24DCodes billed30

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Internal Medicine Physician providers in North Carolina

Rank by total paid#97 of 616

Median peer was paid$74K

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	3,516	$65K
2019	2,637	$83K
2020	2,354	$92K
2021	7,273	$109K
2022	12,644	$148K
2023	9,492	$115K
2024incomplete	18,250	$184K

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	55%	11,065	8,397	$441K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	24%	6,551	4,860	$192K
99199	Unlisted special service, procedure or report	19%	27,622	12,206	$152K
99490	Ccm add 20min	<1%	330	320	$3K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	985	677	$3K
83036	Hemoglobin; glycosylated (A1C)	<1%	1,701	1,397	$2K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	<1%	39	31	$1K
90688		<1%	123	107	$618.80
90682		<1%	101	94	$482.33
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	52	37	$425.60
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	17	13	$213.40
93000		<1%	22	16	$157.80

18 more codes

80305		<1%	99	$111.67
3044F		<1%	525	$60.05
81003		<1%	195	$57.32
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%	14	$51.78
36415	Collection of venous blood by venipuncture	<1%	252	$33.42
82044		<1%	20	$7.42
J1885	Injection, ketorolac tromethamine, per 15 mg	<1%	42	$2.56
3079F		<1%	724	$0.02
3008F		<1%	909	$0.02
3074F		<1%	1,218	$0.01
3078F		<1%	1,142	$0.01
3075F		0%	363	$0.00
G0008	Administration of influenza virus vaccine	0%	222	$0.00
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	0%	686	$0.00
3080F		0%	89	$0.00
3077F		0%	467	$0.00
1159F		0%	577	$0.00
G0446	Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	0%	14	$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 officialCAPORINO, LAURA (OFFICE MANAGER)