Physician
Coastal Health Partners
Coastal Health Partners was paid $2.15M by Medicaid between Jan 2018 and Feb 2024, across 31 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.
33Billing provider infoCOASTAL HEALTH PARTNERS
WATSONVILLE, CA 95076
WATSONVILLE, CA 95076
33aNPI1437599032assigned 06/27/2013
33bProvider typeInterventional Cardiology Physician
28Total paid$2.15M
24GClaims36,935
24DCodes billed31
24AFirst – last monthJan 2018 – Feb 2024
Compared with peers
Next to other Interventional Cardiology Physician providers in California
Rank by total paid#10 of 125
Median peer was paid$32K
This provider vs. median67×
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 | 7,085 | $382K | |
| 2019 | 5,286 | $274K | |
| 2020 | 4,283 | $226K | |
| 2021 | 5,858 | $372K | |
| 2022 | 6,199 | $371K | |
| 2023 | 7,139 | $449K | |
| 2024incomplete | 1,085 | $77K |
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 | 29% | 11,684 | 10,856 | $623K |
| 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 | 20% | 7,270 | 6,480 | $441K |
| 99205 | Prolong outpt/office vis | 7.6% | 800 | 799 | $163K |
| 90962 | 7.2% | 1,213 | 1,211 | $156K | |
| 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 | 5.6% | 926 | 923 | $120K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 5.5% | 619 | 619 | $118K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.5% | 762 | 761 | $75K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.5% | 724 | 609 | $74K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 2.8% | 1,314 | 1,303 | $61K |
| 99245 | 2.5% | 230 | 230 | $53K | |
| 99243 | 2.3% | 382 | 382 | $49K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.3% | 1,171 | 1,102 | $49K |
19 more codes
| 99223 | Prolong inpt eval add15 m | 1.4% | 264 | $29K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 1.1% | 744 | $25K |
| 90961 | 1.1% | 157 | $24K | |
| 99232 | Hospital visit by a doctor, follow-up day | 1.0% | 480 | $22K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 307 | $12K |
| 93016 | <1% | 769 | $12K | |
| 81002 | <1% | 5,668 | $8K | |
| 93018 | <1% | 769 | $8K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 232 | $7K |
| 93224 | <1% | 91 | $6K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 65 | $5K |
| 20610 | <1% | 68 | $3K | |
| 93350 | <1% | 41 | $2K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 14 | $2K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 12 | $891.22 |
| 93000 | <1% | 71 | $765.50 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 32 | $244.71 |
| 81000 | <1% | 42 | $71.01 | |
| 99443 | <1% | 14 | $16.28 |
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 officialCLARK, SANDI (BILLING SUPERVISOR)