Clinic
Coastal Urgent Care & Family Medicine
Coastal Urgent Care & Family Medicine was paid $368K by Medicaid between Jan 2018 and Jul 2024, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 68% of everything it billed.
33Billing provider infoCOASTAL URGENT CARE & FAMILY MEDICINE
PAWLEYS ISLAND, SC 29585
PAWLEYS ISLAND, SC 29585
33aNPI1467628867assigned 05/06/2008
33bProvider typeClinic/Center
28Total paid$368K
24GClaims9,429
24DCodes billed10
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers
Next to other Clinic/Center providers in South Carolina
Rank by total paid#12 of 33
Median peer was paid$154K
This provider vs. median2.4×
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 | 2,309 | $80K | |
| 2019 | 1,824 | $63K | |
| 2020 | 2,284 | $91K | |
| 2021 | 2,165 | $90K | |
| 2022 | 461 | $23K | |
| 2023 | 263 | $15K | |
| 2024incomplete | 123 | $6K |
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 | 68% | 3,856 | 3,237 | $249K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 22% | 3,608 | 1,832 | $81K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.1% | 512 | 452 | $22K |
| 80305 | 2.2% | 1,260 | 1,022 | $8K | |
| 99442 | <1% | 120 | 108 | $3K | |
| 99205 | Prolong outpt/office vis | <1% | 12 | 12 | $2K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 15 | 15 | $2K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 18 | 14 | $755.38 |
| 99443 | <1% | 15 | 15 | $588.55 | |
| 99490 | Ccm add 20min | <1% | 13 | 12 | $93.30 |
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 officialCONGDON, GERALD (MANAGING PHYSICIAN)
| Provider | Location | Paid |
|---|---|---|
| Coastal Wellness Center, LLC | Myrtle Beach, SC | $1.81M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.