Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

COASTAL CAROLINA MULTISPECIALTY ASSOCIATES, LLC

NPI: 1518079102 · SUMMERVILLE, SC 29485 · Cardiovascular Disease Physician · NPI assigned 08/31/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official FAILE, ROBERT controls 12+ related entities in our dataset. Read more

$4.07M
Total Medicaid Paid
70,490
Total Claims
60,385
Beneficiaries
54
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFAILE, ROBERT (VICE PRESIDENT)
Parent OrganizationCOASTAL CAROLINA MULTISPECIALTY ASSOCIATES, LLC
NPI Enumeration Date08/31/2006

Related Entities

Other providers sharing the same authorized official: FAILE, ROBERT

ProviderCityStateTotal Paid
MEMORIAL FAMILY PRACTICE ASSOCIATES, LLC JACKSONVILLE FL $1.48M
COASTAL INPATIENT PHYSICIANS, LLC CHARLESTON SC $852K
INTEGRATED REGIONAL LABORATORIES PATHOLOGY SERVICES, LLC ORANGE PARK FL $175K
TRI-COUNTY SURGICAL SPECIALISTS LLC CHARLESTON SC $171K
WATERWAY PRIMARY CARE,LLC LITTLE RIVER SC $152K
INTEGRATED REGIONAL LABORATORIES PATHOLOGY SERVICES, LLC JACKSONVILLE FL $143K
INTEGRATED REGIONAL LABORATORIES PATHOLOGY SERVICES, LLC JACKSONVILLE FL $39K
AUGUSTA PRIMARY CARE SERVICES LLC AUGUSTA GA $35K
INTEGRATED REGIONAL LABORATORIES PATHOLOGY SERVICES, LLC JACKSONVILLE FL $19K
INTEGRATED REGIONAL LABORATORIES PATHOLOGY SERVICES, LLC JACKSONVILLE FL $10K
SAVANNAH MULTISPECIALTY ASSOCIATES, LLC SAVANNAH GA $8K
INTEGRATED REGIONAL LABORATORIES PATHOLOGY SERVICES, LLC JACKSONVILLE FL $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 10,332 $485K
2019 11,091 $557K
2020 10,861 $610K
2021 11,543 $674K
2022 11,382 $720K
2023 9,572 $638K
2024 5,709 $387K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 29,451 24,021 $1.56M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,255 6,795 $671K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 514 494 $528K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,672 2,625 $304K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,834 2,663 $194K
J1050 Injection, medroxyprogesterone acetate, 1 mg 2,138 2,016 $168K
99205 Prolong outpt/office vis 885 876 $137K
59025 Fetal non-stress test 2,963 1,769 $94K
59430 477 467 $51K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 528 503 $50K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 767 738 $34K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 524 506 $30K
93295 1,522 1,452 $27K
81025 2,841 2,436 $18K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 609 567 $18K
76801 437 400 $18K
54150 166 164 $18K
99283 Emergency department visit for the evaluation and management, moderate severity 294 241 $17K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 226 218 $16K
20610 740 699 $16K
93296 1,518 1,445 $14K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,978 1,851 $13K
99078 396 279 $12K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 566 514 $10K
93298 790 763 $9K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 45 42 $5K
85018 2,071 1,871 $4K
25600 14 12 $3K
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results 419 403 $3K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 725 698 $3K
81002 1,091 982 $3K
97803 114 107 $2K
99222 Initial hospital care, per day, moderate complexity 37 37 $2K
73560 179 172 $2K
93299 38 37 $2K
36415 Collection of venous blood by venipuncture 733 662 $2K
76830 Ultrasound, transvaginal 27 26 $2K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 29 28 $1K
99232 Subsequent hospital care, per day, moderate complexity 31 13 $1K
99223 Prolong inpt eval add15 m 16 15 $828.08
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 59 51 $804.28
82950 127 119 $719.03
73100 30 25 $708.54
90686 45 38 $698.66
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 13 13 $687.46
73562 22 21 $358.56
J1885 Injection, ketorolac tromethamine, per 15 mg 391 380 $233.30
51798 29 24 $202.43
93000 26 24 $196.65
88738 21 20 $120.41
93294 25 25 $87.28
Q0111 Wet mounts, including preparations of vaginal, cervical or skin specimens 15 13 $54.44
81003 14 13 $21.40
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 13 12 $0.00