Physician
Coastal Carolina Multispecialty Associates, LLC
Coastal Carolina Multispecialty Associates, LLC was paid $4.07M by Medicaid between Jan 2018 and Dec 2024, across 54 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoCOASTAL CAROLINA MULTISPECIALTY ASSOCIATES, LLC
SUMMERVILLE, SC 29485
SUMMERVILLE, SC 29485
33aNPI1518079102assigned 08/31/2006
33bProvider typeCardiovascular Disease Physician
28Total paid$4.07M
24GClaims70,490
24DCodes billed54
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Cardiovascular Disease Physician providers in South Carolina
Rank by total paid#2 of 64
Median peer was paid$3K
This provider vs. median1,350×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official FAILE, ROBERT controls 12+ related entities in our dataset. Read more
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 | 10,332 | $485K | |
| 2019 | 11,091 | $557K | |
| 2020 | 10,861 | $610K | |
| 2021 | 11,543 | $674K | |
| 2022 | 11,382 | $720K | |
| 2023 | 9,572 | $638K | |
| 2024incomplete | 5,709 | $387K |
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 | 38% | 29,451 | 24,021 | $1.56M |
| 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 | 16% | 8,255 | 6,795 | $671K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 13% | 514 | 494 | $528K |
| 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 | 7.5% | 2,672 | 2,625 | $304K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.8% | 2,834 | 2,663 | $194K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 4.1% | 2,138 | 2,016 | $168K |
| 99205 | Prolong outpt/office vis | 3.4% | 885 | 876 | $137K |
| 59025 | Fetal non-stress test | 2.3% | 2,963 | 1,769 | $94K |
| 59430 | 1.3% | 477 | 467 | $51K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 1.2% | 528 | 503 | $50K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 767 | 738 | $34K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 524 | 506 | $30K |
42 more codes
| 93295 | <1% | 1,522 | $27K | |
| 81025 | <1% | 2,841 | $18K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 609 | $18K |
| 76801 | <1% | 437 | $18K | |
| 54150 | <1% | 166 | $18K | |
| 99283 | Emergency room visit (moderate) | <1% | 294 | $17K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 226 | $16K |
| 20610 | <1% | 740 | $16K | |
| 93296 | <1% | 1,518 | $14K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,978 | $13K |
| 99078 | <1% | 396 | $12K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 566 | $10K |
| 93298 | <1% | 790 | $9K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 45 | $5K |
| 85018 | <1% | 2,071 | $4K | |
| 25600 | <1% | 14 | $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 | <1% | 419 | $3K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 725 | $3K |
| 81002 | <1% | 1,091 | $3K | |
| 97803 | <1% | 114 | $2K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 37 | $2K |
| 73560 | <1% | 179 | $2K | |
| 93299 | <1% | 38 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 733 | $2K |
| 76830 | Ultrasound, transvaginal | <1% | 27 | $2K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 29 | $1K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 31 | $1K |
| 99223 | Prolong inpt eval add15 m | <1% | 16 | $828.08 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 59 | $804.28 |
| 82950 | <1% | 127 | $719.03 | |
| 73100 | <1% | 30 | $708.54 | |
| 90686 | <1% | 45 | $698.66 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 13 | $687.46 |
| 73562 | <1% | 22 | $358.56 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 391 | $233.30 |
| 51798 | <1% | 29 | $202.43 | |
| 93000 | <1% | 26 | $196.65 | |
| 88738 | <1% | 21 | $120.41 | |
| 93294 | <1% | 25 | $87.28 | |
| Q0111 | Wet mounts, including preparations of vaginal, cervical or skin specimens | <1% | 15 | $54.44 |
| 81003 | <1% | 14 | $21.40 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 13 | $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 officialFAILE, ROBERT (VICE PRESIDENT)
Parent organizationCOASTAL CAROLINA MULTISPECIALTY ASSOCIATES, LLC
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.