Coastal Infectious Disease Consultants

Coastal Infectious Disease Consultants was paid $641K by Medicaid between Jan 2018 and Dec 2024, across 7 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 66% of everything it billed.

33Billing provider infoCOASTAL INFECTIOUS DISEASE CONSULTANTS
WILMINGTON, NC 28403

33aNPI1528154473assigned 10/05/2006

33bProvider typeInfectious Disease Physician

28Total paid$641K

24GClaims16,377

24DCodes billed7

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Infectious Disease Physician providers in North Carolina

Rank by total paid#5 of 37

Median peer was paid$78K

This provider vs. median8.2×

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	2,327	$68K
2019	2,020	$74K
2020	2,142	$84K
2021	2,949	$116K
2022	2,462	$126K
2023	2,403	$78K
2024incomplete	2,074	$94K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	66%	8,353	1,942	$422K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	14%	4,730	1,101	$92K
99223	Prolong inpt eval add15 m	13%	1,498	1,060	$80K
99356		6.8%	1,518	1,071	$43K
99418	Prolong nursin fac eval 15m	<1%	101	81	$2K
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	<1%	28	14	$423.29
G0316	Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99223, 99233, and 99236 for hospital inpatient or observation care evaluation and management services). (do not report g0316 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418, 99415, 99416). (do not report g0316 for any time unit less than 15 minutes)	<1%	149	116	$241.22

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 officialPATHAK, AMAN (OWNER)