Physician
Coastal Childrens Services PLLC
Coastal Childrens Services PLLC was paid $4.28M by Medicaid between Jan 2018 and Dec 2021, across 47 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 35% of everything it billed.
33Billing provider infoCOASTAL CHILDRENS SERVICES PLLC
WILMINGTON, NC 28401
WILMINGTON, NC 28401
33aNPI1548523095assigned 06/20/2012
33bProvider typePediatrics Physician
28Total paid$4.28M
24GClaims61,019
24DCodes billed47
24AFirst – last monthJan 2018 – Dec 2021
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#97 of 433
Median peer was paid$942K
This provider vs. median4.5×
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 | 15,941 | $961K | |
| 2019 | 17,704 | $1.36M | |
| 2020 | 14,510 | $1.08M | |
| 2021 | 12,864 | $874K |
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 | 35% | 18,952 | 17,650 | $1.50M |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 12% | 3,891 | 3,617 | $531K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 9.2% | 4,184 | 3,679 | $392K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.1% | 5,178 | 4,838 | $304K |
| 99243 | 5.8% | 2,462 | 2,296 | $247K | |
| 99239 | Hospital discharge day management, more than 30 minutes | 5.8% | 3,095 | 2,837 | $247K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 4.0% | 2,330 | 1,271 | $171K |
| 99245 | 2.9% | 790 | 696 | $124K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 2.6% | 2,087 | 1,885 | $110K |
| 99460 | 2.2% | 1,313 | 1,226 | $92K | |
| 99238 | Hospital discharge day management, 30 minutes or less | 2.0% | 1,498 | 1,374 | $84K |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | 1.9% | 1,660 | 1,435 | $82K |
35 more codes
| 95951 | 1.2% | 243 | $53K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 1.1% | 392 | $49K |
| 99221 | 1.1% | 580 | $48K | |
| 99223 | Prolong inpt eval add15 m | <1% | 199 | $27K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 837 | $27K |
| 95819 | <1% | 531 | $27K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 3,287 | $20K |
| 96112 | <1% | 174 | $14K | |
| 99217 | <1% | 245 | $12K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 101 | $11K |
| 99220 | <1% | 82 | $10K | |
| 99462 | <1% | 240 | $7K | |
| 54150 | <1% | 97 | $7K | |
| 93325 | <1% | 2,647 | $7K | |
| 96111 | <1% | 93 | $7K | |
| 95720 | <1% | 40 | $7K | |
| 95816 | <1% | 113 | $6K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 63 | $6K |
| 99219 | <1% | 49 | $6K | |
| 93308 | <1% | 235 | $5K | |
| 94010 | <1% | 721 | $4K | |
| 94060 | <1% | 381 | $4K | |
| 99242 | <1% | 56 | $4K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 20 | $4K |
| 93227 | <1% | 214 | $4K | |
| 96160 | <1% | 1,210 | $3K | |
| 99401 | <1% | 164 | $3K | |
| 95811 | <1% | 12 | $2K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 234 | $2K |
| 95012 | <1% | 184 | $2K | |
| 99443 | <1% | 19 | $1K | |
| 93304 | <1% | 48 | $1K | |
| 95251 | <1% | 38 | $732.46 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 15 | $605.42 |
| 93320 | <1% | 15 | $217.36 |
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 officialMOYA, FERNANDO (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Coastal Carolina Neonatology, PLLC | Wilmington, NC | $4.42M |
| Coastal Childrens Services, PLLC | Jacksonville, NC | $504K |
| Coastal Childrens Services PLLC | Lumberton, NC | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.