NP / PA
Coastal Horizons Center INC
Coastal Horizons Center INC was paid $1.94M by Medicaid between Jan 2018 and Dec 2024, across 42 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 50% of everything it billed.
33Billing provider infoCOASTAL HORIZONS CENTER INC
WILMINGTON, NC 28412
WILMINGTON, NC 28412
33aNPI1598048175assigned 09/21/2011
33bProvider typeFamily Nurse Practitioner
28Total paid$1.94M
24GClaims124,389
24DCodes billed42
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Nurse Practitioner providers in North Carolina
Rank by total paid#7 of 147
Median peer was paid$12K
This provider vs. median168×
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 | 8,986 | $201K | |
| 2019 | 5,608 | $176K | |
| 2020 | 4,824 | $132K | |
| 2021 | 12,791 | $206K | |
| 2022 | 24,145 | $240K | |
| 2023 | 32,640 | $383K | |
| 2024incomplete | 35,395 | $607K |
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 | 50% | 16,157 | 10,973 | $967K |
| 99199 | Unlisted special service, procedure or report | 20% | 72,163 | 28,443 | $398K |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 18% | 1,343 | 1,056 | $347K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.3% | 2,439 | 1,838 | $102K |
| 96127 | 1.5% | 7,391 | 4,353 | $30K | |
| 97803 | <1% | 485 | 242 | $19K | |
| 81025 | <1% | 2,500 | 1,765 | $14K | |
| 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 | <1% | 119 | 105 | $13K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 191 | 106 | $11K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 110 | 73 | $8K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 536 | 360 | $7K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 555 | 341 | $6K |
30 more codes
| 99401 | <1% | 442 | $6K | |
| 99406 | <1% | 530 | $4K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,106 | $3K |
| 96160 | <1% | 1,245 | $3K | |
| Q3014 | Telehealth originating site facility fee | <1% | 193 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 27 | $2K |
| 81003 | <1% | 570 | $737.69 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 19 | $727.74 |
| 85018 | <1% | 233 | $403.57 | |
| 81002 | <1% | 116 | $229.95 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 16 | $212.28 |
| 99173 | <1% | 1,186 | $193.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 13 | $166.35 |
| 94760 | <1% | 438 | $60.26 | |
| 87210 | <1% | 61 | $51.70 | |
| 92551 | <1% | 970 | $8.02 | |
| 99000 | 0% | 5,030 | $0.00 | |
| 3074F | 0% | 2,743 | $0.00 | |
| 3079F | 0% | 445 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 358 | $0.00 |
| 3044F | 0% | 495 | $0.00 | |
| 90686 | 0% | 72 | $0.00 | |
| 94761 | 0% | 95 | $0.00 | |
| 3075F | 0% | 24 | $0.00 | |
| 3078F | 0% | 2,360 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 290 | $0.00 |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 149 | $0.00 |
| 3077F | 0% | 105 | $0.00 | |
| 90734 | 0% | 16 | $0.00 | |
| G9919 | Screening performed and positive and provision of recommendations | 0% | 53 | $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 officialLUTTMER, ERIC (VP MEDICAL SERVICES)