NP / PA
Coastal Medical INC
Coastal Medical INC was paid $1.52M by Medicaid between Jan 2018 and Apr 2021, across 83 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
33Billing provider infoCOASTAL MEDICAL INC
PROVIDENCE, RI 02903
PROVIDENCE, RI 02903
33aNPI1609863828assigned 10/03/2005
33bProvider typeNurse Practitioner
28Total paid$1.52M
24GClaims81,191
24DCodes billed83
24AFirst – last monthJan 2018 – Apr 2021
Compared with peers
Next to other Nurse Practitioner providers in Rhode Island
Rank by total paid#1 of 110
Median peer was paid$14K
This provider vs. median109×
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 | 26,746 | $373K | |
| 2019 | 30,042 | $684K | |
| 2020 | 17,238 | $322K | |
| 2021 | 7,165 | $144K |
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 | 44% | 17,201 | 14,694 | $665K |
| 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 | 7.4% | 6,714 | 4,855 | $113K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 4.9% | 845 | 772 | $74K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 3.6% | 2,085 | 1,978 | $55K |
| 80050 | General health panel | 3.2% | 1,433 | 1,384 | $49K |
| 80061 | Lipid panel | 3.1% | 3,973 | 3,792 | $47K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 3.0% | 1,428 | 1,367 | $46K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 3.0% | 1,428 | 1,367 | $45K |
| 84443 | Thyroid stimulating hormone (TSH) | 2.4% | 2,526 | 2,373 | $37K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.2% | 3,836 | 1,702 | $34K |
| 87650 | 1.9% | 1,598 | 1,489 | $29K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.9% | 4,231 | 3,812 | $29K |
71 more codes
| 90834 | Psychotherapy session, about 45 minutes | 1.7% | 354 | $25K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.4% | 264 | $21K |
| 80048 | Basic metabolic panel (calcium, ionized) | 1.4% | 2,875 | $21K |
| 83036 | Hemoglobin; glycosylated (A1C) | 1.2% | 2,429 | $19K |
| 82607 | 1.1% | 1,274 | $17K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.0% | 1,745 | $15K |
| 82728 | <1% | 1,233 | $15K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 928 | $12K |
| 80076 | <1% | 1,611 | $12K | |
| 80053 | Comprehensive metabolic panel | <1% | 1,279 | $11K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 127 | $9K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 94 | $8K |
| 90461 | <1% | 255 | $7K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 618 | $6K |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 1,315 | $6K |
| 36415 | Collection of venous blood by venipuncture | <1% | 618 | $6K |
| 87428 | <1% | 96 | $6K | |
| 87806 | <1% | 285 | $6K | |
| 84460 | <1% | 1,176 | $5K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 73 | $5K |
| 85027 | <1% | 874 | $5K | |
| 99050 | <1% | 144 | $5K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 1,285 | $5K |
| 83550 | <1% | 622 | $5K | |
| 83540 | <1% | 739 | $4K | |
| 84450 | <1% | 915 | $4K | |
| 81001 | <1% | 1,261 | $4K | |
| 84153 | <1% | 206 | $3K | |
| 93000 | <1% | 766 | $3K | |
| 92587 | <1% | 42 | $2K | |
| 82043 | <1% | 478 | $2K | |
| 82570 | <1% | 500 | $2K | |
| 84439 | <1% | 248 | $2K | |
| 86140 | <1% | 416 | $2K | |
| 85652 | <1% | 746 | $2K | |
| 85610 | <1% | 551 | $2K | |
| 86780 | <1% | 135 | $2K | |
| 84466 | <1% | 128 | $1K | |
| 82565 | <1% | 279 | $1K | |
| 81003 | <1% | 711 | $1K | |
| 86618 | <1% | 75 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 29 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 12 | $938.20 |
| 87186 | <1% | 118 | $915.18 | |
| 83690 | <1% | 146 | $885.48 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 16 | $777.63 |
| 94760 | <1% | 60 | $712.62 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 91 | $560.24 |
| G8433 | Screening for depression not completed, documented patient or medical reason | <1% | 280 | $540.67 |
| G0008 | Administration of influenza virus vaccine | <1% | 557 | $421.33 |
| 82784 | <1% | 46 | $390.08 | |
| 82550 | <1% | 69 | $333.45 | |
| 99051 | <1% | 12 | $300.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 91 | $242.92 |
| 84520 | <1% | 72 | $226.80 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 13 | $213.84 |
| 83735 | <1% | 38 | $210.06 | |
| 87070 | <1% | 16 | $102.29 | |
| 90662 | <1% | 188 | $92.27 | |
| 96127 | <1% | 32 | $81.49 | |
| 83721 | <1% | 12 | $75.24 | |
| 90674 | <1% | 29 | $67.06 | |
| 82248 | <1% | 12 | $40.85 | |
| 90686 | <1% | 206 | $27.84 | |
| 99442 | 0% | 983 | $0.00 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | 0% | 110 | $0.00 |
| 90653 | 0% | 28 | $0.00 | |
| 99443 | 0% | 718 | $0.00 | |
| 99441 | 0% | 79 | $0.00 | |
| 94010 | 0% | 34 | $0.00 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | 0% | 26 | $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 officialMOSS, MERYL (COO)
| Provider | Location | Paid |
|---|---|---|
| Coastal Medical INC | Providence, RI | $514K |
| Coastal Medical INC. | East Providence, RI | $2.21 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.