Clinic
Coastal Pediatrics
Coastal Pediatrics was paid $5.12M by Medicaid between Jan 2018 and Nov 2023, across 47 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
33Billing provider infoCOASTAL PEDIATRICS
CONWAY, SC 29526
CONWAY, SC 29526
33aNPI1659382067assigned 08/10/2006
33bProvider typePrimary Care Clinic/Center
28Total paid$5.12M
24GClaims110,468
24DCodes billed47
24AFirst – last monthJan 2018 – Nov 2023
Compared with peers
Next to other Primary Care Clinic/Center providers in South Carolina
Rank by total paid#1 of 38
Median peer was paid$200K
This provider vs. median26×
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 | 20,128 | $744K | |
| 2019 | 17,587 | $751K | |
| 2020 | 16,976 | $841K | |
| 2021 | 20,432 | $1.03M | |
| 2022 | 21,294 | $1.04M | |
| 2023 | 14,051 | $711K |
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 | 31% | 24,272 | 21,620 | $1.58M |
| 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 | 9.4% | 5,204 | 4,922 | $482K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.6% | 4,460 | 4,384 | $442K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.9% | 4,405 | 4,288 | $402K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.1% | 3,749 | 3,704 | $365K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.0% | 11,636 | 11,352 | $308K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.0% | 2,822 | 2,780 | $305K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 3.8% | 3,887 | 3,694 | $193K |
| 90461 | 3.4% | 6,605 | 6,446 | $175K | |
| 97802 | 3.1% | 7,452 | 7,348 | $159K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 2.1% | 1,344 | 1,311 | $106K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 1.8% | 5,673 | 5,658 | $94K |
35 more codes
| 99239 | Hospital discharge day management, more than 30 minutes | 1.7% | 889 | $88K |
| 99460 | 1.6% | 976 | $84K | |
| G9153 | Mapcp demonstration - physician incentive pool | 1.5% | 1,665 | $75K |
| 87561 | 1.4% | 2,187 | $71K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 1.2% | 2,140 | $61K |
| 99462 | <1% | 771 | $27K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,849 | $26K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,806 | $25K |
| 83655 | <1% | 1,514 | $19K | |
| 87070 | <1% | 1,263 | $12K | |
| 87634 | <1% | 94 | $6K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 669 | $5K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 195 | $4K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 59 | $4K |
| 87807 | <1% | 128 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 14 | $580.30 |
| 81003 | <1% | 95 | $227.13 | |
| 90670 | <1% | 2,735 | $185.87 | |
| 90734 | <1% | 552 | $126.21 | |
| 85018 | <1% | 30 | $77.71 | |
| 90686 | <1% | 2,391 | $76.61 | |
| 90715 | <1% | 154 | $41.31 | |
| 90677 | <1% | 14 | $0.01 | |
| 90698 | 0% | 3,164 | $0.00 | |
| 90744 | 0% | 1,278 | $0.00 | |
| 90620 | 0% | 127 | $0.00 | |
| 90651 | 0% | 346 | $0.00 | |
| 90619 | 0% | 52 | $0.00 | |
| 90716 | 0% | 24 | $0.00 | |
| 90696 | 0% | 12 | $0.00 | |
| 90633 | 0% | 1,029 | $0.00 | |
| 90681 | 0% | 558 | $0.00 | |
| 90707 | 0% | 12 | $0.00 | |
| 90710 | 0% | 26 | $0.00 | |
| 90685 | 0% | 141 | $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 officialLINDSEY, JAMES (OWNER)