Coastal Pediatric Associates, P.A.

Coastal Pediatric Associates, P.A. was paid $25.03M by Medicaid between Jan 2018 and Dec 2024, across 77 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 32% of everything it billed.

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	83,254	$3.22M
2019	68,953	$2.99M
2020	60,180	$2.76M
2021	74,773	$3.80M
2022	90,490	$4.51M
2023	85,724	$4.38M
2024incomplete	60,315	$3.37M

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	32%	85,476	82,085	$7.94M
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	20%	76,503	73,924	$4.91M
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	9.5%	24,309	24,129	$2.38M
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	9.3%	25,777	25,268	$2.33M
90460	Immunization administration through 18 years of age via any route, first or only component	9.0%	65,748	65,152	$2.26M
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	4.5%	11,572	11,470	$1.12M
90461		1.9%	20,344	20,151	$486K
G9153	Mapcp demonstration - physician incentive pool	1.7%	8,323	8,307	$427K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	1.7%	3,982	3,951	$427K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	1.7%	8,138	8,010	$419K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	1.2%	2,526	2,238	$303K
99188		<1%	13,938	13,837	$223K

65 more codes

99051		<1%	15,968	$206K
92587		<1%	8,489	$184K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	6,706	$144K
99238	Hospital discharge day management, 30 minutes or less	<1%	2,507	$129K
99499		<1%	1,563	$117K
87428		<1%	1,699	$109K
U0002	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	<1%	1,999	$108K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	7,570	$105K
99460		<1%	1,564	$98K
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	9,333	$76K
87400		<1%	3,538	$60K
83655		<1%	4,313	$55K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	916	$39K
96127		<1%	4,848	$36K
97802		<1%	1,128	$29K
0071A		<1%	628	$27K
0072A		<1%	602	$25K
87811	Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19)	<1%	580	$22K
87633	Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets	<1%	61	$21K
96160		<1%	2,568	$19K
85018		<1%	7,009	$17K
54150		<1%	215	$17K
99177		<1%	4,020	$16K
0002A		<1%	360	$15K
0001A		<1%	349	$15K
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	<1%	641	$14K
80061	Lipid panel	<1%	1,059	$13K
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	<1%	409	$12K
99203	Doctor's office visit, new patient (routine)	<1%	124	$11K
90837	Psychotherapy session, about an hour	<1%	60	$7K
99462		<1%	236	$6K
82247		<1%	1,114	$5K
96161		<1%	500	$5K
83036	Hemoglobin; glycosylated (A1C)	<1%	508	$4K
92552		<1%	242	$3K
0111A		<1%	77	$3K
81003		<1%	1,098	$3K
90791	Psychiatric diagnostic evaluation	<1%	17	$2K
0112A		<1%	47	$2K
99204	Doctor's office visit, new patient (more involved)	<1%	13	$2K
90677		<1%	2,427	$1K
99381		<1%	14	$1K
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	86	$1K
90686		<1%	15,488	$943.54
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	166	$719.69
90651		<1%	1,472	$655.01
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	27	$582.72
87420		<1%	31	$409.15
90620		<1%	233	$391.84
90670		<1%	12,954	$245.47
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	<1%	18	$237.21
87807		<1%	13	$200.23
90680		<1%	3,323	$96.59
90633		<1%	6,844	$92.01
90648		<1%	15,164	$57.87
82272		<1%	12	$41.26
90700		<1%	675	$27.63
90672		<1%	32	$22.58
90723		0%	10,788	$0.00
90716		0%	4,558	$0.00
90696		0%	729	$0.00
90707		0%	4,485	$0.00
90681		0%	1,879	$0.00
90734		0%	739	$0.00
90715		0%	218	$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 officialCLIFFORD, ROBERT (PARTNER)