Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

COASTAL CAROLINA PRIMARY CARE, LLC

NPI: 1821257676 · MYRTLE BEACH, SC 29572 · Obstetrics & Gynecology Physician · NPI assigned 06/06/2008

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official JOHNSON, WILLIAM controls 20+ related entities in our dataset. Read more

$4.04M
Total Medicaid Paid
100,857
Total Claims
77,138
Beneficiaries
45
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialJOHNSON, WILLIAM (VICE PRESIDENT)
NPI Enumeration Date06/06/2008

Related Entities

Other providers sharing the same authorized official: JOHNSON, WILLIAM

ProviderCityStateTotal Paid
STATE OF OKLAHOMA DEPARTMENT OF HUMAN SERVICES OKLAHOMA CITY OK $21.69M
1ST PRIORITY HOMECARE LLC KANSAS CITY MO $5.21M
CITRUS SPECIALTY GROUP, INC INVERNESS FL $3.80M
MIAMI-DADE CARDIOLOGY CONSULTANTS, LLC MIAMI FL $2.32M
COMMUNITY HOSPITAL FAMILY PRACTICE LLC BROOKSVILLE FL $1.74M
CAPITAL REGIONAL HEALTHCARE LLC TALLAHASSEE FL $1.73M
MISSION HEALTH COMMUNITY MULTISPECIALTY PROVIDERS, LLC ASHEVILLE NC $1.66M
CHILDRENS CLINIC OF FREDERICKSBURG URGENT CARE PC FREDERICKSBURG VA $820K
LAYTON FAMILY PRACTICE LLC LAYTON UT $673K
LARGO PHYSICIAN GROUP, LLC BROOKSVILLE FL $653K
WEST FLORIDA PHYSICIAN NETWORK, LLC BRADENTON FL $411K
BEHAVIORAL HEALTH SCIENCES OF WEST FLORIDA LLC SARASOTA FL $332K
NORTH FLORIDA REGIONAL PSYCHIATRY, LLC GAINESVILLE FL $204K
CITRUS PRIMARY CARE, INC HOMOSASSA FL $190K
COVENANT PRIMARY & BEHAVIORAL CARE PEMBROKE NC $166K
BROWARD NEUROSURGEONS LLC PLANTATION FL $77K
FAMILY MEDICINE OF BLACKSBURG, LLC BLACKSBURG VA $59K
LAWNWOOD CARDIOVASCULAR SURGERY LLC FORT PIERCE FL $54K
GREATER TAMPA BAY PHYSICIAN NETWORK, LLC SOUTH PASADENA FL $45K
SOUTHWEST VIRGINIA ORTHOPEDIC AND SPINE LLC BLACKSBURG VA $29K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 10,821 $388K
2019 17,990 $673K
2020 18,917 $715K
2021 16,289 $613K
2022 13,306 $567K
2023 15,310 $676K
2024 8,224 $409K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 34,849 26,205 $2.03M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,185 6,367 $480K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 5,015 4,506 $391K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 9,839 8,025 $341K
76819 Fetal biophysical profile; without non-stress testing 6,575 4,340 $205K
99232 Subsequent hospital care, per day, moderate complexity 3,734 1,351 $172K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 2,903 2,412 $89K
81025 6,738 5,645 $42K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 245 233 $25K
99244 Office or other outpatient consultation, moderate to high complexity 178 133 $23K
99239 Hospital discharge day management, more than 30 minutes 326 308 $23K
76820 1,019 589 $20K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 783 587 $20K
J1050 Injection, medroxyprogesterone acetate, 1 mg 267 214 $20K
81002 6,163 4,329 $19K
81003 8,912 6,686 $19K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 13 13 $14K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 171 153 $14K
76825 205 180 $12K
99243 120 116 $11K
99222 Initial hospital care, per day, moderate complexity 101 98 $9K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 323 266 $8K
99223 Prolong inpt eval add15 m 55 50 $8K
90792 Psychiatric diagnostic evaluation with medical services 74 73 $5K
59025 Fetal non-stress test 143 86 $5K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 63 55 $4K
87210 1,096 902 $4K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 80 73 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 182 165 $3K
85018 1,267 975 $3K
99241 79 74 $2K
90686 150 148 $2K
36415 Collection of venous blood by venipuncture 1,047 974 $2K
76801 44 37 $2K
99215 Prolong outpt/office vis 17 14 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 407 318 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 92 69 $2K
99385 12 12 $1K
99242 13 13 $804.49
96127 110 101 $443.86
Q0111 Wet mounts, including preparations of vaginal, cervical or skin specimens 42 39 $415.21
93325 167 153 $389.38
83036 Hemoglobin; glycosylated (A1C) 14 13 $108.46
82962 25 24 $42.38
82947 14 14 $41.57