Physician
Coastal Carolina Primary Care, LLC
Coastal Carolina Primary Care, LLC was paid $4.04M by Medicaid between Jan 2018 and Nov 2024, across 45 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.
33Billing provider infoCOASTAL CAROLINA PRIMARY CARE, LLC
MYRTLE BEACH, SC 29572
MYRTLE BEACH, SC 29572
33aNPI1821257676assigned 06/06/2008
33bProvider typeObstetrics & Gynecology Physician
28Total paid$4.04M
24GClaims100,857
24DCodes billed45
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in South Carolina
Rank by total paid#5 of 206
Median peer was paid$10K
This provider vs. median409×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official JOHNSON, WILLIAM controls 20+ related entities in our dataset. Read more
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 | 10,821 | $388K | |
| 2019 | 17,990 | $673K | |
| 2020 | 18,917 | $715K | |
| 2021 | 16,289 | $613K | |
| 2022 | 13,306 | $567K | |
| 2023 | 15,310 | $676K | |
| 2024incomplete | 8,224 | $409K |
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 | 50% | 34,849 | 26,205 | $2.03M |
| 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 | 12% | 7,185 | 6,367 | $480K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 9.7% | 5,015 | 4,506 | $391K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 8.4% | 9,839 | 8,025 | $341K |
| 76819 | Fetal biophysical profile; without non-stress testing | 5.1% | 6,575 | 4,340 | $205K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 4.3% | 3,734 | 1,351 | $172K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 2.2% | 2,903 | 2,412 | $89K |
| 81025 | 1.0% | 6,738 | 5,645 | $42K | |
| 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% | 245 | 233 | $25K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 178 | 133 | $23K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 326 | 308 | $23K |
| 76820 | <1% | 1,019 | 589 | $20K |
33 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 783 | $20K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 267 | $20K |
| 81002 | <1% | 6,163 | $19K | |
| 81003 | <1% | 8,912 | $19K | |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 13 | $14K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 171 | $14K |
| 76825 | <1% | 205 | $12K | |
| 99243 | <1% | 120 | $11K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 101 | $9K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 323 | $8K |
| 99223 | Prolong inpt eval add15 m | <1% | 55 | $8K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 74 | $5K |
| 59025 | Fetal non-stress test | <1% | 143 | $5K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 63 | $4K |
| 87210 | <1% | 1,096 | $4K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 80 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 182 | $3K |
| 85018 | <1% | 1,267 | $3K | |
| 99241 | <1% | 79 | $2K | |
| 90686 | <1% | 150 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,047 | $2K |
| 76801 | <1% | 44 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 17 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 407 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 92 | $2K |
| 99385 | <1% | 12 | $1K | |
| 99242 | <1% | 13 | $804.49 | |
| 96127 | <1% | 110 | $443.86 | |
| Q0111 | Wet mounts, including preparations of vaginal, cervical or skin specimens | <1% | 42 | $415.21 |
| 93325 | <1% | 167 | $389.38 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 14 | $108.46 |
| 82962 | <1% | 25 | $42.38 | |
| 82947 | <1% | 14 | $41.57 |
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 officialJOHNSON, WILLIAM (VICE PRESIDENT)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.