Physician
Coastal Pulmonary Medicine PA
Coastal Pulmonary Medicine PA was paid $113K by Medicaid between Jan 2018 and May 2021, across 12 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 65% of everything it billed.
33Billing provider infoCOASTAL PULMONARY MEDICINE PA
WILMINGTON, NC 28401
WILMINGTON, NC 28401
33aNPI1851375794assigned 12/05/2005
33bProvider typeCritical Care Medicine (Internal Medicine) Physician
28Total paid$113K
24GClaims2,725
24DCodes billed12
24AFirst – last monthJan 2018 – May 2021
Compared with peers
Next to other Critical Care Medicine (Internal Medicine) Physician providers in North Carolina
Rank by total paid#11 of 24
Median peer was paid$62K
This provider vs. median1.8×
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 | 733 | $35K | |
| 2019 | 537 | $20K | |
| 2020 | 1,017 | $49K | |
| 2021 | 438 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 65% | 890 | 377 | $74K |
| 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 | 18% | 664 | 514 | $21K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 5.1% | 166 | 63 | $6K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.7% | 185 | 122 | $4K |
| 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 | 3.3% | 72 | 55 | $4K |
| 94060 | 1.4% | 153 | 123 | $2K | |
| 94729 | 1.3% | 219 | 175 | $1K | |
| 94726 | 1.1% | 202 | 160 | $1K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 31 | 24 | $555.22 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 14 | 14 | $42.68 |
| 3074F | 0% | 61 | 41 | $0.00 | |
| 3078F | 0% | 68 | 43 | $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 officialGRIFFIN, TRACE (PRACTICE MANAGER)