Coastal Ear Nose and Throat, LLC
Coastal Ear Nose and Throat, LLC was paid $13.24M by Medicaid between Jan 2018 and Dec 2024, across 42 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 25% of everything it billed.
33Billing provider infoCOASTAL EAR NOSE AND THROAT, LLC
NEPTUNE, NJ 07753
NEPTUNE, NJ 07753
33aNPI1861592867assigned 09/22/2006
33bProvider typeSpecialist
28Total paid$13.24M
24GClaims150,491
24DCodes billed42
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in New Jersey
Rank by total paid#5 of 378
Median peer was paid$63K
This provider vs. median212×
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 | 19,390 | $1.64M | |
| 2019 | 26,988 | $1.74M | |
| 2020 | 17,952 | $1.37M | |
| 2021 | 22,607 | $2.15M | |
| 2022 | 24,733 | $2.42M | |
| 2023 | 20,740 | $2.13M | |
| 2024incomplete | 18,081 | $1.78M |
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 | 25% | 41,563 | 38,968 | $3.36M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 13% | 15,539 | 14,985 | $1.74M |
| 31231 | 11% | 7,226 | 6,907 | $1.42M | |
| 99243 | 10% | 8,757 | 8,752 | $1.34M | |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 9.7% | 4,626 | 4,516 | $1.28M |
| 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 | 6.0% | 4,028 | 3,925 | $797K |
| 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 | 5.8% | 6,334 | 6,056 | $771K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.7% | 8,755 | 8,563 | $490K |
| 31575 | 2.9% | 3,072 | 2,960 | $389K | |
| 92504 | 2.3% | 10,271 | 9,505 | $304K | |
| 69210 | 1.7% | 5,163 | 4,823 | $230K | |
| 99242 | 1.4% | 1,719 | 1,718 | $189K |
30 more codes
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 1.4% | 563 | $188K |
| 92567 | 1.0% | 7,809 | $133K | |
| 92579 | <1% | 2,086 | $112K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,419 | $111K |
| 92557 | <1% | 2,650 | $98K | |
| 31579 | <1% | 277 | $63K | |
| 31237 | <1% | 121 | $39K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 167 | $37K |
| 41115 | <1% | 137 | $36K | |
| 42830 | <1% | 187 | $34K | |
| 92587 | <1% | 831 | $20K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 566 | $15K |
| 95117 | <1% | 873 | $13K | |
| 69610 | <1% | 26 | $10K | |
| 92524 | <1% | 82 | $9K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 12 | $3K |
| 92556 | <1% | 51 | $2K | |
| 92593 | <1% | 48 | $2K | |
| 95115 | <1% | 134 | $2K | |
| 92555 | <1% | 27 | $750.53 | |
| 92552 | <1% | 15 | $505.51 | |
| 99000 | <1% | 124 | $18.93 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 2,367 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 6,952 | $0.00 |
| 99072 | 0% | 323 | $0.00 | |
| 99071 | 0% | 17 | $0.00 | |
| 4004F | 0% | 26 | $0.00 | |
| 1036F | 0% | 3,926 | $0.00 | |
| 99024 | 0% | 775 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 847 | $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 officialHANSON, LISA (OFFICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Coastal Surgery Center, LLC | Neptune, NJ | $3.14M |
| Lake County | Two Harbors, MN | $233K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.