COASTAL WELLNESS CENTER, LLC
NPI: 1902077266
· MYRTLE BEACH, SC 29577
· Primary Care Clinic/Center
· NPI assigned 03/14/2008
$1.81M
Total Medicaid Paid
Provider Details
| Authorized Official | CONGDON, GERALD (MANAGING PHYSICIAN) |
| NPI Enumeration Date | 03/14/2008 |
Related Entities
Other providers sharing the same authorized official: CONGDON, GERALD
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
8,097 |
$502K |
| 2019 |
7,021 |
$333K |
| 2020 |
7,503 |
$326K |
| 2021 |
6,592 |
$269K |
| 2022 |
2,989 |
$153K |
| 2023 |
2,243 |
$136K |
| 2024 |
1,450 |
$92K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,757 |
10,899 |
$1.55M |
| 80305 |
|
11,426 |
6,060 |
$104K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
909 |
789 |
$58K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
665 |
344 |
$43K |
| 99215 |
Prolong outpt/office vis |
440 |
400 |
$43K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
293 |
251 |
$10K |
| 99443 |
|
216 |
194 |
$5K |
| 99205 |
Prolong outpt/office vis |
24 |
24 |
$3K |
| 81025 |
|
131 |
120 |
$857.99 |
| 96127 |
|
34 |
34 |
$116.45 |