Clinic
Coastal Wellness Center, LLC
Coastal Wellness Center, LLC was paid $1.81M by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 85% of everything it billed.
33Billing provider infoCOASTAL WELLNESS CENTER, LLC
MYRTLE BEACH, SC 29577
MYRTLE BEACH, SC 29577
33aNPI1902077266assigned 03/14/2008
33bProvider typePrimary Care Clinic/Center
28Total paid$1.81M
24GClaims35,895
24DCodes billed10
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in South Carolina
Rank by total paid#5 of 38
Median peer was paid$200K
This provider vs. median9.1×
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 | 8,097 | $502K | |
| 2019 | 7,021 | $333K | |
| 2020 | 7,503 | $326K | |
| 2021 | 6,592 | $269K | |
| 2022 | 2,989 | $153K | |
| 2023 | 2,243 | $136K | |
| 2024incomplete | 1,450 | $92K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 85% | 21,757 | 10,899 | $1.55M |
| 80305 | 5.7% | 11,426 | 6,060 | $104K | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 3.2% | 909 | 789 | $58K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.4% | 665 | 344 | $43K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.4% | 440 | 400 | $43K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 293 | 251 | $10K |
| 99443 | <1% | 216 | 194 | $5K | |
| 99205 | Prolong outpt/office vis | <1% | 24 | 24 | $3K |
| 81025 | <1% | 131 | 120 | $857.99 | |
| 96127 | <1% | 34 | 34 | $116.45 |
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 officialCONGDON, GERALD (MANAGING PHYSICIAN)
| Provider | Location | Paid |
|---|---|---|
| Coastal Urgent Care & Family Medicine | Pawleys Island, SC | $368K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.