Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Coastal Orthopedic Associates, PA

Coastal Orthopedic Associates, PA was paid $93K by Medicaid between Jan 2018 and Jul 2018, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.

33Billing provider infoCOASTAL ORTHOPEDIC ASSOCIATES, PA
CONWAY, SC 29526
33aNPI1922109701assigned 09/26/2006
33bProvider typeSpecialist
28Total paid$93K
24GClaims3,816
24DCodes billed18
24AFirst – last monthJan 2018 – Jul 2018
Compared with peers

Next to other Specialist providers in South Carolina

Rank by total paid#33 of 89
Median peer was paid$41K
This provider vs. median2.3×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
20183,816$93K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 47% 1,620 1,480 $44K
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 20% 454 419 $18K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 7.1% 120 112 $7K
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 4.4% 64 62 $4K
72110 4.3% 165 152 $4K
20610 3.5% 166 136 $3K
L4360 Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise 2.8% 21 18 $3K
80305 2.3% 291 273 $2K
95886 2.1% 60 60 $2K
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf 1.8% 64 59 $2K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 1.5% 319 287 $1K
73562 <1% 65 58 $883.14
6 more codes
72050 <1% 27 $583.73
A4590 Special casting material (e.g., fiberglass) <1% 18 $513.08
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg <1% 56 $416.36
20552 <1% 12 $138.36
J1040 Injection, methylprednisolone acetate, 80 mg <1% 18 $111.37
99024 0% 276 $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 officialMEARES, WENDY (ADMINISTRATIVE ASSISTANT)