Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or South Carolina for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to South Carolina only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. South Carolina (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Coastal Carolina Multispecialty Associates, LLC (NPI 1518079102)

Field	Value
Entity Type	Organization
Organization	Coastal Carolina Multispecialty Associates, LLC
Address	295a Midland Pkwy Ste 120
City	Summerville
State	SC
ZIP	29485
Taxonomy	Specialist
NPI Enumerated	August 31, 2006

Payer Source	Total Paid
Medicaid	$4.1M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

54 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	29,450	$50	$1.6M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	8,260	$80	$668.7K
59409	In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…	510	$1,030	$527.4K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	2,670	$110	$304.6K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	2,830	$70	$195.5K
J1050	Injection, medroxyprogesterone acetate, 1 mg	2,140	$80	$168.9K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	890	$160	$137.2K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	2,960	$30	$94.8K
59430	For this service, the provider or nonphysician healthcare professional provides care to the patient in the outpatient setting following the delivery. Routine postpartum care can involve one or more…	480	$110	$51K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	530	$100	$50.7K

Showing 1–10 of 54

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other South Carolina providers billing the same CPT/HCPCS codes.

Claims Volume vs. South Carolina Distribution

Coastal Carolina Multispecialty Associates, LLC — 3 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Carolina

Full comparison — all codes billed, vs. South Carolina median

54 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	160	340	110	$40	$450.5K
59409	In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…	9	60	50	$960	$381.4K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	85	2,770	210	$60	$254.5K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	273	710	350	$60	$247.2K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	188	2,480	350	$80	$246K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	39	100	240	$100	$187.3K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	68	140	690	$80	$153.6K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	107	410	330	$50	$152.6K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	204	230	430	$40	$129.9K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	204	610	190	$50	$98.4K

Showing 1–10 of 54

Related Providers

Other providers that share a Tax Identification Number (TIN) with Coastal Carolina Multispecialty Associates, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Darren Sidney	SC	Cardiovascular Disease Physician	$577.2K	$0
Daniel Krcelic	AZ	Vascular Surgery Physician	$554.4K	$0
Frank Cuoco	SC	Clinical Cardiac Electrophysiology Physician	$526.7K	$0
Robert Pringle	SC	Interventional Cardiology Physician	$281.4K	$0
Donald Saunders	SC	Interventional Cardiology Physician	$267.8K	$0
Patrick Looser	SC	Interventional Cardiology Physician	$189.3K	$0
Anand Sharma	SC	Radiation Oncology Physician	$170.7K	$0
James Benner	SC	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$128.8K	$0
Lawrence Conley	SC	Orthopaedic Surgery Physician	$88.1K	$0
Thomas Jennings	SC	Gynecologic Oncology Physician	$85.2K	$0

Nearby Providers

Other providers in the same ZIP code as Coastal Carolina Multispecialty Associates, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Palmetto Hearing Care Center, LLC	SC	Speech-Language Pathologist	$0	$5.8M
Oakbrook Pediatrics, PA	SC	Pediatrics Physician	$0	$5.5M
Synergy Counseling Services LLC	SC	Professional Counselor	$0	$3.7M
Low Country Women's Specialists	SC	Obstetrics & Gynecology Physician	$0	$3.4M
Caroline Speech & Language Center Inc	SC	Speech-Language Pathologist	$0	$2.8M
Lowcountry Outpatient Surgery Center, LLC	SC	Ambulatory Surgical Clinic/Center	$2.6M	$45K
Womens Health Partners PA	SC	Obstetrics & Gynecology Physician	$0	$1.9M
Cp Dentistry, LLC	SC	Pediatric Dentistry	$0	$1.7M
Summerville Endoscopy Center, LLC	SC	Ambulatory Surgical Clinic/Center	$491.8K	$181.3K
Robert Reuther	SC	Ophthalmology Physician	$392.5K	$0

Coastal Carolina Multispecialty Associates, LLC — Billing Profile & Reimbursement Data

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Coastal Carolina Multispecialty Associates, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References