Physician
Albemarle Womens Clinic PA
Albemarle Womens Clinic PA was paid $3.13M by Medicaid between Jan 2018 and Sep 2024, across 27 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoALBEMARLE WOMENS CLINIC PA
ALBEMARLE, NC 28001
ALBEMARLE, NC 28001
33aNPI1033207766assigned 10/10/2006
33bProvider typeObstetrics & Gynecology Physician
28Total paid$3.13M
24GClaims113,999
24DCodes billed27
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in North Carolina
Rank by total paid#9 of 189
Median peer was paid$47K
This provider vs. median67×
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 | 16,711 | $499K | |
| 2019 | 16,508 | $557K | |
| 2020 | 15,392 | $514K | |
| 2021 | 20,552 | $487K | |
| 2022 | 20,860 | $501K | |
| 2023 | 15,438 | $371K | |
| 2024incomplete | 8,538 | $202K |
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 | 37% | 21,975 | 15,288 | $1.14M |
| 76830 | Ultrasound, transvaginal | 23% | 9,768 | 7,682 | $719K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 6.1% | 2,952 | 1,876 | $190K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 5.1% | 1,838 | 1,467 | $158K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 4.5% | 308 | 211 | $140K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 3.9% | 2,100 | 1,655 | $123K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.7% | 3,560 | 2,280 | $116K |
| 59025 | Fetal non-stress test | 2.0% | 2,594 | 1,561 | $64K |
| 99199 | Unlisted special service, procedure or report | 1.7% | 15,693 | 14,572 | $54K |
| 87210 | 1.6% | 12,521 | 9,604 | $49K | |
| 99219 | 1.5% | 617 | 342 | $48K | |
| 82120 | 1.5% | 12,524 | 9,595 | $47K |
15 more codes
| 83986 | 1.4% | 12,481 | $45K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 1.2% | 471 | $39K |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | 1.0% | 918 | $32K |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 506 | $30K |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | <1% | 217 | $25K |
| 81002 | <1% | 8,237 | $22K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 203 | $18K |
| 81025 | <1% | 2,786 | $18K | |
| 76818 | <1% | 165 | $14K | |
| 59430 | <1% | 101 | $12K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 207 | $11K |
| 80305 | <1% | 765 | $8K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 443 | $6K |
| 57452 | <1% | 29 | $2K | |
| 99401 | <1% | 20 | $256.10 |
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 officialSHEN, JOHN (MEDICAL DOCTOR BUSINESS OWNER)
| Provider | Location | Paid |
|---|---|---|
| Marin Community Clinic | Novato, CA | $2.46M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.