Obstetrix Medical Group of Coastal Carolina PLLC

Obstetrix Medical Group of Coastal Carolina PLLC was paid $1.13M by Medicaid between Jan 2018 and Jun 2020, across 20 billing codes. Its largest line is 76816, Ultrasound, pregnant uterus, real time with image documentation, follow-up — 28% of everything it billed.

33Billing provider infoOBSTETRIX MEDICAL GROUP OF COASTAL CAROLINA PLLC
WILMINGTON, NC 28403

33aNPI1053614354assigned 12/09/2010

33bProvider typeWomen's Health Nurse Practitioner

28Total paid$1.13M

24GClaims16,594

24DCodes billed20

24AFirst – last monthJan 2018 – Jun 2020

Compared with peers

Next to other Women's Health Nurse Practitioner providers in North Carolina

Rank by total paid#1 of 6

Median peer was paid$14K

This provider vs. median83×

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	7,312	$504K
2019	6,328	$437K
2020	2,954	$187K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	28%	4,052	3,234	$312K
76811	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed	17%	1,319	1,228	$191K
76819	Fetal biophysical profile; without non-stress testing	14%	2,426	1,325	$152K
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	9.9%	1,513	1,280	$111K
76815	Ultrasound, pregnant uterus, real time with image documentation, limited	7.9%	1,498	1,011	$89K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	7.9%	1,854	1,644	$89K
76817	Ultrasound, pregnant uterus, real time with image documentation, transvaginal	4.9%	788	687	$55K
76820		4.1%	1,417	693	$46K
76813		1.7%	227	202	$20K
76801		1.3%	163	144	$14K
76825		1.1%	92	78	$13K
99243		1.1%	134	127	$12K

8 more codes

76821		<1%	87	$5K
99242		<1%	84	$5K
76827		<1%	90	$4K
93325		<1%	90	$3K
99215	Doctor's office visit, returning patient (complex)	<1%	30	$3K
36415	Collection of venous blood by venipuncture	<1%	635	$2K
99241		<1%	61	$1K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	34	$675.32

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 officialPOOLE, ARNOLD (AUTHORIZED SIGNATOR)

Same official

Other billing entities under POOLE, ARNOLD

Full network →

Provider	Location	Paid
Pediatrix Newborn Hearing Screen LLC	Glen Allen, VA	$381K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.