Physician
Birth and Womens Care PA
Birth and Womens Care PA was paid $5.45M by Medicaid between Dec 2019 and Dec 2024, across 50 billing codes. Its largest line is 59400, Routine obstetric care including antepartum care, vaginal delivery, and postpartum care — 30% of everything it billed.
33Billing provider infoBIRTH AND WOMENS CARE PA
FAYETTEVILLE, NC 28304
FAYETTEVILLE, NC 28304
33aNPI1124089040assigned 03/30/2006
33bProvider typeObstetrics & Gynecology Physician
28Total paid$5.45M
24GClaims162,434
24DCodes billed50
24AFirst – last monthDec 2019 – Dec 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in North Carolina
Rank by total paid#5 of 189
Median peer was paid$47K
This provider vs. median117×
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 | |
|---|---|---|---|
| 2019 | 1,132 | $22K | |
| 2020 | 20,149 | $827K | |
| 2021 | 36,273 | $1.18M | |
| 2022 | 43,612 | $1.12M | |
| 2023 | 36,396 | $1.36M | |
| 2024incomplete | 24,872 | $938K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | 30% | 1,214 | 1,024 | $1.62M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 26,746 | 18,888 | $1.19M |
| 59510 | 10% | 418 | 351 | $548K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 3.5% | 2,353 | 1,920 | $191K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 3.5% | 1,950 | 1,619 | $190K |
| 99199 | Unlisted special service, procedure or report | 2.7% | 41,546 | 39,120 | $144K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 2.5% | 5,923 | 4,315 | $134K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 2.4% | 5,862 | 4,311 | $131K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 2.4% | 5,340 | 3,981 | $131K |
| 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 | 2.1% | 1,571 | 1,266 | $115K |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | 1.8% | 848 | 644 | $98K |
| 87660 | 1.7% | 4,851 | 3,535 | $91K |
38 more codes
| 87801 | Infectious agent detection by nucleic acid; amplified probe, multiple organisms | 1.7% | 1,987 | $91K |
| 87510 | 1.5% | 4,868 | $80K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 1.3% | 1,955 | $69K |
| 87481 | 1.2% | 2,038 | $67K | |
| 81025 | 1.2% | 10,960 | $63K | |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | 1.0% | 1,513 | $55K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 3,971 | $49K |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | <1% | 1,988 | $43K |
| 85027 | <1% | 5,629 | $34K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 4,372 | $33K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,463 | $29K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 379 | $29K |
| 80061 | Lipid panel | <1% | 2,429 | $28K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 849 | $25K |
| 84439 | <1% | 3,605 | $24K | |
| 76801 | <1% | 264 | $24K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 598 | $17K |
| 76818 | <1% | 163 | $13K | |
| 84702 | <1% | 1,894 | $12K | |
| 54150 | <1% | 36 | $11K | |
| 82947 | <1% | 2,727 | $10K | |
| 90715 | <1% | 287 | $10K | |
| 59425 | <1% | 32 | $10K | |
| 77080 | <1% | 241 | $10K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 133 | $9K |
| 81003 | <1% | 4,693 | $8K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 479 | $5K |
| 76830 | Ultrasound, transvaginal | <1% | 61 | $5K |
| 82950 | <1% | 1,149 | $5K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 25 | $2K |
| 57452 | <1% | 14 | $837.90 | |
| 0500F | <1% | 716 | $589.09 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 36 | $327.83 |
| 80305 | <1% | 15 | $214.35 | |
| 83001 | <1% | 15 | $207.53 | |
| 87428 | <1% | 166 | $194.36 | |
| 82670 | <1% | 15 | $178.10 | |
| 0503F | <1% | 1,047 | $0.81 |
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 officialHALL, ANDRE (PHYSICIAN OWNER)