Physician
Wilson Ob/Gyn, P.A.
Wilson Ob/Gyn, P.A. was paid $2.40M by Medicaid between Jan 2018 and Dec 2024, across 32 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 27% of everything it billed.
33Billing provider infoWILSON OB/GYN, P.A.
WILSON, NC 27893
WILSON, NC 27893
33aNPI1255390225assigned 03/20/2006
33bProvider typeObstetrics & Gynecology Physician
28Total paid$2.40M
24GClaims111,254
24DCodes billed32
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in North Carolina
Rank by total paid#15 of 189
Median peer was paid$47K
This provider vs. median52×
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 | 5,738 | $301K | |
| 2019 | 5,561 | $311K | |
| 2020 | 5,072 | $250K | |
| 2021 | 18,501 | $396K | |
| 2022 | 30,272 | $514K | |
| 2023 | 25,931 | $358K | |
| 2024incomplete | 20,179 | $268K |
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 | 27% | 13,871 | 10,068 | $655K |
| 99199 | Unlisted special service, procedure or report | 17% | 72,014 | 41,293 | $415K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 11% | 2,642 | 2,166 | $262K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 9.0% | 3,462 | 2,597 | $215K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 7.8% | 2,255 | 1,799 | $186K |
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | 6.3% | 128 | 102 | $151K |
| 76819 | Fetal biophysical profile; without non-stress testing | 4.2% | 1,676 | 692 | $101K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 3.8% | 6,823 | 5,279 | $91K |
| 76801 | 3.4% | 946 | 764 | $81K | |
| 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 | 2.8% | 961 | 726 | $67K |
| 76830 | Ultrasound, transvaginal | 1.7% | 805 | 557 | $41K |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | 1.4% | 712 | 617 | $33K |
20 more codes
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | 1.0% | 191 | $24K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 324 | $24K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 346 | $13K |
| 76818 | <1% | 151 | $12K | |
| 87210 | <1% | 2,067 | $8K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 103 | $8K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 79 | $4K |
| 59025 | Fetal non-stress test | <1% | 85 | $2K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 62 | $2K |
| 76813 | <1% | 15 | $2K | |
| 59430 | <1% | 160 | $1K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 16 | $1K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 55 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 80 | $558.60 |
| 90686 | <1% | 17 | $230.62 | |
| 81025 | <1% | 22 | $109.20 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 1,084 | $1.28 |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 0% | 43 | $0.00 |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 0% | 43 | $0.00 |
| 90656 | 0% | 16 | $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 officialMICHALAK, DANIEL (PRESIDENT)