Wilmington Maternal-Fetal Medicine, PLLC
Wilmington Maternal-Fetal Medicine, PLLC was paid $2.53M by Medicaid between Jul 2020 and Dec 2024, across 26 billing codes. Its largest line is 76816, Ultrasound, pregnant uterus, real time with image documentation, follow-up — 25% of everything it billed.
33Billing provider infoWILMINGTON MATERNAL-FETAL MEDICINE, PLLC
WILMINGTON, NC 28403
WILMINGTON, NC 28403
33aNPI1306957451assigned 08/31/2006
33bProvider typeSpecialist
28Total paid$2.53M
24GClaims42,344
24DCodes billed26
24AFirst – last monthJul 2020 – Dec 2024
Compared with peers
Next to other Specialist providers in North Carolina
Rank by total paid#20 of 172
Median peer was paid$83K
This provider vs. median31×
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 | |
|---|---|---|---|
| 2020 | 4,137 | $258K | |
| 2021 | 10,962 | $578K | |
| 2022 | 10,737 | $636K | |
| 2023 | 9,592 | $594K | |
| 2024incomplete | 6,916 | $466K |
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 | 25% | 9,231 | 6,532 | $624K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 18% | 3,638 | 3,001 | $466K |
| 76819 | Fetal biophysical profile; without non-stress testing | 16% | 7,266 | 3,483 | $409K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 8.2% | 4,008 | 2,212 | $206K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.8% | 3,899 | 3,056 | $172K |
| 76820 | 4.8% | 3,893 | 1,861 | $121K | |
| 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 | 4.6% | 1,788 | 1,378 | $116K |
| 76825 | 2.8% | 708 | 443 | $72K | |
| 76813 | 2.8% | 927 | 769 | $70K | |
| 76801 | 1.9% | 547 | 443 | $47K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.9% | 647 | 583 | $47K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.7% | 1,633 | 1,166 | $43K |
14 more codes
| 76827 | <1% | 706 | $24K | |
| 99242 | <1% | 408 | $23K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 225 | $18K |
| 93325 | <1% | 692 | $18K | |
| 99401 | <1% | 704 | $17K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 200 | $12K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 83 | $8K |
| 76821 | <1% | 171 | $8K | |
| 99243 | <1% | 51 | $4K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 778 | $2K |
| 99241 | <1% | 53 | $2K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 31 | $2K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 17 | $1K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 40 | $623.46 |
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 officialTOMPKINS, ASHLEY (PRACTICE ADMINISTRATOR)