Physician
Pinehurst Womens Clinic PA
Pinehurst Womens Clinic PA was paid $196K by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 79% of everything it billed.
33Billing provider infoPINEHURST WOMENS CLINIC PA
PINEHURST, NC 28374
PINEHURST, NC 28374
33aNPI1427106186assigned 01/08/2007
33bProvider typeObstetrics & Gynecology Physician
28Total paid$196K
24GClaims7,261
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in North Carolina
Rank by total paid#54 of 189
Median peer was paid$47K
This provider vs. median4.2×
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 | 1,227 | $13K | |
| 2019 | 1,266 | $34K | |
| 2020 | 1,393 | $52K | |
| 2021 | 928 | $26K | |
| 2022 | 265 | $5K | |
| 2023 | 1,035 | $16K | |
| 2024incomplete | 1,147 | $49K |
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 | 79% | 4,071 | 2,704 | $155K |
| 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 | 13% | 349 | 280 | $26K |
| 81025 | 3.7% | 1,617 | 1,213 | $7K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.1% | 14 | 13 | $2K |
| 81002 | <1% | 927 | 691 | $1K | |
| 76830 | Ultrasound, transvaginal | <1% | 18 | 17 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 39 | 32 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 107 | 95 | $1K |
| 82270 | <1% | 64 | 54 | $134.53 | |
| 83986 | 0% | 55 | 40 | $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 officialPULEO, JOEL (PHYSICIAN)