Mid-Atlantic Womens Care PLC
Mid-Atlantic Womens Care PLC was paid $182K by Medicaid between Jun 2018 and Sep 2021, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.
33Billing provider infoMID-ATLANTIC WOMENS CARE PLC
NEWPORT NEWS, VA 23606
NEWPORT NEWS, VA 23606
33aNPI1578652137assigned 10/12/2006
33bProvider typeSpecialist
28Total paid$182K
24GClaims4,348
24DCodes billed15
24AFirst – last monthJun 2018 – Sep 2021
Compared with peers
Next to other Specialist providers in Virginia
Rank by total paid#69 of 231
Median peer was paid$47K
This provider vs. median3.9×
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 | 561 | $3K | |
| 2019 | 1,610 | $41K | |
| 2020 | 1,258 | $96K | |
| 2021 | 919 | $42K |
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 | 32% | 1,086 | 940 | $58K |
| 76830 | Ultrasound, transvaginal | 25% | 392 | 365 | $45K |
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | 16% | 16 | 12 | $30K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 8.9% | 157 | 139 | $16K |
| 59025 | Fetal non-stress test | 7.9% | 335 | 114 | $14K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 4.8% | 70 | 66 | $9K |
| 81025 | 2.6% | 747 | 672 | $5K | |
| 36415 | Collection of venous blood by venipuncture | 1.1% | 1,010 | 803 | $2K |
| 54150 | <1% | 14 | 12 | $1K | |
| 87210 | <1% | 196 | 170 | $790.76 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 15 | 14 | $563.78 |
| 85018 | <1% | 227 | 185 | $290.87 |
3 more codes
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 officialO'CONNELL, KATHY (PRESIDENT)
Parent organizationMID-ATLANTIC WOMENS CARE PLC