Physician
Mid-Atlantic Womens Care PLC
Mid-Atlantic Womens Care PLC was paid $169K by Medicaid between Jan 2018 and Oct 2021, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoMID-ATLANTIC WOMENS CARE PLC
FRANKLIN, VA 23851
FRANKLIN, VA 23851
33aNPI1588709497assigned 02/20/2007
33bProvider typeObstetrics & Gynecology Physician
28Total paid$169K
24GClaims8,000
24DCodes billed17
24AFirst – last monthJan 2018 – Oct 2021
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Virginia
Rank by total paid#45 of 243
Median peer was paid$8K
This provider vs. median21×
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 | 929 | $21K | |
| 2019 | 2,408 | $50K | |
| 2020 | 2,425 | $51K | |
| 2021 | 2,238 | $48K |
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 | 39% | 1,458 | 1,303 | $67K |
| 76830 | Ultrasound, transvaginal | 22% | 385 | 356 | $37K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 14% | 815 | 734 | $24K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 5.8% | 730 | 687 | $10K |
| 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 | 4.1% | 102 | 92 | $7K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 3.6% | 60 | 55 | $6K |
| 81025 | 3.0% | 937 | 893 | $5K | |
| 99000 | 2.0% | 1,740 | 1,651 | $3K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.9% | 41 | 40 | $3K |
| 81002 | 1.6% | 1,308 | 1,231 | $3K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 20 | 15 | $1K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 12 | 12 | $916.35 |
5 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 officialSHEFFIELD, SHARON (DIRECTOR)
Parent organizationMID-ATLANTIC WOMENS CARE PLC