NP / PA
Mid Atlantic Health Specialists PC
Mid Atlantic Health Specialists PC was paid $3K by Medicaid between Jan 2018 and Feb 2019, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 69% of everything it billed.
33Billing provider infoMID ATLANTIC HEALTH SPECIALISTS PC
GALAX, VA 24333
GALAX, VA 24333
33aNPI1619938024assigned 03/28/2006
33bProvider typeFamily Nurse Practitioner
28Total paid$3K
24GClaims256
24DCodes billed2
24AFirst – last monthJan 2018 – Feb 2019
Compared with peers
Next to other Family Nurse Practitioner providers in Virginia
Rank by total paid#140 of 235
Median peer was paid$5K
This provider vs. median0.6×
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 | 239 | $2K | |
| 2019 | 17 | $603.05 |
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 | 69% | 224 | 168 | $2K |
| 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 | 31% | 32 | 26 | $866.63 |
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 officialBENISH, ROBERT (PRESIDENT)