Mid-Atlantic Womens Care PLC

Mid-Atlantic Womens Care PLC was paid $5.05M by Medicaid between May 2021 and Dec 2024, across 63 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.

33Billing provider infoMID-ATLANTIC WOMENS CARE PLC
VIRGINIA BEACH, VA 23454

33aNPI1699365072assigned 01/20/2021

33bProvider typeObstetrics & Gynecology Physician

28Total paid$5.05M

24GClaims107,391

24DCodes billed63

24AFirst – last monthMay 2021 – Dec 2024

Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Virginia

Rank by total paid#2 of 243

Median peer was paid$8K

This provider vs. median621×

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
2021	3,600	$154K
2022	27,780	$1.27M
2023	33,842	$1.74M
2024incomplete	42,169	$1.89M

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	42%	37,081	34,088	$2.14M
76830	Ultrasound, transvaginal	8.0%	3,902	3,695	$404K
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	7.6%	4,614	4,256	$386K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	6.0%	3,756	3,622	$303K
59400	Routine obstetric care including antepartum care, vaginal delivery, and postpartum care	4.8%	114	107	$242K
77067	Screening mammography, bilateral, including computer-aided detection	4.3%	1,884	1,846	$217K
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	4.1%	2,139	1,979	$208K
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	3.6%	1,446	1,414	$180K
99459		2.3%	8,018	7,564	$117K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.9%	2,657	2,497	$97K
77063	Screening digital breast tomosynthesis, bilateral	1.7%	1,869	1,831	$88K
81025		1.4%	10,551	9,925	$70K

51 more codes

76817	Ultrasound, pregnant uterus, real time with image documentation, transvaginal	1.3%	825	$64K
76642		<1%	727	$50K
J1050	Injection, medroxyprogesterone acetate, 1 mg	<1%	2,031	$48K
59510		<1%	19	$46K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	2,898	$34K
J7298	Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg	<1%	33	$33K
59025	Fetal non-stress test	<1%	800	$29K
76801		<1%	248	$25K
77066	Tomosynthesis, mammo	<1%	155	$20K
96127		<1%	3,884	$18K
J7307	Etonogestrel (contraceptive) implant system, including implant and supplies	<1%	15	$18K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	<1%	217	$17K
99203	Doctor's office visit, new patient (routine)	<1%	234	$17K
36415	Collection of venous blood by venipuncture	<1%	7,140	$15K
87210		<1%	3,280	$15K
59426		<1%	15	$14K
87491	Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe	<1%	507	$12K
76815	Ultrasound, pregnant uterus, real time with image documentation, limited	<1%	136	$10K
81513		<1%	157	$10K
76819	Fetal biophysical profile; without non-stress testing	<1%	124	$8K
90837	Psychotherapy session, about an hour	<1%	90	$8K
G0279	Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	<1%	186	$8K
81002		<1%	2,497	$7K
87624	Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types	<1%	265	$6K
87591	Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe	<1%	507	$6K
99385		<1%	65	$6K
87661	Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe	<1%	476	$5K
87481		<1%	156	$5K
99204	Doctor's office visit, new patient (more involved)	<1%	45	$5K
58300		<1%	43	$4K
76818		<1%	34	$4K
58301		<1%	41	$4K
77065	Tomosynthesis, mammo	<1%	31	$3K
54150		<1%	39	$3K
90715		<1%	74	$3K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	278	$3K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	45	$2K
99386		<1%	15	$2K
87563		<1%	114	$2K
99222	Initial hospital care, per day, moderate complexity	<1%	14	$1K
90686		<1%	52	$998.62
11981		<1%	12	$985.12
85018		<1%	284	$648.76
G9001	Coordinated care fee, initial rate	<1%	15	$375.00
0503F		<1%	151	$135.00
83986		<1%	189	$132.07
0500F		<1%	51	$100.00
81003		<1%	54	$95.78
0501F		<1%	65	$90.00
82950		<1%	15	$59.04
81000		<1%	12	$41.95

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 officialARBOGAST, KELSEY (MEDICAL DIRECTOR)

Parent organizationMID-ATLANTIC WOMENS CARE PLC