Pocono Midwives & Associates LLC.

Pocono Midwives & Associates LLC. was paid $53K by Medicaid between Nov 2020 and May 2023, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 89% of everything it billed.

33Billing provider infoPOCONO MIDWIVES & ASSOCIATES LLC.
STROUDSBURG, PA 18360

33aNPI1700929221assigned 02/15/2007

33bProvider typeAdvanced Practice Midwife

28Total paid$53K

24GClaims1,010

24DCodes billed2

24AFirst – last monthNov 2020 – May 2023

Compared with peers

Next to other Advanced Practice Midwife providers in Pennsylvania

Rank by total paid#3 of 43

Median peer was paid$2K

This provider vs. median22×

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
2020	53	$3K
2021	412	$21K
2022	384	$20K
2023	161	$9K

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	89%	940	653	$47K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	11%	70	70	$6K

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 officialMCLAREN, ANDREA (PRESIDENT)