Mid-Atlantic Womens Care PLC

Mid-Atlantic Womens Care PLC was paid $190K by Medicaid between Jul 2018 and Nov 2021, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.

33Billing provider infoMID-ATLANTIC WOMENS CARE PLC
NEWPORT NEWS, VA 23602

33aNPI1982774287assigned 11/08/2006

33bProvider typeObstetrics & Gynecology Physician

28Total paid$190K

24GClaims5,363

24DCodes billed19

24AFirst – last monthJul 2018 – Nov 2021

Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Virginia

Rank by total paid#41 of 243

Median peer was paid$8K

This provider vs. median23×

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	307	$8K
2019	2,321	$71K
2020	1,687	$67K
2021	1,048	$44K

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	52%	2,153	1,890	$99K
76830	Ultrasound, transvaginal	15%	276	251	$28K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	8.3%	559	497	$16K
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	3.9%	105	97	$7K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	3.8%	98	93	$7K
81025		3.0%	899	815	$6K
59025	Fetal non-stress test	2.4%	122	84	$5K
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	2.1%	46	41	$4K
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	1.8%	32	27	$3K
76815	Ultrasound, pregnant uterus, real time with image documentation, limited	1.6%	54	41	$3K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	1.3%	184	171	$2K
76817	Ultrasound, pregnant uterus, real time with image documentation, transvaginal	1.3%	35	31	$2K

7 more codes

99385		1.1%	35	$2K
87210		<1%	435	$2K
99204	Doctor's office visit, new patient (more involved)	<1%	25	$1K
96127		<1%	191	$926.39
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	54	$397.82
90686		<1%	14	$248.82
81002		<1%	46	$99.11

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 officialCOYLE, CHERI (PRESIDENT)

Parent organizationMID-ATLANTIC WOMENS CARE PLC