Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Academy Womens Healthcare Associates PC

Academy Womens Healthcare Associates PC was paid $101K by Medicaid between Jan 2018 and Jun 2018, across 21 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 24% of everything it billed.

33Billing provider infoACADEMY WOMENS HEALTHCARE ASSOCIATES PC
COLORADO SPRINGS, CO 80917
33aNPI1093852725assigned 01/31/2007
28Total paid$101K
24GClaims3,093
24DCodes billed21
24AFirst – last monthJan 2018 – Jun 2018
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Colorado

Rank by total paid#26 of 138
Median peer was paid$8K
This provider vs. median13×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20183,093$101K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 24% 421 396 $24K
59425 16% 53 52 $17K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 9.7% 275 255 $10K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 8.1% 795 787 $8K
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 8.0% 94 93 $8K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 6.9% 122 116 $7K
87660 3.0% 120 119 $3K
87510 2.9% 120 119 $3K
87480 2.9% 120 119 $3K
81025 2.5% 332 321 $2K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 2.4% 24 24 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 2.3% 24 24 $2K
9 more codes
76801 1.9% 26 $2K
99204 Doctor's office visit, new patient (more involved) 1.6% 22 $2K
76818 1.5% 22 $1K
A4550 Surgical trays 1.4% 29 $1K
99000 1.3% 438 $1K
76830 Ultrasound, transvaginal 1.2% 16 $1K
99203 Doctor's office visit, new patient (routine) 1.0% 12 $1K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 12 $856.22
59025 Fetal non-stress test <1% 16 $421.32

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 officialO'CONNELL, LAWRENCE (PRESIDENT)