Winchester Womens Specialists

Winchester Womens Specialists was paid $784K by Medicaid between Jan 2018 and Apr 2024, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 94% of everything it billed.

33Billing provider infoWINCHESTER WOMENS SPECIALISTS
WINCHESTER, VA 22601

33aNPI1114948395assigned 07/22/2006

33bProvider typeGynecology Physician

28Total paid$784K

24GClaims12,228

24DCodes billed13

24AFirst – last monthJan 2018 – Apr 2024

Compared with peers

Next to other Gynecology Physician providers in Virginia

Rank by total paid#3 of 21

Median peer was paid$8K

This provider vs. median94×

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	1,684	$102K
2019	1,802	$99K
2020	2,417	$152K
2021	1,986	$127K
2022	1,936	$132K
2023	1,881	$132K
2024incomplete	522	$40K

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	94%	11,469	9,502	$741K
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	3.8%	398	373	$29K
59430		<1%	26	25	$6K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	25	25	$2K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	71	67	$2K
76801		<1%	14	13	$1K
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	<1%	17	13	$986.87
81025		<1%	139	129	$948.06
59025	Fetal non-stress test	<1%	16	13	$558.37
90688		<1%	13	12	$169.48
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	14	13	$124.91
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	13	12	$65.25

1 more codes

J1050

Injection, medroxyprogesterone acetate, 1 mg

$0.00

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 officialLEONARD, MARK (MEDICAL DOCTOR)