Physician
Womens Specialty Center PA
Womens Specialty Center PA was paid $3.94M by Medicaid between Jan 2018 and Sep 2024, across 37 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 21% of everything it billed.
33Billing provider infoWOMENS SPECIALTY CENTER PA
DALLAS, TX 75208
DALLAS, TX 75208
33aNPI1174553416assigned 07/03/2006
33bProvider typeFamily Medicine Physician
28Total paid$3.94M
24GClaims136,733
24DCodes billed37
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Family Medicine Physician providers in Texas
Rank by total paid#27 of 1,204
Median peer was paid$31K
This provider vs. median128×
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 | 645 | $6K | |
| 2019 | 429 | $4K | |
| 2020 | 7,696 | $184K | |
| 2021 | 27,142 | $773K | |
| 2022 | 36,716 | $1.06M | |
| 2023 | 51,640 | $1.52M | |
| 2024incomplete | 12,465 | $389K |
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 | 21% | 25,138 | 20,646 | $808K |
| 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 | 16% | 14,237 | 11,607 | $639K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 13% | 907 | 901 | $518K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 7.6% | 3,698 | 3,620 | $298K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 5.6% | 2,174 | 2,157 | $222K |
| 76830 | Ultrasound, transvaginal | 5.2% | 2,215 | 2,182 | $203K |
| 81025 | 4.2% | 24,225 | 21,671 | $166K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 3.4% | 1,916 | 1,738 | $136K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 3.3% | 2,166 | 2,158 | $131K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.1% | 2,363 | 2,349 | $123K |
| 76819 | Fetal biophysical profile; without non-stress testing | 3.0% | 2,078 | 1,810 | $116K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.8% | 1,491 | 1,479 | $112K |
25 more codes
| 59430 | 2.1% | 982 | $84K | |
| 81003 | 1.9% | 42,355 | $77K | |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.9% | 1,355 | $73K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 1.6% | 1,003 | $61K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 1.2% | 1,474 | $46K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,164 | $24K |
| 99385 | <1% | 365 | $20K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 872 | $19K |
| 99091 | <1% | 55 | $9K | |
| 59514 | <1% | 12 | $9K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 116 | $8K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 121 | $5K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 56 | $5K |
| 85018 | <1% | 2,023 | $4K | |
| 58300 | <1% | 59 | $4K | |
| 76857 | <1% | 97 | $3K | |
| 11981 | <1% | 40 | $3K | |
| 90715 | <1% | 103 | $2K | |
| 82947 | <1% | 664 | $2K | |
| 99442 | <1% | 42 | $1K | |
| 58301 | <1% | 12 | $1K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 12 | $903.19 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 83 | $896.60 |
| 87210 | <1% | 36 | $188.42 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 24 | $11.09 |
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 officialVENEGAS, GONZALO (OWNER)