Gallatin Womens Center, P.C.
Gallatin Womens Center, P.C. was paid $1.48M by Medicaid between Jan 2018 and Dec 2024, across 38 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 21% of everything it billed.
33Billing provider infoGALLATIN WOMENS CENTER, P.C.
HENDERSONVILLE, TN 37075
HENDERSONVILLE, TN 37075
33aNPI1205956638assigned 03/30/2007
33bProvider typeSpecialist
28Total paid$1.48M
24GClaims74,433
24DCodes billed38
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Tennessee
Rank by total paid#23 of 252
Median peer was paid$57K
This provider vs. median26×
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 | 11,163 | $190K | |
| 2019 | 13,924 | $248K | |
| 2020 | 10,312 | $228K | |
| 2021 | 11,892 | $214K | |
| 2022 | 11,620 | $222K | |
| 2023 | 9,673 | $231K | |
| 2024incomplete | 5,849 | $145K |
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% | 9,615 | 7,990 | $317K |
| 76819 | Fetal biophysical profile; without non-stress testing | 13% | 5,355 | 3,100 | $189K |
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | 13% | 151 | 132 | $189K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 11% | 2,390 | 2,027 | $162K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 9.6% | 4,722 | 3,997 | $142K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 7.8% | 2,081 | 1,714 | $115K |
| 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 | 7.4% | 2,010 | 1,691 | $110K |
| 76830 | Ultrasound, transvaginal | 3.6% | 1,383 | 1,256 | $54K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 2.7% | 3,034 | 2,446 | $40K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 2.3% | 475 | 442 | $34K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | 1.4% | 565 | 513 | $20K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.0% | 643 | 564 | $16K |
26 more codes
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 301 | $14K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 357 | $12K |
| 99385 | <1% | 114 | $10K | |
| 81025 | <1% | 2,540 | $9K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 153 | $8K |
| 59430 | <1% | 198 | $7K | |
| 99406 | <1% | 869 | $7K | |
| 3008F | <1% | 5,342 | $7K | |
| 93976 | <1% | 31 | $3K | |
| 76801 | <1% | 61 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 187 | $2K |
| 0502F | <1% | 6,841 | $2K | |
| 0503F | <1% | 125 | $1K | |
| 76820 | <1% | 31 | $1K | |
| 58300 | <1% | 14 | $890.54 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 15 | $785.85 |
| 81002 | <1% | 439 | $710.77 | |
| 87210 | <1% | 233 | $455.44 | |
| 99459 | <1% | 31 | $328.47 | |
| 59025 | Fetal non-stress test | <1% | 31 | $318.30 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 17 | $119.33 |
| 99000 | <1% | 4,566 | $2.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 14,698 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 4,694 | $0.00 |
| 0501F | 0% | 78 | $0.00 | |
| G8422 | Bmi not documented, documentation the patient is not eligible for bmi calculation | 0% | 43 | $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 officialLOZANO, MISSY (PRACTICE ADMINISTRATOR)