Physician
Piedmont Preferred Women's Healthcare Associates INC.
Piedmont Preferred Women's Healthcare Associates INC. was paid $746K by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.
33Billing provider infoPIEDMONT PREFERRED WOMEN'S HEALTHCARE ASSOCIATES INC.
RIDGEWAY, VA 24148
RIDGEWAY, VA 24148
33aNPI1255545471assigned 05/09/2007
33bProvider typeObstetrics & Gynecology Physician
28Total paid$746K
24GClaims17,870
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Virginia
Rank by total paid#17 of 243
Median peer was paid$8K
This provider vs. median92×
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 | 656 | $15K | |
| 2019 | 2,977 | $139K | |
| 2020 | 2,864 | $139K | |
| 2021 | 2,925 | $130K | |
| 2022 | 2,503 | $124K | |
| 2023 | 2,449 | $102K | |
| 2024incomplete | 3,496 | $96K |
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 | 29% | 5,199 | 3,888 | $216K |
| 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 | 28% | 2,971 | 2,332 | $211K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 7.0% | 742 | 668 | $52K |
| 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 | 5.5% | 505 | 413 | $41K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 5.4% | 307 | 257 | $41K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | 4.2% | 392 | 332 | $31K |
| 99385 | 3.4% | 329 | 287 | $26K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.3% | 420 | 348 | $25K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 2.6% | 204 | 167 | $19K |
| 76801 | 2.6% | 225 | 182 | $19K | |
| 76830 | Ultrasound, transvaginal | 2.3% | 206 | 165 | $17K |
| 81025 | 1.7% | 2,105 | 1,751 | $12K |
12 more codes
| G0444 | Annual depression screening, 5 to 15 minutes | 1.3% | 1,052 | $9K |
| 99459 | 1.3% | 778 | $9K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 690 | $5K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 297 | $3K |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 506 | $3K |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 32 | $2K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 13 | $1K |
| 99072 | <1% | 762 | $753.10 | |
| G9001 | Coordinated care fee, initial rate | <1% | 23 | $575.00 |
| G0445 | High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes | <1% | 22 | $191.04 |
| 81002 | <1% | 65 | $155.54 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 25 | $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 officialABDUL-MBACKE, MAKUNDA (PRESIDENT)