Physician
Northern Bay Womens Health Center, PA
Northern Bay Womens Health Center, PA was paid $648K by Medicaid between Mar 2020 and Dec 2023, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.
33Billing provider infoNORTHERN BAY WOMENS HEALTH CENTER, PA
PLANO, TX 75093
PLANO, TX 75093
33aNPI1295748168assigned 08/14/2006
33bProvider typeObstetrics Physician
28Total paid$648K
24GClaims34,111
24DCodes billed25
24AFirst – last monthMar 2020 – Dec 2023
Compared with peers
Next to other Obstetrics Physician providers in Texas
Rank by total paid#8 of 33
Median peer was paid$106K
This provider vs. median6.1×
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 | |
|---|---|---|---|
| 2020 | 2,625 | $49K | |
| 2021 | 11,965 | $245K | |
| 2022 | 10,870 | $207K | |
| 2023 | 8,651 | $147K |
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 | 30% | 6,314 | 3,777 | $194K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 23% | 274 | 248 | $146K |
| 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 | 13% | 2,062 | 1,709 | $87K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 7.2% | 449 | 436 | $47K |
| 59430 | 6.3% | 521 | 486 | $41K | |
| 76830 | Ultrasound, transvaginal | 4.0% | 289 | 282 | $26K |
| 81002 | 3.0% | 7,427 | 3,909 | $19K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 2.6% | 224 | 158 | $17K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.1% | 241 | 216 | $13K |
| 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 | 1.7% | 185 | 150 | $11K |
| H0049 | Alcohol and/or drug screening | 1.6% | 1,266 | 991 | $10K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.5% | 810 | 692 | $10K |
13 more codes
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 1.5% | 176 | $10K |
| 59025 | Fetal non-stress test | <1% | 145 | $5K |
| 87210 | <1% | 1,071 | $4K | |
| 87220 | <1% | 1,220 | $2K | |
| 81025 | <1% | 294 | $2K | |
| 99000 | <1% | 143 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 39 | $799.70 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 13 | $497.55 |
| 0502F | <1% | 5,171 | $2.92 | |
| 0500F | 0% | 480 | $0.00 | |
| 0501F | 0% | 581 | $0.00 | |
| 0503F | 0% | 473 | $0.00 | |
| 3008F | 0% | 4,243 | $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 officialENDELMAN, IRWIN (PRESIDENT)