Clinic
Womencare INC
Womencare INC was paid $7.42M by Medicaid between Jan 2018 and Dec 2024, across 50 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 92% of everything it billed.
33Billing provider infoWOMENCARE INC
CHARLESTON, WV 25302
CHARLESTON, WV 25302
33aNPI1316228166assigned 09/07/2011
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$7.42M
24GClaims116,103
24DCodes billed50
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in West Virginia
Rank by total paid#20 of 205
Median peer was paid$521K
This provider vs. median14×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official RAY, JULIE controls 14+ related entities in our dataset. Read more
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 | 10,987 | $618K | |
| 2019 | 8,621 | $572K | |
| 2020 | 21,473 | $851K | |
| 2021 | 17,450 | $748K | |
| 2022 | 22,912 | $1.65M | |
| 2023 | 21,752 | $1.83M | |
| 2024incomplete | 12,908 | $1.16M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 92% | 41,512 | 31,820 | $6.85M |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.1% | 8,458 | 7,416 | $84K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.1% | 11,376 | 9,169 | $81K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 7,642 | 6,572 | $47K |
| 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 | <1% | 8,641 | 6,755 | $43K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 5,490 | 4,790 | $36K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 3,875 | 3,436 | $32K |
| 90686 | <1% | 2,497 | 2,119 | $28K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 3,378 | 2,904 | $26K |
| 96127 | <1% | 7,320 | 5,497 | $25K | |
| 90670 | <1% | 2,154 | 1,994 | $24K | |
| 90648 | <1% | 1,928 | 1,799 | $21K |
38 more codes
| 3008F | <1% | 519 | $18K | |
| 90723 | <1% | 1,401 | $18K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,686 | $14K |
| 90633 | <1% | 798 | $11K | |
| 90681 | <1% | 784 | $9K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 525 | $9K |
| 90473 | <1% | 744 | $9K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 458 | $7K |
| 90685 | <1% | 122 | $6K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 789 | $4K |
| 90707 | <1% | 222 | $3K | |
| 90696 | <1% | 195 | $3K | |
| 90649 | <1% | 419 | $3K | |
| 90734 | <1% | 289 | $2K | |
| 90710 | <1% | 243 | $2K | |
| 90474 | <1% | 29 | $2K | |
| 90716 | <1% | 206 | $2K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 25 | $2K |
| 90680 | <1% | 40 | $1K | |
| 90700 | <1% | 97 | $295.32 | |
| 99188 | <1% | 55 | $147.66 | |
| 0071A | <1% | 16 | $120.00 | |
| 96160 | <1% | 859 | $5.56 | |
| 3074F | 0% | 29 | $0.00 | |
| 99381 | 0% | 96 | $0.00 | |
| 96161 | 0% | 379 | $0.00 | |
| 90656 | 0% | 88 | $0.00 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 57 | $0.00 |
| 90677 | 0% | 140 | $0.00 | |
| 90688 | 0% | 133 | $0.00 | |
| 1036F | 0% | 29 | $0.00 | |
| 88720 | 0% | 13 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 131 | $0.00 |
| 81002 | 0% | 16 | $0.00 | |
| 3078F | 0% | 29 | $0.00 | |
| 90658 | 0% | 16 | $0.00 | |
| 90715 | 0% | 126 | $0.00 | |
| 90621 | 0% | 29 | $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 officialRAY, JULIE (CREDENTIALING SPECIALIST)
| Provider | Location | Paid |
|---|---|---|
| Women Care INC | Scott Depot, WV | $20.48M |
| Womencare INC | Saint Albans, WV | $10.73M |
| Womencare, INC | Charleston, WV | $10.59M |
| Womencare, INC | Madison, WV | $5.93M |
| Womencare INC | Barboursville, WV | $2.34M |
| Womencare INC | Charleston, WV | $1.85M |
| Womencare INC | Cross Lanes, WV | $1.64M |
| Womencare INC | Hurricane, WV | $1.02M |
| Womencare INC | Hurricane, WV | $838K |
| Womencare INC | Charleston, WV | $685K |
| Womencare, INC | Charleston, WV | $526K |
| Womencare INC | Dunbar, WV | $384K |
| Womencare INC | Marmet, WV | $348K |
| Womencare INC | Charleston, WV | $199K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.