Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TX › Tyler › NPI 1326018656
Physician

Womens Total Care of East Texas

Womens Total Care of East Texas was paid $2.03M by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 28% of everything it billed.

33Billing provider infoWOMENS TOTAL CARE OF EAST TEXAS
TYLER, TX 75701
33aNPI1326018656assigned 01/26/2006
28Total paid$2.03M
24GClaims63,097
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Texas

Rank by total paid#30 of 432
Median peer was paid$103K
This provider vs. median20×

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

$0$25K$50K$75K2018201920202021202220232024
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
YearClaimsPaid
201893$2K
2019156$4K
20206,048$177K
202118,462$637K
202212,620$389K
202313,075$397K
2024incomplete12,643$428K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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% 13,623 8,935 $561K
76818 13% 3,632 1,257 $273K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10% 6,687 5,548 $210K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 9.4% 2,999 2,390 $191K
76820 5.2% 3,628 1,247 $106K
J1050 Injection, medroxyprogesterone acetate, 1 mg 5.0% 1,510 1,485 $103K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 4.3% 1,311 1,135 $87K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 3.9% 1,299 1,281 $79K
59430 3.8% 905 871 $77K
99000 2.3% 5,307 4,648 $47K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 2.3% 637 625 $47K
76830 Ultrasound, transvaginal 1.7% 388 380 $34K
16 more codes
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1.4% 436 $28K
99205 Prolong outpt/office vis 1.3% 303 $26K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1.3% 286 $26K
81002 1.2% 11,362 $25K
81025 1.2% 4,579 $24K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 1.1% 384 $22K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 1,771 $18K
76801 <1% 182 $13K
99204 Doctor's office visit, new patient (more involved) <1% 159 $11K
80305 <1% 1,012 $8K
99423 <1% 256 $7K
76813 <1% 84 $7K
99091 <1% 17 $2K
82950 <1% 276 $922.27
99385 <1% 15 $640.46
36415 Collection of venous blood by venipuncture 0% 49 $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 officialWASSON, JAMES (OWNER)