Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Regional Women's Health Group, LLC

Regional Women's Health Group, LLC was paid $378K by Medicaid between Jan 2018 and Oct 2024, across 14 billing codes. Its largest line is 59425, — 73% of everything it billed.

33Billing provider infoREGIONAL WOMEN'S HEALTH GROUP, LLC
CLIFTON, NJ 07013
33aNPI1336486018assigned 01/15/2013
28Total paid$378K
24GClaims4,049
24DCodes billed14
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in New Jersey

Rank by total paid#50 of 186
Median peer was paid$75K
This provider vs. median5.1×

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

$0$10K$20K$30K2018201920202021202220232024
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$5K
2019111$12K
2020215$22K
2021846$88K
20221,423$97K
2023498$49K
2024incomplete863$105K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
59425 73% 2,325 1,188 $277K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 11% 24 24 $40K
76830 Ultrasound, transvaginal 5.5% 306 293 $21K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4.9% 372 355 $18K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 4.4% 231 231 $17K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 73 68 $2K
59430 <1% 13 12 $2K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 12 12 $411.96
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 12 12 $411.96
36415 Collection of venous blood by venipuncture <1% 207 152 $258.84
99459 <1% 16 15 $150.15
81025 <1% 13 12 $51.15
2 more codes
81002 0% 397 $0.00
0502F 0% 48 $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 officialCASO, FRANK (CEO)
Same official

Other billing entities under CASO, FRANK

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.