Carolina Women's Health Center, PA
Carolina Women's Health Center, PA was paid $517K by Medicaid between Jan 2018 and Nov 2019, across 21 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 63% of everything it billed.
33Billing provider infoCAROLINA WOMEN'S HEALTH CENTER, PA
SANFORD, NC 27330
SANFORD, NC 27330
33aNPI1356311237assigned 01/24/2006
33bProvider typeSpecialist
28Total paid$517K
24GClaims11,863
24DCodes billed21
24AFirst – last monthJan 2018 – Nov 2019
Compared with peers
Next to other Specialist providers in North Carolina
Rank by total paid#48 of 172
Median peer was paid$83K
This provider vs. median6.3×
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 | 6,019 | $231K | |
| 2019 | 5,844 | $286K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 63% | 4,099 | 3,452 | $325K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 10% | 475 | 395 | $52K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 8.2% | 532 | 444 | $42K |
| 59410 | 3.9% | 27 | 27 | $20K | |
| 81002 | 2.8% | 5,156 | 4,279 | $14K | |
| 76801 | 2.5% | 158 | 131 | $13K | |
| 99220 | 2.4% | 141 | 111 | $12K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 1.8% | 94 | 83 | $9K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.7% | 263 | 196 | $9K |
| 76819 | Fetal biophysical profile; without non-stress testing | 1.5% | 111 | 81 | $8K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.2% | 388 | 330 | $6K |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | <1% | 28 | 26 | $3K |
9 more codes
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | <1% | 17 | $850.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 71 | $776.91 |
| 90674 | <1% | 13 | $269.47 | |
| 87210 | <1% | 30 | $117.50 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 15 | $93.10 |
| 81025 | <1% | 14 | $78.00 | |
| 82950 | <1% | 12 | $70.32 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 12 | $0.00 |
| 99000 | 0% | 207 | $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 officialRUBINOSKY, LISA (PRACTICE ADMINISTRATOR)