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

Advanced Care for Women, LLC

Advanced Care for Women, LLC was paid $369K by Medicaid between Jan 2018 and Jul 2022, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 26% of everything it billed.

33Billing provider infoADVANCED CARE FOR WOMEN, LLC
FREDERICKSBURG, VA 22408
33aNPI1396085650assigned 02/25/2013
28Total paid$369K
24GClaims5,125
24DCodes billed20
24AFirst – last monthJan 2018 – Jul 2022
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Virginia

Rank by total paid#31 of 243
Median peer was paid$8K
This provider vs. median45×

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$20K$40K2018201920202021202220232024
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
2018511$40K
20191,261$98K
20201,216$91K
20211,400$91K
2022737$50K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 26% 2,125 1,882 $96K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 24% 55 52 $90K
76830 Ultrasound, transvaginal 9.1% 372 319 $33K
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 7.9% 470 417 $29K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 6.5% 231 206 $24K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 5.3% 279 269 $20K
59425 3.6% 40 36 $13K
59426 3.0% 15 13 $11K
59410 3.0% 14 12 $11K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2.8% 151 141 $10K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 2.6% 109 105 $10K
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 2.2% 76 70 $8K
8 more codes
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1.2% 350 $4K
54150 <1% 50 $2K
96127 <1% 498 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 41 $1K
S0612 Annual gynecological examination, established patient <1% 32 $1K
58300 <1% 13 $841.71
81025 <1% 102 $667.46
36415 Collection of venous blood by venipuncture <1% 102 $211.93

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 officialJOSEPHS, BRIAN (OWNER)