Clinic
Womencare INC
Womencare INC was paid $1.64M by Medicaid between Feb 2019 and Dec 2024, across 25 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoWOMENCARE INC
CROSS LANES, WV 25313
CROSS LANES, WV 25313
33aNPI1396237434assigned 06/05/2018
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$1.64M
24GClaims20,092
24DCodes billed25
24AFirst – last monthFeb 2019 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in West Virginia
Rank by total paid#65 of 205
Median peer was paid$521K
This provider vs. median3.1×
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.
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 | |
|---|---|---|---|
| 2019 | 754 | $35K | |
| 2020 | 591 | $27K | |
| 2021 | 500 | $21K | |
| 2022 | 865 | $46K | |
| 2023 | 9,634 | $834K | |
| 2024incomplete | 7,748 | $678K |
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 | 100% | 9,774 | 7,815 | $1.64M |
| 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% | 3,674 | 3,053 | $185.73 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 396 | 335 | $5.00 |
| 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% | 2,421 | 2,000 | $5.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 466 | 392 | $0.00 |
| 90648 | 0% | 38 | 28 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 330 | 270 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 227 | 188 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 151 | 135 | $0.00 |
| 90734 | 0% | 30 | 29 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 380 | 311 | $0.00 |
| 90670 | 0% | 19 | 12 | $0.00 |
13 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 63 | $0.00 |
| 90658 | 0% | 16 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 729 | $0.00 |
| 96127 | 0% | 609 | $0.00 | |
| 1036F | 0% | 14 | $0.00 | |
| 90677 | 0% | 40 | $0.00 | |
| 3008F | 0% | 435 | $0.00 | |
| 90686 | 0% | 101 | $0.00 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 71 | $0.00 |
| 90651 | 0% | 41 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 35 | $0.00 |
| 90723 | 0% | 17 | $0.00 | |
| 90619 | 0% | 15 | $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 | Charleston, WV | $7.42M |
| Womencare, INC | Madison, WV | $5.93M |
| Womencare INC | Barboursville, WV | $2.34M |
| Womencare INC | Charleston, WV | $1.85M |
| 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.