Skyline Womens Health Associates
Skyline Womens Health Associates was paid $58K by Medicaid between Jan 2018 and Nov 2023, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.
MADISON, TN 37115
Next to other Obstetrics & Gynecology Physician providers in Tennessee
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 277 | $9K | |
| 2019 | 398 | $11K | |
| 2020 | 326 | $11K | |
| 2021 | 182 | $7K | |
| 2022 | 284 | $13K | |
| 2023 | 150 | $7K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 49% | 854 | 768 | $28K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 23% | 191 | 185 | $13K |
| 99385 | 12% | 91 | 82 | $7K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 9.8% | 96 | 90 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.5% | 116 | 103 | $3K |
| 81025 | 2.4% | 269 | 252 | $1K |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Putnam County Comprehensive Service | Greencastle, IN | $38.25M |
| Turning Points Recovery Services INC. | Bend, OR | $11.41M |
| Bates Miller & Sims PLLC | Stanford, KY | $3.23M |
| The Regional Health System of Acadiana, LLC | Lafayette, LA | $2.87M |
| Bluegrass Clinic Stanford, PLLC | Stanford, KY | $1.17M |
| Turning Points Recovery Services INC. | Prineville, OR | $834K |
| James Robert Miller | Tracy, CA | $718K |
| Bluegrass Clinic Liberty, PLLC | Liberty, KY | $357K |
| Dix River Family Medicine & Womens Healthcare Center PSC | Stanford, KY | $132K |
| The Regional Health System of Acadiana, LLC | Lafayette, LA | $107K |
| Monarch Obstetrics and Gynecology LLC | Wooster, OH | $49K |
| Western Slope Accident Care, LLC | Grand Junction, CO | $18K |
| James R. Miller DDS MS PA | Golden Valley, MN | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.