NP / PA
Fairhaven Obstetrics & Gynecology, INC
Fairhaven Obstetrics & Gynecology, INC was paid $337K by Medicaid between Jan 2018 and Feb 2023, across 12 billing codes. Its largest line is 59426, — 47% of everything it billed.
33Billing provider infoFAIRHAVEN OBSTETRICS & GYNECOLOGY, INC
GOSHEN, IN 46526
GOSHEN, IN 46526
33aNPI1437183605assigned 07/11/2006
33bProvider typeWomen's Health Nurse Practitioner
28Total paid$337K
24GClaims8,395
24DCodes billed12
24AFirst – last monthJan 2018 – Feb 2023
Compared with peers
Next to other Women's Health Nurse Practitioner providers in Indiana
Rank by total paid#1 of 5
Median peer was paid$5K
This provider vs. median63×
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 | 2,526 | $35K | |
| 2019 | 1,316 | $69K | |
| 2020 | 1,379 | $79K | |
| 2021 | 1,139 | $47K | |
| 2022 | 1,827 | $96K | |
| 2023 | 208 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 59426 | 47% | 2,662 | 1,634 | $158K | |
| 59425 | 45% | 2,808 | 2,132 | $152K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 5.3% | 216 | 200 | $18K |
| 81002 | 1.4% | 1,967 | 1,335 | $5K | |
| 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% | 243 | 223 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 25 | 24 | $329.52 |
| 85018 | <1% | 305 | 264 | $297.88 | |
| 99354 | <1% | 49 | 42 | $180.00 | |
| 81025 | <1% | 14 | 13 | $99.01 | |
| 80305 | <1% | 72 | 56 | $89.92 | |
| 90715 | <1% | 20 | 14 | $30.95 | |
| 59430 | 0% | 14 | 14 | $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 officialBORKOWSKI, GAYLE (PRESIDENT)