Physician
Women's Medical & Surgical Clinic, INC.
Women's Medical & Surgical Clinic, INC. was paid $442K by Medicaid between Jan 2018 and Mar 2024, across 25 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 33% of everything it billed.
33Billing provider infoWOMEN'S MEDICAL & SURGICAL CLINIC, INC.
MAMOU, LA 70554
MAMOU, LA 70554
33aNPI1447483110assigned 08/28/2009
33bProvider typeObstetrics & Gynecology Physician
28Total paid$442K
24GClaims16,976
24DCodes billed25
24AFirst – last monthJan 2018 – Mar 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Louisiana
Rank by total paid#45 of 126
Median peer was paid$155K
This provider vs. median2.9×
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 | 5,638 | $186K | |
| 2019 | 4,904 | $144K | |
| 2020 | 4,512 | $80K | |
| 2021 | 1,586 | $14K | |
| 2022 | 278 | $12K | |
| 2024incomplete | 58 | $7K |
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 | 33% | 4,010 | 2,201 | $145K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 4,472 | 2,988 | $91K |
| 76830 | Ultrasound, transvaginal | 16% | 1,565 | 1,197 | $69K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 9.9% | 2,751 | 1,295 | $44K |
| 58558 | 5.3% | 172 | 119 | $23K | |
| 99220 | 2.8% | 163 | 125 | $13K | |
| 59025 | Fetal non-stress test | 2.6% | 631 | 203 | $12K |
| 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 | 2.1% | 145 | 123 | $9K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.6% | 184 | 125 | $7K |
| 80305 | 1.3% | 1,207 | 581 | $6K | |
| 51729 | <1% | 40 | 24 | $4K | |
| 57454 | <1% | 44 | 41 | $4K |
13 more codes
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 40 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 156 | $3K |
| 81025 | <1% | 657 | $3K | |
| 51797 | <1% | 40 | $2K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 42 | $2K |
| 51784 | <1% | 40 | $1K | |
| 51741 | <1% | 40 | $560.53 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 14 | $458.50 |
| 51798 | <1% | 41 | $215.31 | |
| 81002 | <1% | 380 | $88.90 | |
| 2001F | 0% | 47 | $0.00 | |
| 2000F | 0% | 62 | $0.00 | |
| 3008F | 0% | 33 | $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 officialKULKARNI, UPENDRA (PRESIDENT)