Physician
Triangle Premier Women's Health, P.A.
Triangle Premier Women's Health, P.A. was paid $4.75M by Medicaid between Jan 2018 and Dec 2024, across 42 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.
33Billing provider infoTRIANGLE PREMIER WOMEN'S HEALTH, P.A.
SMITHFIELD, NC 27577
SMITHFIELD, NC 27577
33aNPI1457398380assigned 05/31/2006
33bProvider typeObstetrics & Gynecology Physician
28Total paid$4.75M
24GClaims165,207
24DCodes billed42
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in North Carolina
Rank by total paid#6 of 189
Median peer was paid$47K
This provider vs. median102×
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 | 12,580 | $423K | |
| 2019 | 13,386 | $818K | |
| 2020 | 12,214 | $788K | |
| 2021 | 23,161 | $966K | |
| 2022 | 33,466 | $828K | |
| 2023 | 35,599 | $469K | |
| 2024incomplete | 34,801 | $460K |
Box 24 · Service lines
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 | 30% | 27,968 | 19,060 | $1.40M |
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | 21% | 722 | 657 | $986K |
| 99199 | Unlisted special service, procedure or report | 9.7% | 70,247 | 40,691 | $459K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 6.1% | 3,715 | 3,113 | $288K |
| 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 | 4.8% | 3,175 | 2,348 | $229K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 3.8% | 1,722 | 1,554 | $180K |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | 3.5% | 1,576 | 1,135 | $165K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 3.3% | 1,815 | 1,442 | $157K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 3.0% | 225 | 219 | $144K |
| 59025 | Fetal non-stress test | 2.9% | 5,862 | 3,670 | $137K |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | 2.3% | 2,796 | 2,218 | $111K |
| 76801 | 1.8% | 973 | 811 | $88K |
30 more codes
| 81025 | 1.2% | 9,059 | $56K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 1.2% | 776 | $56K |
| 76830 | Ultrasound, transvaginal | <1% | 562 | $38K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,929 | $32K |
| 76818 | <1% | 376 | $31K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 384 | $26K |
| 90715 | <1% | 782 | $26K | |
| 59514 | <1% | 130 | $24K | |
| 99058 | <1% | 1,613 | $19K | |
| 81002 | <1% | 7,331 | $17K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 564 | $16K |
| 81003 | <1% | 5,845 | $11K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 160 | $11K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 800 | $9K |
| 99283 | Emergency room visit (moderate) | <1% | 170 | $8K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 42 | $6K |
| 99401 | <1% | 210 | $5K | |
| 96127 | <1% | 1,297 | $4K | |
| 59430 | <1% | 31 | $3K | |
| 99205 | Prolong outpt/office vis | <1% | 13 | $3K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 14 | $2K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 14 | $538.90 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 34 | $504.43 |
| 87210 | <1% | 77 | $225.60 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 21 | $0.37 |
| 0502F | 0% | 10,445 | $0.00 | |
| 0500F | 0% | 482 | $0.00 | |
| 0503F | 0% | 29 | $0.00 | |
| 99000 | 0% | 1,206 | $0.00 | |
| 99024 | 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 officialMARZBANI, SIAMAK (ADMINISTRATOR)