NP / PA
Lexington Womens Health PLLC
Lexington Womens Health PLLC was paid $958K by Medicaid between Jan 2018 and Dec 2021, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 87% of everything it billed.
33Billing provider infoLEXINGTON WOMENS HEALTH PLLC
LEXINGTON, KY 40503
LEXINGTON, KY 40503
33aNPI1497966477assigned 05/24/2007
33bProvider typeAdvanced Practice Midwife
28Total paid$958K
24GClaims29,556
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2021
Compared with peers
Next to other Advanced Practice Midwife providers in Kentucky
Rank by total paid#1 of 10
Median peer was paid$2K
This provider vs. median386×
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 | 6,073 | $193K | |
| 2019 | 5,702 | $181K | |
| 2020 | 8,452 | $274K | |
| 2021 | 9,329 | $310K |
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 | 87% | 25,137 | 18,926 | $832K |
| 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 | 3.2% | 644 | 548 | $30K |
| 76830 | Ultrasound, transvaginal | 2.7% | 519 | 478 | $26K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 2.0% | 333 | 284 | $20K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.7% | 244 | 232 | $16K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.4% | 274 | 240 | $14K |
| 81025 | <1% | 1,639 | 1,485 | $9K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 55 | 52 | $4K |
| 99385 | <1% | 31 | 29 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 87 | 82 | $2K |
| 87210 | <1% | 374 | 335 | $1K | |
| 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 | <1% | 14 | 14 | $989.60 |
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 officialFUSON, JENNIFER (M.D. / OWNER)