Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Womens Healthcare of Western Colorado, P.C.

Womens Healthcare of Western Colorado, P.C. was paid $265K by Medicaid between Jan 2018 and Aug 2022, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.

33Billing provider infoWOMENS HEALTHCARE OF WESTERN COLORADO, P.C.
GRAND JUNCTION, CO 81501
33aNPI1538100375assigned 06/10/2006
28Total paid$265K
24GClaims5,001
24DCodes billed15
24AFirst – last monthJan 2018 – Aug 2022
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Colorado

Rank by total paid#17 of 138
Median peer was paid$8K
This provider vs. median35×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20181,368$65K
20191,278$57K
2020988$58K
2021955$58K
2022412$27K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 56% 2,393 1,981 $147K
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 11% 308 271 $29K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 8.2% 203 188 $22K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 7.4% 511 456 $19K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 6.4% 244 193 $17K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 4.5% 115 105 $12K
81025 2.0% 783 684 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1.3% 183 169 $4K
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% 33 26 $3K
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% 15 14 $2K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 25 24 $1K
90658 <1% 104 100 $1K
3 more codes
76830 Ultrasound, transvaginal <1% 13 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 43 $626.55
87210 <1% 28 $96.32

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 officialESTRIDGE, MJ (PRACTICE MANAGER)