Rappahannock Women's Health Center PC

Rappahannock Women's Health Center PC was paid $462K by Medicaid between Jan 2018 and Jul 2023, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 27% of everything it billed.

33Billing provider infoRAPPAHANNOCK WOMEN'S HEALTH CENTER PC
FREDERICKSBURG, VA 22401

33aNPI1558303123assigned 06/11/2006

33bProvider typeObstetrics & Gynecology Physician

28Total paid$462K

24GClaims8,763

24DCodes billed18

24AFirst – last monthJan 2018 – Jul 2023

Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Virginia

Rank by total paid#25 of 243

Median peer was paid$8K

This provider vs. median57×

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	363	$19K
2019	1,028	$47K
2020	1,061	$43K
2021	1,830	$99K
2022	2,602	$168K
2023	1,879	$85K

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	27%	2,588	2,320	$123K
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	21%	1,233	1,140	$98K
76815	Ultrasound, pregnant uterus, real time with image documentation, limited	19%	1,308	1,147	$86K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	12%	460	421	$53K
76830	Ultrasound, transvaginal	10%	451	418	$46K
76801		5.2%	247	229	$24K
99205	Prolong outpt/office vis	1.6%	50	50	$7K
81025		1.3%	881	825	$6K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	1.3%	78	70	$6K
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	<1%	44	37	$4K
76817	Ultrasound, pregnant uterus, real time with image documentation, transvaginal	<1%	46	40	$3K
81002		<1%	889	612	$2K

6 more codes

99203	Doctor's office visit, new patient (routine)	<1%	15	$903.09
99072		<1%	257	$889.58
0502F		<1%	126	$750.00
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	40	$478.95
0503F		<1%	13	$5.00
J1050	Injection, medroxyprogesterone acetate, 1 mg	<1%	37	$0.34

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 officialLOHR, CAROLYN (BILLING AND CREDENTIALING MANAGER)