Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TX › Alice › NPI 1588019350
Physician

Innovation in Womens Health PLLC

Innovation in Womens Health PLLC was paid $432K by Medicaid between Oct 2020 and Dec 2024, across 20 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 30% of everything it billed.

33Billing provider infoINNOVATION IN WOMENS HEALTH PLLC
ALICE, TX 78332
33aNPI1588019350assigned 04/29/2016
28Total paid$432K
24GClaims13,421
24DCodes billed20
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Texas

Rank by total paid#121 of 432
Median peer was paid$103K
This provider vs. median4.2×

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$10K$20K$30K2018201920202021202220232024
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
2020492$10K
20215,382$196K
20224,763$162K
20231,790$42K
2024incomplete994$21K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 30% 2,517 1,570 $129K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 29% 3,423 2,469 $124K
76818 13% 548 181 $55K
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 9.0% 488 460 $39K
76830 Ultrasound, transvaginal 4.4% 209 176 $19K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 4.4% 196 184 $19K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 3.7% 161 150 $16K
81002 1.9% 2,746 1,606 $8K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 1.9% 14 13 $8K
59430 1.5% 82 76 $7K
99223 Prolong inpt eval add15 m <1% 16 15 $2K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 58 56 $2K
8 more codes
81003 <1% 2,198 $2K
81025 <1% 180 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 16 $219.81
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 15 $171.57
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 13 $86.25
90715 <1% 13 $76.20
99072 0% 152 $0.00
36415 Collection of venous blood by venipuncture 0% 376 $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 officialSHOEMAKER, EDWARD (OWNER)