Physician
Heartland Women's Healthcare Mo PC
Heartland Women's Healthcare Mo PC was paid $1.01M by Medicaid between Apr 2018 and Dec 2024, across 28 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 77% of everything it billed.
33Billing provider infoHEARTLAND WOMEN'S HEALTHCARE MO PC
WENTZVILLE, MO 63385
WENTZVILLE, MO 63385
33aNPI1588191431assigned 05/22/2017
33bProvider typeObstetrics & Gynecology Physician
28Total paid$1.01M
24GClaims19,816
24DCodes billed28
24AFirst – last monthApr 2018 – Dec 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Missouri
Rank by total paid#7 of 358
Median peer was paid$16K
This provider vs. median65×
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 | 1,277 | $6K | |
| 2019 | 479 | $15K | |
| 2020 | 4,953 | $209K | |
| 2021 | 4,645 | $211K | |
| 2022 | 3,718 | $236K | |
| 2023 | 2,671 | $195K | |
| 2024incomplete | 2,073 | $137K |
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 | 77% | 15,275 | 10,924 | $778K |
| 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 | 8.3% | 1,379 | 1,225 | $83K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 5.3% | 91 | 91 | $53K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 2.4% | 324 | 295 | $24K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 1.5% | 264 | 221 | $15K |
| 76830 | Ultrasound, transvaginal | 1.2% | 121 | 106 | $12K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 1.1% | 263 | 192 | $11K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 155 | 146 | $5K |
| 76801 | <1% | 75 | 62 | $5K | |
| 59430 | <1% | 30 | 26 | $5K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 86 | 83 | $5K |
| 81025 | <1% | 566 | 494 | $3K |
16 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 94 | $2K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 37 | $2K |
| 54160 | <1% | 13 | $2K | |
| 90723 | <1% | 59 | $1K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 14 | $614.24 |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 15 | $594.29 |
| 87210 | <1% | 124 | $293.47 | |
| 99459 | <1% | 17 | $191.47 | |
| 81000 | <1% | 56 | $171.60 | |
| 90647 | <1% | 12 | $55.00 | |
| 0502F | 0% | 159 | $0.00 | |
| T1015 | A visit at a community health center or clinic (one all-in rate) | 0% | 498 | $0.00 |
| 90670 | 0% | 13 | $0.00 | |
| 99201 | 0% | 12 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 49 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 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 officialSCHIFANO, MICHAEL (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Heartland Women's Healthcare, LTD | Mount Vernon, IL | $4.45M |
| Heartland Women's Healthcare LTD | Marion, IL | $3.62M |
| Heartland Women's Healthcare LTD | Marion, IL | $1.92M |
| Heartland Women's Healthcare LTD | Centralia, IL | $1.47M |
| Heartland Women's Healthcare Mo PC | Poplar Bluff, MO | $894K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.