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

Womens Health Services of the Cumberlands, PLLC

Womens Health Services of the Cumberlands, PLLC was paid $5.63M by Medicaid between Jan 2018 and Dec 2024, across 44 billing codes. Its largest line is 59400, Routine obstetric care including antepartum care, vaginal delivery, and postpartum care — 42% of everything it billed.

33Billing provider infoWOMENS HEALTH SERVICES OF THE CUMBERLANDS, PLLC
COOKEVILLE, TN 38501
33aNPI1609965771assigned 10/12/2006
28Total paid$5.63M
24GClaims70,322
24DCodes billed44
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Tennessee

Rank by total paid#5 of 176
Median peer was paid$39K
This provider vs. median143×

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$50K$100K$150K2018201920202021202220232024
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
20187,775$530K
201910,963$889K
20209,867$784K
20219,379$679K
202211,115$913K
202312,265$1.00M
2024incomplete8,958$828K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 42% 1,875 1,621 $2.37M
H0016 Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) 8.0% 2,413 1,263 $450K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 8.0% 8,578 6,513 $449K
93976 7.7% 3,357 1,721 $432K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 6.6% 2,989 2,472 $374K
76818 4.2% 3,290 1,697 $234K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3.6% 5,686 4,559 $202K
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 3.4% 4,161 3,162 $192K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 2.8% 2,905 1,847 $155K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 2.2% 1,711 1,424 $123K
59025 Fetal non-stress test 1.8% 3,563 2,429 $100K
59510 1.4% 70 54 $80K
32 more codes
90715 1.4% 1,943 $76K
H0033 Oral medication administration, direct observation 1.4% 501 $76K
76830 Ultrasound, transvaginal 1.3% 1,302 $72K
76801 <1% 654 $41K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 483 $35K
81025 <1% 6,846 $28K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 2,833 $25K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 1,756 $24K
59426 <1% 43 $20K
90686 <1% 875 $15K
99204 Doctor's office visit, new patient (more involved) <1% 168 $14K
90832 Psychotherapy session, about 30 minutes <1% 415 $8K
G0442 Annual alcohol misuse screening, 5 to 15 minutes <1% 1,202 $6K
G0444 Annual depression screening, 5 to 15 minutes <1% 1,196 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 211 $5K
59425 <1% 14 $4K
80305 <1% 408 $3K
H2010 Comprehensive medication services, per 15 minutes <1% 24 $2K
0500F <1% 2,154 $2K
99203 Doctor's office visit, new patient (routine) <1% 26 $2K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 18 $999.91
90656 <1% 53 $940.00
99385 <1% 15 $853.26
81002 <1% 453 $769.28
90472 Immunization administration, each additional vaccine (list separately) <1% 44 $220.22
0503F <1% 156 $205.14
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 14 $172.36
0502F <1% 868 $10.00
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 521 $3.24
99024 0% 976 $0.00
3294F 0% 1,419 $0.00
3292F 0% 2,133 $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 officialCASAL, MICHAEL (CO-OWNER)
Same official

Other billing entities under CASAL, MICHAEL

Full network →
ProviderLocationPaid
Infinity Family Practice Associates, LLCCookeville, TN$2.90M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.