Physician
Professional Women's Healthcare, P.A.
Professional Women's Healthcare, P.A. was paid $1.20M by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.
33Billing provider infoPROFESSIONAL WOMEN'S HEALTHCARE, P.A.
DUNN, NC 28334
DUNN, NC 28334
33aNPI1619936796assigned 03/19/2006
33bProvider typeObstetrics & Gynecology Physician
28Total paid$1.20M
24GClaims34,342
24DCodes billed30
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in North Carolina
Rank by total paid#22 of 189
Median peer was paid$47K
This provider vs. median26×
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 | 2,943 | $96K | |
| 2019 | 3,282 | $126K | |
| 2020 | 3,785 | $181K | |
| 2021 | 5,177 | $204K | |
| 2022 | 6,517 | $219K | |
| 2023 | 6,491 | $228K | |
| 2024incomplete | 6,147 | $150K |
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 | 52% | 9,851 | 5,736 | $621K |
| 99401 | 11% | 3,950 | 2,293 | $134K | |
| 76818 | 8.6% | 1,112 | 430 | $103K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 4.8% | 844 | 359 | $58K |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | 4.1% | 1,113 | 901 | $49K |
| 99406 | 2.7% | 2,553 | 1,604 | $32K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.6% | 308 | 251 | $32K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 2.3% | 535 | 501 | $28K |
| 59025 | Fetal non-stress test | 2.2% | 847 | 340 | $27K |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | 2.2% | 201 | 169 | $26K |
| 99234 | 1.9% | 220 | 149 | $23K | |
| 81025 | 1.2% | 2,022 | 1,739 | $14K |
18 more codes
| 99199 | Unlisted special service, procedure or report | 1.1% | 2,907 | $14K |
| 81002 | <1% | 2,941 | $8K | |
| 87210 | <1% | 1,848 | $8K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 89 | $6K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 59 | $4K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 29 | $3K |
| 85013 | <1% | 1,242 | $3K | |
| 99205 | Prolong outpt/office vis | <1% | 16 | $3K |
| 76801 | <1% | 26 | $3K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 33 | $2K |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 916 | $2K |
| 76830 | Ultrasound, transvaginal | <1% | 14 | $778.32 |
| G0310 | Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service, 5 to 15 mins time (this code is used for medicaid billing purposes) | <1% | 34 | $765.25 |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 14 | $749.23 |
| 3511F | 0% | 295 | $0.00 | |
| 3015F | 0% | 130 | $0.00 | |
| 0500F | 0% | 32 | $0.00 | |
| 3008F | 0% | 161 | $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 officialGIEBMANNS, THOMAS (OWNER/DIRECTOR)