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

Premier Women's Care PLLC

Premier Women's Care PLLC was paid $133K by Medicaid between Mar 2018 and Nov 2022, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.

33Billing provider infoPREMIER WOMEN'S CARE PLLC
FAYETTEVILLE, NC 28304
33aNPI1649702762assigned 03/29/2017
28Total paid$133K
24GClaims7,162
24DCodes billed12
24AFirst – last monthMar 2018 – Nov 2022
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in North Carolina

Rank by total paid#69 of 189
Median peer was paid$47K
This provider vs. median2.9×

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$5.0K$10K2018201920202021202220232024
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
2018645$18K
2019706$28K
2020579$16K
20212,474$47K
20222,758$25K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 49% 1,247 787 $66K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 20% 923 699 $27K
99199 Unlisted special service, procedure or report 18% 4,115 2,345 $24K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 5.4% 93 55 $7K
81025 2.0% 532 354 $3K
S0280 Medical home program, comprehensive care coordination and planning, initial plan 1.9% 65 56 $2K
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 1.1% 14 12 $1K
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 <1% 14 13 $1K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 17 13 $1K
96127 <1% 40 24 $117.90
85018 <1% 64 39 $117.30
81003 <1% 38 28 $36.32

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 officialJOHNSON-LEE, DELORES (PHYSICIAN)