Physician
Physicians to Women, INC.
Physicians to Women, INC. was paid $72K by Medicaid between Jan 2019 and Jul 2022, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.
33Billing provider infoPHYSICIANS TO WOMEN, INC.
ROANOKE, VA 24013
ROANOKE, VA 24013
33aNPI1679651715assigned 11/02/2006
33bProvider typeObstetrics & Gynecology Physician
28Total paid$72K
24GClaims1,247
24DCodes billed8
24AFirst – last monthJan 2019 – Jul 2022
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Virginia
Rank by total paid#56 of 243
Median peer was paid$8K
This provider vs. median8.8×
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 | |
|---|---|---|---|
| 2019 | 244 | $16K | |
| 2020 | 408 | $22K | |
| 2021 | 343 | $19K | |
| 2022 | 252 | $15K |
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 | 41% | 632 | 570 | $30K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 34% | 305 | 267 | $24K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 7.7% | 77 | 68 | $6K |
| 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 | 5.6% | 63 | 58 | $4K |
| 76819 | Fetal biophysical profile; without non-stress testing | 4.8% | 56 | 37 | $3K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 4.0% | 41 | 38 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.4% | 56 | 53 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 17 | 15 | $114.09 |
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 officialMUSGRAVE, DONNA (SHAREHOLDER)