Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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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
33aNPI1679651715assigned 11/02/2006
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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
2019244$16K
2020408$22K
2021343$19K
2022252$15K
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 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)