Athens Womens Clinic, P.C.
Athens Womens Clinic, P.C. was paid $472K by Medicaid between Jan 2018 and Dec 2024, across 29 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
33Billing provider infoATHENS WOMENS CLINIC, P.C.
ATHENS, TN 37303
ATHENS, TN 37303
33aNPI1760609218assigned 04/19/2007
33bProvider typeSpecialist
28Total paid$472K
24GClaims27,366
24DCodes billed29
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Tennessee
Rank by total paid#53 of 252
Median peer was paid$57K
This provider vs. median8.3×
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 | 3,770 | $79K | |
| 2019 | 3,860 | $70K | |
| 2020 | 4,661 | $93K | |
| 2021 | 5,126 | $102K | |
| 2022 | 3,981 | $62K | |
| 2023 | 3,612 | $42K | |
| 2024incomplete | 2,356 | $24K |
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 | 31% | 3,363 | 3,009 | $145K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 15% | 897 | 824 | $71K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 11% | 1,807 | 1,562 | $52K |
| 59025 | Fetal non-stress test | 9.6% | 1,712 | 1,352 | $45K |
| 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 | 7.8% | 586 | 514 | $37K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 4.9% | 336 | 285 | $23K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 4.2% | 204 | 183 | $20K |
| 81003 | 2.7% | 6,796 | 6,076 | $13K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 2.4% | 134 | 128 | $11K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 2.2% | 186 | 150 | $10K |
| 81025 | 1.7% | 1,317 | 1,134 | $8K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.4% | 102 | 84 | $7K |
17 more codes
| 54150 | 1.0% | 30 | $5K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 87 | $5K |
| 99385 | <1% | 46 | $4K | |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 82 | $4K |
| 87210 | <1% | 682 | $3K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 26 | $3K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 29 | $2K |
| 76830 | Ultrasound, transvaginal | <1% | 17 | $1K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 18 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 49 | $797.25 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 71 | $631.68 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 29 | $524.00 |
| 90715 | <1% | 16 | $510.98 | |
| 90686 | <1% | 12 | $245.86 | |
| 0500F | <1% | 107 | $20.15 | |
| 0503F | <1% | 49 | $0.06 | |
| 0502F | 0% | 8,576 | $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 officialBLEDSOE, ROBERT (PRESIDENT)