Physicians for Women's Health LLC

Physicians for Women's Health LLC was paid $57.27M by Medicaid between Jan 2018 and Dec 2024, across 147 billing codes. Its largest line is 81420, Fetal chromosomal aneuploidy genomic sequence analysis panel — 10% of everything it billed.

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	235,843	$5.10M
2019	281,081	$5.65M
2020	278,881	$5.77M
2021	365,053	$9.05M
2022	355,994	$9.70M
2023	373,505	$10.56M
2024incomplete	356,636	$11.44M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
81420	Fetal chromosomal aneuploidy genomic sequence analysis panel	10%	12,634	11,382	$5.87M
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	9.5%	142,121	128,603	$5.42M
87491	Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe	8.9%	160,344	153,831	$5.08M
87591	Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe	8.9%	160,156	153,703	$5.08M
87624	Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types	5.3%	104,699	102,043	$3.06M
81513		3.7%	23,803	22,464	$2.12M
88175	Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer	3.4%	140,281	137,026	$1.92M
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	3.1%	33,317	32,338	$1.75M
87389	Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies	2.9%	79,914	76,492	$1.68M
76830	Ultrasound, transvaginal	2.7%	26,892	25,003	$1.52M
88305	Level IV - Surgical pathology, gross and microscopic examination	2.6%	22,592	18,282	$1.48M
87800		1.9%	29,234	28,099	$1.09M

135 more codes

96127		1.7%	63,682	$968K
99214	Doctor's office visit, returning patient (more involved)	1.6%	16,830	$944K
86780		1.4%	71,992	$830K
87661	Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe	1.4%	25,961	$797K
87660		1.3%	45,158	$766K
87480		1.3%	45,172	$765K
87510		1.3%	44,513	$761K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	1.3%	13,025	$759K
87481		1.3%	23,786	$732K
76811	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed	1.3%	3,140	$720K
76801		1.1%	5,492	$655K
59025	Fetal non-stress test	1.1%	13,837	$628K
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	1.0%	10,568	$594K
86803		1.0%	47,235	$585K
87653		<1%	18,331	$571K
76817	Ultrasound, pregnant uterus, real time with image documentation, transvaginal	<1%	6,851	$569K
87086	Culture, bacterial; quantitative colony count, urine	<1%	78,266	$556K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	<1%	7,087	$552K
87340		<1%	54,646	$491K
76856	Ultrasound, pelvic (nonobstetric), real time with image documentation; complete	<1%	7,900	$451K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	64,330	$435K
76813		<1%	4,855	$350K
86762		<1%	27,975	$342K
84443	Thyroid stimulating hormone (TSH)	<1%	21,608	$320K
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	<1%	2,626	$307K
84702		<1%	27,350	$284K
77067	Screening mammography, bilateral, including computer-aided detection	<1%	3,531	$283K
82670		<1%	11,136	$281K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	10,711	$272K
88141		<1%	23,202	$241K
83001		<1%	14,113	$235K
93976		<1%	1,718	$210K
84146		<1%	10,903	$192K
81025		<1%	35,008	$184K
86696		<1%	10,463	$180K
76376		<1%	5,425	$151K
83036	Hemoglobin; glycosylated (A1C)	<1%	17,629	$149K
87625		<1%	5,007	$149K
83002		<1%	8,720	$147K
U0005	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2	<1%	5,949	$147K
86850		<1%	39,357	$129K
84144		<1%	6,585	$125K
76815	Ultrasound, pregnant uterus, real time with image documentation, limited	<1%	1,444	$117K
82306	Vitamin D; 25 hydroxy, includes fraction(s), if performed	<1%	4,355	$115K
87015		<1%	18,334	$108K
86695		<1%	8,980	$106K
82950		<1%	25,026	$105K
59400	Routine obstetric care including antepartum care, vaginal delivery, and postpartum care	<1%	41	$100K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	7,644	$95K
77063	Screening digital breast tomosynthesis, bilateral	<1%	3,522	$93K
86900		<1%	34,541	$88K
86901		<1%	34,209	$87K
87077		<1%	11,466	$83K
87088		<1%	11,408	$83K
82627		<1%	4,013	$82K
82951		<1%	7,299	$81K
86787		<1%	6,844	$75K
84439		<1%	9,286	$73K
85027		<1%	11,602	$67K
88142		<1%	4,443	$61K
80053	Comprehensive metabolic panel	<1%	5,455	$51K
82607		<1%	3,397	$46K
80050	General health panel	<1%	1,291	$46K
99385		<1%	738	$45K
87801	Infectious agent detection by nucleic acid; amplified probe, multiple organisms	<1%	1,873	$37K
99459		<1%	2,693	$33K
82728		<1%	2,563	$32K
82746		<1%	2,229	$30K
80061	Lipid panel	<1%	2,455	$30K
59514		<1%	51	$27K
83525		<1%	2,568	$27K
87147		<1%	5,471	$26K
82952		<1%	5,847	$20K
87186		<1%	2,316	$18K
99204	Doctor's office visit, new patient (more involved)	<1%	169	$16K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	848	$16K
84703		<1%	2,350	$16K
93975		<1%	105	$16K
86304		<1%	841	$16K
80076		<1%	1,932	$14K
88344		<1%	198	$14K
99215	Doctor's office visit, returning patient (complex)	<1%	188	$14K
99234		<1%	174	$13K
99404		<1%	157	$10K
82947		<1%	2,830	$10K
87210		<1%	1,709	$9K
76857		<1%	184	$8K
76819	Fetal biophysical profile; without non-stress testing	<1%	140	$8K
84550		<1%	3,455	$7K
90651		<1%	29	$7K
80305		<1%	976	$7K
97810		<1%	581	$6K
81002		<1%	57,159	$5K
84450		<1%	3,083	$5K
36416		<1%	1,719	$5K
90686		<1%	343	$5K
82565		<1%	2,526	$5K
82272		<1%	1,633	$5K
84460		<1%	3,094	$4K
36415	Collection of venous blood by venipuncture	<1%	1,420	$4K
82270		<1%	1,467	$4K
90674		<1%	197	$4K
83986		<1%	1,458	$4K
80048	Basic metabolic panel (calcium, ionized)	<1%	513	$4K
82120		<1%	1,322	$4K
J1050	Injection, medroxyprogesterone acetate, 1 mg	<1%	1,348	$4K
76641		<1%	45	$3K
76818		<1%	31	$3K
88307		<1%	51	$3K
83615		<1%	1,325	$3K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	569	$3K
87184		<1%	421	$3K
84520		<1%	2,113	$3K
99235		<1%	25	$3K
85018		<1%	2,366	$2K
99203	Doctor's office visit, new patient (routine)	<1%	45	$2K
88112		<1%	26	$2K
90656		<1%	112	$2K
99442		<1%	30	$1K
81003		<1%	3,395	$682.33
54150		<1%	14	$626.40
58300		<1%	14	$592.41
96040		<1%	15	$344.25
90688		<1%	22	$338.96
51798		<1%	43	$249.42
88304		<1%	15	$164.23
82274		<1%	12	$149.64
G0476	Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test	<1%	50	$101.10
82248		<1%	40	$91.67
81000		<1%	41	$87.04
G0101	Cervical or vaginal cancer screening; pelvic and clinical breast examination	<1%	25	$48.42
G0145	Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision	<1%	31	$5.38
7025F		0%	860	$0.00
A4550	Surgical trays	0%	29	$0.00
0502F		0%	16	$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 officialGOTTSCHALL, DANIEL (CHIEF MEDICAL OFFICER)