Physician
Highlands Womens Health
Highlands Womens Health was paid $607K by Medicaid between Jan 2018 and Nov 2024, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.
33Billing provider infoHIGHLANDS WOMENS HEALTH
ROCHESTER, NY 14620
ROCHESTER, NY 14620
33aNPI1861836652assigned 04/23/2013
33bProvider typeObstetrics & Gynecology Physician
28Total paid$607K
24GClaims12,547
24DCodes billed22
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in New York
Rank by total paid#116 of 762
Median peer was paid$22K
This provider vs. median28×
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 | 2,177 | $93K | |
| 2019 | 2,745 | $113K | |
| 2020 | 2,118 | $98K | |
| 2021 | 1,961 | $110K | |
| 2022 | 1,973 | $111K | |
| 2023 | 1,235 | $67K | |
| 2024incomplete | 338 | $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 | 53% | 5,147 | 5,029 | $320K |
| 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 | 23% | 1,451 | 1,429 | $141K |
| 59025 | Fetal non-stress test | 18% | 4,117 | 3,405 | $107K |
| 99080 | 1.3% | 378 | 378 | $8K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.2% | 91 | 86 | $7K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | <1% | 90 | 88 | $5K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | <1% | 39 | 39 | $4K |
| 81025 | <1% | 690 | 686 | $4K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 64 | 64 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 184 | 180 | $2K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 43 | 36 | $1K |
| 99221 | <1% | 13 | 12 | $1K |
10 more codes
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | $1K |
| 99459 | <1% | 42 | $793.64 | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 29 | $485.52 |
| 90686 | <1% | 25 | $464.34 | |
| 76801 | <1% | 13 | $320.23 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 24 | $267.34 |
| 87210 | <1% | 53 | $242.14 | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 15 | $173.32 |
| 96127 | <1% | 12 | $47.52 | |
| 81002 | <1% | 15 | $42.95 |
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 officialBECKER, LUCINDA (AUTHORIZED OFFICIAL)
| Provider | Location | Paid |
|---|---|---|
| Highland Hospital of Rochester | Rochester, NY | $325K |
| Highland Hospital of Rochester | Rochester, NY | $10K |
| Highland Hospital of Rochester | Rochester, NY | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.