Physician
Jones Center for Womens Health PLLC
Jones Center for Womens Health PLLC was paid $4.40M by Medicaid between Dec 2018 and Dec 2024, across 46 billing codes. Its largest line is 59400, Routine obstetric care including antepartum care, vaginal delivery, and postpartum care — 33% of everything it billed.
33Billing provider infoJONES CENTER FOR WOMENS HEALTH PLLC
FAYETTEVILLE, NC 28304
FAYETTEVILLE, NC 28304
33aNPI1871676296assigned 10/21/2006
33bProvider typeObstetrics & Gynecology Physician
28Total paid$4.40M
24GClaims120,565
24DCodes billed46
24AFirst – last monthDec 2018 – Dec 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in North Carolina
Rank by total paid#7 of 189
Median peer was paid$47K
This provider vs. median94×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official JONES, MICHAEL controls 15+ related entities in our dataset. Read more
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 | 385 | $37K | |
| 2019 | 13,300 | $636K | |
| 2020 | 11,799 | $726K | |
| 2021 | 22,920 | $738K | |
| 2022 | 25,647 | $693K | |
| 2023 | 22,551 | $679K | |
| 2024incomplete | 23,963 | $894K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | 33% | 1,108 | 968 | $1.43M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 12,798 | 10,042 | $600K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 8.4% | 4,462 | 3,633 | $372K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.0% | 8,705 | 6,186 | $264K |
| 59410 | 5.0% | 303 | 253 | $219K | |
| 59510 | 3.8% | 133 | 115 | $168K | |
| 99199 | Unlisted special service, procedure or report | 3.4% | 41,935 | 39,465 | $151K |
| 76801 | 3.4% | 2,006 | 1,512 | $149K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 3.1% | 2,437 | 1,846 | $136K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 2.7% | 3,111 | 2,529 | $117K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 2.6% | 1,312 | 991 | $114K |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | 2.3% | 936 | 738 | $101K |
34 more codes
| 99214 | Doctor's office visit, returning patient (more involved) | 2.2% | 1,383 | $97K |
| 81025 | 2.1% | 16,032 | $94K | |
| 76819 | Fetal biophysical profile; without non-stress testing | 1.7% | 1,284 | $76K |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | 1.6% | 1,779 | $72K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 3,351 | $38K |
| 54150 | <1% | 148 | $29K | |
| 99205 | Prolong outpt/office vis | <1% | 218 | $22K |
| 59515 | <1% | 47 | $22K | |
| 81003 | <1% | 9,133 | $19K | |
| 76830 | Ultrasound, transvaginal | <1% | 287 | $18K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 251 | $18K |
| 99385 | <1% | 151 | $15K | |
| 59426 | <1% | 13 | $8K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 67 | $7K |
| 85018 | <1% | 3,134 | $7K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 58 | $5K |
| 82947 | <1% | 1,451 | $5K | |
| 82950 | <1% | 1,029 | $5K | |
| 90674 | <1% | 290 | $4K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 64 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 297 | $3K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 26 | $2K |
| 57454 | <1% | 12 | $1K | |
| 76857 | <1% | 19 | $1K | |
| 99386 | <1% | 15 | $1K | |
| 87210 | <1% | 66 | $236.98 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 14 | $211.97 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 35 | $190.15 |
| 0503F | <1% | 375 | $0.22 | |
| 0500F | <1% | 108 | $0.07 | |
| 90715 | 0% | 12 | $0.00 | |
| 0502F | 0% | 12 | $0.00 | |
| 0501F | 0% | 129 | $0.00 | |
| 90686 | 0% | 29 | $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 officialJONES, MICHAEL (AUTHORIZED OFFICIAL)
| Provider | Location | Paid |
|---|---|---|
| Molina Healthcare of Florida, INC. | Doral, FL | $9.46M |
| West 49TH Street Medical Practice, PC | New York, NY | $6.96M |
| Jones Home Health Care, INC. | Saint Louis, MO | $2.07M |
| Tar Heel Human Services-Mental Health Division, INC. | Beulaville, NC | $350K |
| Axis Medical Equipment & Supply, LLC | Farmers Branch, TX | $278K |
| M. Thomas Jones | Greensboro, NC | $168K |
| Switzerland County School Corporation | Vevay, IN | $168K |
| Dental Enterprises | Kaysville, UT | $133K |
| Advanced Primary Care LLC | Memphis, TN | $107K |
| Highlands Volunteer Fire Department | Highlands, TX | $53K |
| Michael R. Jones, DDS, PA | Russell, KS | $32K |
| Jones Dental Management, LLC | Kaysville, UT | $24K |
| Jones Wellness & Cardiovascular | New Orleans, LA | $22K |
| Michael D. Jones, O.D., INC. | Las Vegas, NV | $7K |
| Eye Surgery Center, LLC | Belleville, IL | $82.70 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.