Clinic
Prima Bella Women's Health, PC
Prima Bella Women's Health, PC was paid $324K by Medicaid between Jan 2018 and Jan 2023, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
33Billing provider infoPRIMA BELLA WOMEN'S HEALTH, PC
VALPARAISO, IN 46383
VALPARAISO, IN 46383
33aNPI1902145394assigned 02/05/2013
33bProvider typeMedical Specialty Clinic/Center
28Total paid$324K
24GClaims7,190
24DCodes billed13
24AFirst – last monthJan 2018 – Jan 2023
Compared with peers
Next to other Medical Specialty Clinic/Center providers in Indiana
Rank by total paid#4 of 10
Median peer was paid$59K
This provider vs. median5.5×
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 | 857 | $1K | |
| 2019 | 550 | $14K | |
| 2020 | 1,007 | $41K | |
| 2021 | 2,017 | $109K | |
| 2022 | 2,724 | $157K | |
| 2023 | 35 | $2K |
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% | 2,032 | 1,582 | $101K |
| 59426 | 28% | 969 | 477 | $92K | |
| 59425 | 14% | 614 | 462 | $44K | |
| 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 | 12% | 395 | 338 | $38K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 4.2% | 27 | 26 | $14K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 3.6% | 137 | 125 | $12K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 2.7% | 232 | 194 | $9K |
| 81002 | 2.0% | 2,537 | 1,484 | $7K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 45 | 42 | $3K |
| 59025 | Fetal non-stress test | <1% | 78 | 40 | $2K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 18 | 13 | $988.34 |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 21 | 14 | $980.11 |
1 more codes
| 81025 | <1% | 85 | $643.97 |
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, MARY ANN (PRESIDENT OF CORPORATION)