Clinic
Womencare INC
Womencare INC was paid $10.73M by Medicaid between Jan 2018 and Dec 2024, across 65 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 92% of everything it billed.
33Billing provider infoWOMENCARE INC
SAINT ALBANS, WV 25177
SAINT ALBANS, WV 25177
33aNPI1902166945assigned 05/24/2012
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$10.73M
24GClaims166,813
24DCodes billed65
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in West Virginia
Rank by total paid#9 of 205
Median peer was paid$521K
This provider vs. median21×
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 RAY, JULIE controls 14+ 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 | 19,579 | $1.06M | |
| 2019 | 9,966 | $651K | |
| 2020 | 20,701 | $1.03M | |
| 2021 | 20,462 | $1.13M | |
| 2022 | 34,590 | $2.33M | |
| 2023 | 35,183 | $2.63M | |
| 2024incomplete | 26,332 | $1.90M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 92% | 68,231 | 52,650 | $9.91M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.8% | 39,894 | 32,073 | $306K |
| 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 | <1% | 13,211 | 11,110 | $93K |
| 96127 | <1% | 5,901 | 5,085 | $69K | |
| 3008F | <1% | 2,417 | 1,913 | $60K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 9,618 | 7,891 | $33K |
| 90686 | <1% | 955 | 889 | $28K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,054 | 1,777 | $25K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,549 | 1,296 | $21K |
| 81002 | <1% | 1,422 | 1,241 | $19K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 1,098 | 1,005 | $15K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 1,538 | 1,005 | $14K |
53 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,199 | $13K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 981 | $11K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,649 | $11K |
| 82948 | <1% | 231 | $10K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 817 | $8K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 177 | $8K |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 488 | $7K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 342 | $6K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 405 | $6K |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 264 | $5K |
| 90715 | <1% | 198 | $5K | |
| 81025 | <1% | 309 | $4K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 144 | $4K |
| 3044F | <1% | 121 | $3K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,619 | $3K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 139 | $3K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 90 | $3K |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 52 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 540 | $3K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 356 | $3K |
| 3045F | <1% | 29 | $2K | |
| 90649 | <1% | 64 | $2K | |
| 90734 | <1% | 90 | $2K | |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 1,402 | $2K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 162 | $2K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 59 | $992.52 |
| 90670 | <1% | 13 | $970.98 | |
| 90633 | <1% | 28 | $917.78 | |
| J0561 | Injection, penicillin g benzathine, 100,000 units | <1% | 332 | $881.60 |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 49 | $777.48 |
| 90632 | <1% | 34 | $755.82 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 32 | $653.48 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 61 | $298.23 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 2,997 | $264.99 |
| Q3014 | Telehealth originating site facility fee | <1% | 43 | $239.68 |
| 0012A | <1% | 13 | $80.00 | |
| 83037 | <1% | 54 | $38.79 | |
| 99406 | 0% | 606 | $0.00 | |
| 3074F | 0% | 171 | $0.00 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 36 | $0.00 |
| 90688 | 0% | 62 | $0.00 | |
| 3079F | 0% | 42 | $0.00 | |
| 1036F | 0% | 194 | $0.00 | |
| 90677 | 0% | 16 | $0.00 | |
| 90656 | 0% | 24 | $0.00 | |
| 87428 | 0% | 111 | $0.00 | |
| 90651 | 0% | 14 | $0.00 | |
| T1503 | Administration of medication, other than oral and/or injectable, by a health care agency/professional, per visit | 0% | 14 | $0.00 |
| 90837 | Psychotherapy session, about an hour | 0% | 790 | $0.00 |
| 87420 | 0% | 75 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 41 | $0.00 |
| 3078F | 0% | 131 | $0.00 | |
| 90621 | 0% | 15 | $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 officialRAY, JULIE (CREDENTIALING SPECIALIST)
| Provider | Location | Paid |
|---|---|---|
| Women Care INC | Scott Depot, WV | $20.48M |
| Womencare, INC | Charleston, WV | $10.59M |
| Womencare INC | Charleston, WV | $7.42M |
| Womencare, INC | Madison, WV | $5.93M |
| Womencare INC | Barboursville, WV | $2.34M |
| Womencare INC | Charleston, WV | $1.85M |
| Womencare INC | Cross Lanes, WV | $1.64M |
| Womencare INC | Hurricane, WV | $1.02M |
| Womencare INC | Hurricane, WV | $838K |
| Womencare INC | Charleston, WV | $685K |
| Womencare, INC | Charleston, WV | $526K |
| Womencare INC | Dunbar, WV | $384K |
| Womencare INC | Marmet, WV | $348K |
| Womencare INC | Charleston, WV | $199K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.