Physician
Augusta Health Care for Women, PLC
Augusta Health Care for Women, PLC was paid $897K by Medicaid between Jan 2018 and Nov 2023, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.
33Billing provider infoAUGUSTA HEALTH CARE FOR WOMEN, PLC
FISHERSVILLE, VA 22939
FISHERSVILLE, VA 22939
33aNPI1912994898assigned 10/05/2005
33bProvider typeGynecology Physician
28Total paid$897K
24GClaims17,132
24DCodes billed23
24AFirst – last monthJan 2018 – Nov 2023
Compared with peers
Next to other Gynecology Physician providers in Virginia
Rank by total paid#2 of 21
Median peer was paid$8K
This provider vs. median107×
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 | 313 | $12K | |
| 2019 | 3,276 | $147K | |
| 2020 | 2,870 | $136K | |
| 2021 | 2,933 | $158K | |
| 2022 | 3,325 | $180K | |
| 2023 | 4,415 | $264K |
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 | 45% | 8,624 | 7,650 | $408K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 15% | 1,466 | 1,318 | $132K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 7.1% | 922 | 763 | $63K |
| 76830 | Ultrasound, transvaginal | 6.8% | 652 | 602 | $61K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 6.2% | 517 | 473 | $56K |
| 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 | 5.4% | 713 | 651 | $49K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.5% | 1,039 | 934 | $32K |
| 59025 | Fetal non-stress test | 3.5% | 836 | 622 | $31K |
| 59426 | 2.3% | 59 | 40 | $21K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.9% | 215 | 203 | $17K |
| 81025 | <1% | 1,374 | 1,267 | $9K | |
| 59425 | <1% | 15 | 13 | $6K |
11 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 59 | $3K |
| G9001 | Coordinated care fee, initial rate | <1% | 89 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 207 | $2K |
| 90686 | <1% | 91 | $2K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 13 | $1K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 69 | $1K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 15 | $854.56 |
| 90715 | <1% | 12 | $506.64 | |
| 87210 | <1% | 73 | $271.23 | |
| Q0112 | All potassium hydroxide (koh) preparations | <1% | 60 | $125.97 |
| 81002 | <1% | 12 | $35.97 |
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 officialGALFORD, RENIE (OFFICE ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Orthopedic Associates, LTD | Fishersville, VA | $291K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.