Birthcare & Womens Health

Birthcare & Womens Health was paid $40K by Medicaid between Jan 2018 and Jun 2018, across 12 billing codes. Its largest line is 59400, Routine obstetric care including antepartum care, vaginal delivery, and postpartum care — 47% of everything it billed.

33Billing provider infoBIRTHCARE & WOMENS HEALTH
CLEVELAND, TN 37311

33aNPI1942566773assigned 04/05/2012

33bProvider typeMedical Specialty Clinic/Center

28Total paid$40K

24GClaims710

24DCodes billed12

24AFirst – last monthJan 2018 – Jun 2018

Compared with peers

Next to other Medical Specialty Clinic/Center providers in Tennessee

Rank by total paid#9 of 15

Median peer was paid$56K

This provider vs. median0.7×

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	710	$40K

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	47%	16	13	$19K
59426		21%	15	14	$9K
59425		14%	18	18	$6K
76811	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed	4.9%	13	12	$2K
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	4.6%	33	26	$2K
76819	Fetal biophysical profile; without non-stress testing	2.2%	14	13	$873.86
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	1.7%	17	13	$676.37
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.5%	14	14	$608.04
81002		1.2%	181	163	$472.38
81025		<1%	62	60	$351.63
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	13	12	$301.18
0502F		0%	314	219	$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 officialSTABLER, LEE (OWNER)