Clinic
Womencare, INC
Womencare, INC was paid $10.59M by Medicaid between Jan 2018 and Dec 2024, across 66 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 90% of everything it billed.
33Billing provider infoWOMENCARE, INC
CHARLESTON, WV 25387
CHARLESTON, WV 25387
33aNPI1972773224assigned 03/03/2008
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$10.59M
24GClaims173,809
24DCodes billed66
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#10 of 205
Median peer was paid$521K
This provider vs. median20×
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 | 28,968 | $1.40M | |
| 2019 | 10,743 | $612K | |
| 2020 | 26,031 | $1.26M | |
| 2021 | 22,895 | $1.17M | |
| 2022 | 35,250 | $2.43M | |
| 2023 | 32,777 | $2.53M | |
| 2024incomplete | 17,145 | $1.20M |
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 | 90% | 69,682 | 50,205 | $9.54M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.5% | 33,679 | 26,215 | $269K |
| 96127 | 2.0% | 18,480 | 15,465 | $207K | |
| 3008F | 1.1% | 6,276 | 5,142 | $118K | |
| 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% | 11,208 | 9,351 | $102K |
| 99406 | <1% | 6,102 | 5,296 | $42K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,723 | 2,264 | $34K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,863 | 1,637 | $29K |
| 90686 | <1% | 1,796 | 1,589 | $27K | |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 6,613 | 3,956 | $26K |
| 81002 | <1% | 730 | 689 | $21K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 790 | 738 | $18K |
54 more codes
| 81025 | <1% | 280 | $14K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,434 | $13K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 746 | $13K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,085 | $11K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,216 | $11K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 588 | $10K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 595 | $8K |
| 90837 | Psychotherapy session, about an hour | <1% | 654 | $8K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 263 | $7K |
| 90715 | <1% | 214 | $7K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 680 | $6K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 373 | $5K |
| 1090F | <1% | 58 | $4K | |
| 90670 | <1% | 297 | $4K | |
| 87210 | <1% | 79 | $4K | |
| 3044F | <1% | 103 | $4K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 118 | $4K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 61 | $3K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 171 | $3K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 289 | $3K |
| 90734 | <1% | 131 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 991 | $2K |
| 90632 | <1% | 49 | $2K | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 63 | $1K |
| 90649 | <1% | 177 | $1K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 27 | $1K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 33 | $1K |
| 90756 | <1% | 20 | $1K | |
| 90633 | <1% | 46 | $1K | |
| 82948 | <1% | 21 | $833.45 | |
| 99384 | <1% | 164 | $681.71 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 188 | $442.98 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 786 | $63.60 |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | <1% | 36 | $53.54 |
| 99205 | Prolong outpt/office vis | <1% | 152 | $10.00 |
| 90710 | 0% | 19 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 492 | $0.00 |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 339 | $0.00 |
| 3078F | 0% | 56 | $0.00 | |
| 90619 | 0% | 87 | $0.00 | |
| 90656 | 0% | 68 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 82 | $0.00 |
| 90651 | 0% | 108 | $0.00 | |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 0% | 44 | $0.00 |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | 0% | 28 | $0.00 |
| 3074F | 0% | 80 | $0.00 | |
| 97802 | 0% | 20 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 24 | $0.00 |
| 1036F | 0% | 69 | $0.00 | |
| 3079F | 0% | 51 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 54 | $0.00 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 17 | $0.00 |
| 3075F | 0% | 27 | $0.00 | |
| 99385 | 0% | 14 | $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 | Saint Albans, WV | $10.73M |
| 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.