Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or North Carolina for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to North Carolina only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. North Carolina (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Womens Healthcare Associates PA (NPI 1043273881)

Field	Value
Entity Type	Organization
Organization	Womens Healthcare Associates PA
Address	245 Memorial Dr
City	Jacksonville
State	NC
ZIP	28546
Taxonomy	Obstetrics & Gynecology Physician
NPI Enumerated	April 11, 2006

Payer Source	Total Paid
Medicaid	$8.2M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

47 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
59400	In this global service, the provider and nonphysician healthcare providers in the practice provide all of the antepartum care, admission to the hospital for delivery, labor management, including…	1,590	$1,100	$1.8M
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	11,650	$70	$815.7K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	12,280	$60	$773.5K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	15,830	$40	$696.4K
76805	In this procedure, the provider performs an ultrasound of a pregnant uterus for examination of the first or a single fetus and to examine the mother after the first trimester, or more than 14 weeks…	5,310	$100	$515.5K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	20,820	$20	$478.8K
S0281	Medical home program, comprehensive care coordination and planning, maintenance of plan	3,860	$110	$421K
76817	The provider performs an ultrasound of the pregnant uterus to examine the fetus and the mother's organs using a transvaginal approach.	5,090	$60	$325.8K
76815	The provider performs a limited examination of the fetus using ultrasound. The provider performs the examination of certain parameters for one or more fetuses.	5,470	$60	$311.7K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	8,920	$30	$303.1K

Showing 1–10 of 47

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other North Carolina providers billing the same CPT/HCPCS codes.

Claims Volume vs. North Carolina Distribution

Womens Healthcare Associates PA — 13 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. North Carolina median

47 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	141	320	6,160	$120	$2.1M
59400	In this global service, the provider and nonphysician healthcare providers in the practice provide all of the antepartum care, admission to the hospital for delivery, labor management, including…	2	50	70	$1,220	$332.9K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	363	4,400	960	$60	$271.3K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	257	4,130	670	$50	$219.9K
59510	In this global service, the provider provides all of the antepartum care, admission to the hospital for delivery, delivery of the fetus and placenta via an abdominal incision, and inpatient and…	3	10	150	$1,150	$183.1K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	15	160	420	$60	$183K
J3490	Unclassified drugs	151	160	2,850	$10	$165.6K
59410	In this global service, the provider admits the patient to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal…	2	10	80	$660	$104.9K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	69	1,130	160	$80	$75.6K
J7307	Etonogestrel (contraceptive) implant system, including implant and supplies	3	10	20	$640	$72.6K

Showing 1–10 of 47

Nearby Providers

Other providers in the same ZIP code as Womens Healthcare Associates PA, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jacksonville Children's And Multispecialty Clinic, PA	NC	Family Medicine Physician	$0	$44.6M
Coastal Carolina Neuropsychiatric Center, PA	NC	Psychiatry Physician	$0	$32M
Onslow Memorial Hospital Inc	NC	General Acute Care Hospital	$0	$23.6M
Onslow Pediatric Associates, P.A.	NC	Pediatrics Physician	$0	$10.1M
Iquolioc Inc.	NC	Community/Behavioral Health Agency	$0	$9.9M
Integrated Family Services, PLLC	NC	Community/Behavioral Health Agency	$0	$7.1M
County Of Onslow	NC	Land Ambulance	$1.6M	$5.3M
Jacksonville Treatment Center	NC	Community/Behavioral Health Agency	$146.9K	$5.8M
Nagesh Jayaram	NC	Hematology & Oncology Physician	$1.8M	$0
Regional Health Diagnostics Inc	NC	Sleep Disorder Diagnostic Clinic/Center	$308.5K	$804.8K

Womens Healthcare Associates PA — Billing Profile & Reimbursement Data

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Womens Healthcare Associates PA — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References