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 West Virginia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to West Virginia 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. West Virginia (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.

Womencare Inc (NPI 1396237434)

Field	Value
Entity Type	Organization
Organization	Womencare Inc
Address	5161 Washington St W
City	Cross Lanes
State	WV
ZIP	25313
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	June 5, 2018

Payer Source	Total Paid
Medicaid	$1.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

25 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	9,770	$170	$1.6M
1036F	N/A	10	$0	$0
3008F	No Summary found for this code	440	$0	$0
83036	Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…	40	$0	$0
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	70	$0	$0
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	60	$0	$0
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	230	$0	$0
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	730	$0	$0
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	470	$0	$0
90619	Report this code for meningococcal conjugate vaccine in a tetanus toxoid carrier for intramuscular administration that protects against four common forms of the virus and to prevent the patient from…	20	$0	$0

Showing 1–10 of 25

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. West Virginia Distribution

Womencare Inc — 0 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — West Virginia

Full comparison — all codes billed, vs. West Virginia median

25 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	144	390	4,610	$130	$2.2M
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…	400	1,270	1,240	$30	$245K
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…	322	1,030	890	$50	$221K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	81	150	520	$50	$76.2K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	95	140	550	$50	$67.2K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	74	190	220	$50	$42.7K
83036	Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…	125	140	900	$10	$38.3K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	137	190	190	$30	$35.9K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	89	200	360	$20	$26K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	56	180	140	$50	$24.8K

Showing 1–10 of 25

Related Providers

Other providers that share a Tax Identification Number (TIN) with Womencare Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Women Care Inc	WV	Federally Qualified Health Center (FQHC)	$0	$20.5M
Womencare Inc	WV	Federally Qualified Health Center (FQHC)	$0	$10.7M
Womencare, Inc	WV	Federally Qualified Health Center (FQHC)	$0	$10.6M
Womencare Inc	WV	Federally Qualified Health Center (FQHC)	$0	$7.4M
Womencare, Inc	WV	Federally Qualified Health Center (FQHC)	$0	$5.9M
Womencare, Inc	WV	Federally Qualified Health Center (FQHC)	$0	$2.9M
Womencare Inc	WV	Federally Qualified Health Center (FQHC)	$0	$2.3M
Womencare Inc	WV	Federally Qualified Health Center (FQHC)	$0	$1.8M
Womencare Inc	WV	Federally Qualified Health Center (FQHC)	$0	$1M
Womencare Inc	WV	Federally Qualified Health Center (FQHC)	$0	$838.1K

Nearby Providers

Other providers in the same ZIP code as Womencare Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pro Careers, Inc	WV	Home Health Agency	$0	$41M
Hope Drug Rehabilitation LLC	WV	Community/Behavioral Health Agency	$0	$9.1M
First Care Services Inc.	WV	Case Management Agency	$0	$2.4M
Southern Home Care Services, Inc.	WV	Personal Care Attendant	$0	$1.8M
Birth-babies & Beyond LLC	WV	Public Health or Welfare Agency	$0	$1.3M
Meditelecare Of West Virginia PLLC	WV	Clinical Psychologist	$0	$962.6K
Wv Primary Care Inc	WV	Internal Medicine Physician	$0	$752.6K
Ashish Sheth	WV	Internal Medicine Physician	$168K	$0
Arvind Viradia	WV	Internal Medicine Physician	$116.7K	$0
David Briscoe	WV	Physical Therapist	$84.6K	$0

Womencare Inc — Billing Profile & Reimbursement Data

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Womencare Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References