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

Why is the Medicaid comparison limited to Georgia 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. Georgia (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.

Women's Healthcare Of Middle Ga, Inc (NPI 1487696837)

Field	Value
Entity Type	Organization
Organization	Women's Healthcare Of Middle Ga, Inc
Address	130 Byrd Way
City	Warner Robins
State	GA
ZIP	31088
Taxonomy	Obstetrics & Gynecology Physician
NPI Enumerated	June 11, 2006

Payer Source	Total Paid
Medicaid	$1.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	13,690	$50	$657K
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…	2,560	$110	$271.7K
76817	The provider performs an ultrasound of the pregnant uterus to examine the fetus and the mother's organs using a transvaginal approach.	2,010	$70	$140.4K
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…	70	$1,960	$133.3K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	1,040	$50	$51K
81025	The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout.	3,360	$10	$23.5K
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…	10	$1,880	$22.6K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	160	$90	$15.1K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	150	$100	$15K
0500F	No Summary found for this code	1,630	$10	$14.7K

Showing 1–10 of 22

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Georgia Distribution

Women's Healthcare Of Middle Ga, Inc — 1 of 22 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. Georgia median

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	106	230	120	$170	$937.5K
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.	101	240	170	$120	$779.3K
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…	78	920	370	$60	$360.6K
76818	The provider performs a biophysical profile test to measure the health of the baby during pregnancy. The test consists of a nonstress test and an ultrasound.	16	20	420	$80	$255K
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…	485	820	390	$70	$245K
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…	8	20	40	$1,810	$234.1K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	20	60	550	$50	$193.7K
99203	The provider sees a new 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 provider…	138	310	90	$90	$136.3K
99204	The provider sees a new 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 provider…	155	230	100	$110	$97.1K
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…	6	60	310	$90	$79.6K

Showing 1–10 of 22

Related Providers

Other providers that share a Tax Identification Number (TIN) with Women's Healthcare Of Middle Ga, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alison Wright	GA	Obstetrics & Gynecology Physician	$25.5K	$0

Nearby Providers

Other providers in the same ZIP code as Women's Healthcare Of Middle Ga, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Regeneration Project LLC	GA	Community/Behavioral Health Agency	$0	$4.2M
William Freeman	GA	Specialist	$2.2M	$0
Warner Robins Partners	GA	Ophthalmologic Surgery Clinic/Center	$1.4M	$0
Lakeview Surgery Center, LLC	GA	Ambulatory Surgical Clinic/Center	$987.4K	$0
Darryl Hodson	GA	Dermatology Physician	$914.2K	$0
Comprehensive Care Medical Offices, LLC	GA	Infectious Disease Physician	$0	$511.4K
Johnny Gayton	GA	Ophthalmology Physician	$438.5K	$0
Dinakara Shetty	GA	Internal Medicine Physician	$433.7K	$0
Darla Jackson	GA	Professional Counselor	$0	$405.1K
Sagar Patel	GA	Pain Medicine (Anesthesiology) Physician	$395K	$0

Women's Healthcare Of Middle Ga, Inc — Billing Profile & Reimbursement Data

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Women's Healthcare Of Middle Ga, 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