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    OpenPayerNPI Medicare & MedicaidDedicated To Women Ob-gyn, P.A.
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    Dedicated To Women Ob-gyn, P.A. — Billing Profile & Reimbursement Data

    NPI 1548291891 · Dover, DE · Obstetrics & Gynecology Physician

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    Dedicated To Women Ob-gyn, P.A. is a obstetrics & gynecology physician provider located in Dover, Delaware. This profile covers 0 Medicare and 74 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationDedicated To Women Ob-gyn, P.A.
    Address200 Banning St
    CityDover
    StateDE
    ZIP19904
    TaxonomyObstetrics & Gynecology Physician
    NPI EnumeratedJuly 5, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$11.1M
    Medicare$0

    Key Findings

    This practice is effectively single‑payer in the dataset: Medicare revenue is listed as none while Medicaid revenue totals $11.1M, indicating the provider’s billing footprint in these sources is almost entirely Medicaid-driven. Analysts should treat any Medicare-focused comparisons as inapplicable for this entity because there is no Medicare billing on file.

    Revenue concentration is high within a small set of outpatient E/M and obstetric services: the precomputed top 3 Medicaid codes account for 50.0% of total Medicaid revenue, led by 99213 ($2.7M, 26.9%), 99214 ($1.4M, 14.0%), and 59409 ($924.2K, 9.1%). This suggests that routine office visits for established patients and labor/delivery admissions are the core revenue drivers for the practice.

    Code-level volumes show the practice operates as a full‑service OB‑GYN clinic with substantial procedural and imaging throughput: high claim counts for ultrasounds (e.g., 76819 with 4.6K claims, 76816 with 3.4K claims, and 76817 with 3.2K claims) and delivery codes (59409 and 59514) indicate integrated prenatal imaging and delivery care on site. The mix of E/M, obstetric delivery, and ultrasound codes points to a vertically integrated ambulatory plus peripartum service line rather than a narrow specialty clinic.

    Competitive standing within Delaware is strong on several high‑volume codes: 99213 ranks #9 of 543 providers in‑state (99th percentile) and is labeled notably above typical state volume, while 99214 ranks #24 of 504 (95th percentile) and 59409 ranks #2 of 13 (92th percentile). These ranks indicate the practice is a major outpatient visit provider statewide and a top delivery provider among the limited set of state peers that bill 59409.

    The practice appears to be a regional leader in contraceptive implant services and certain global delivery codes: J7307 is ranked #1 of 9 providers in‑state (100th percentile; notably above typical state volume), and 59410 is ranked #1 of 3 providers in‑state (100th percentile). These top‑rank positions signal local market leadership for etonogestrel implant placement and for providers reporting the full global vaginal delivery service.

    Preventive care and screening services contribute meaningfully to volume: well visit codes such as 99395 (4.4K claims, $332.3K, rank #3 of 54, 96th percentile; notably above typical state volume) and 99396 (rank #5 of 52, 92th percentile; notably above typical state volume) alongside high counts for STI testing (87591 and 87491 with 8.4K claims each) indicate a steady stream of preventive/reproductive health visits and associated lab work. This mix is consistent with a high access point for reproductive‑age women under Medicaid.

    Operational tenure is long enough to reflect an established practice: the NPI was enumerated on 2006-07-05 (~20 years ago), which supports interpretation of current volume patterns as the result of sustained market presence rather than short‑term fluctuation. Long tenure combined with concentrated Medicaid revenue suggests embedded referral and payer relationships within the state Medicaid program.

    A few state‑level outlier signals are present that merit attention for network planning: 99213 is labeled notably above typical state volume (99th percentile) and J7307 is labeled notably above typical state volume (rank #1, 100th percentile), while several delivery and ultrasound codes are in high percentiles but described as typical. Together these indicators depict a practice that is both high‑volume for routine ambulatory OB‑GYN care and a prominent local provider of implant contraception and delivery services.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    74 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The 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…51,320$50$2.7M
    99214The 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…19,880$70$1.4M
    59409In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…1,460$630$924.2K
    99204The 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…3,310$130$413.4K
    99215The 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…3,920$100$388.3K
    59514The provider admits the patient to the hospital for delivery, delivers the fetus and placenta via an abdominal incision, and provides care immediately after delivery on the same date of service. This…610$630$384.3K
    76819The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.4,560$70$337.3K
    59430For this service, the provider or nonphysician healthcare professional provides care to the patient in the outpatient setting following the delivery. Routine postpartum care can involve one or more…2,140$160$333.5K
    99395The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.4,370$80$332.3K
    J7307Etonogestrel (contraceptive) implant system, including implant and supplies570$460$260.7K

    Showing 1–10 of 74

    • More pages

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Delaware median

    74 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99283The 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.203011,180$110$3.4M
    99284The 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.2740770$110$1.9M
    59409In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…210420$420$392.6K
    59514The provider admits the patient to the hospital for delivery, delivers the fetus and placenta via an abdominal incision, and provides care immediately after delivery on the same date of service. This…210220$410$340.8K
    T1001Nursing assessment / evaluation24501,950$50$294K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…4580940$30$277.8K
    76816The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.420930$50$250K
    76811The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…310850$80$246.1K
    99214The 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…245001,130$50$235.1K
    76819The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.420940$40$230.8K

    Showing 1–10 of 74

    • More pages

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Dedicated To Women Ob-gyn, P.A., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Anush ParikhDEDiagnostic Radiology Physician$651.5K$0
    Wendy NewellDESpecialist$193.6K$0
    Surgical Associates PADESurgery Physician$0$161.1K
    Thomas BarnettDESurgery Physician$90.6K$0
    Barath KrishnanDESurgery Physician$84.5K$0
    Mridul PansariDESurgery Physician$72.8K$0
    Jeffrey BartonDEPodiatrist$48K$0
    Amanda CelaschiDEObstetrics & Gynecology Physician$42.4K$0
    Robert ScacheriDEObstetrics & Gynecology Physician$41.3K$0
    Laura Moylan JanneyDEObstetrics & Gynecology Physician$10.5K$0

    Nearby Providers

    Other providers in the same ZIP code as Dedicated To Women Ob-gyn, P.A., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bayada Home Health Care, Inc.DEHome Health Agency$0$37.9M
    At Home Infucare, LLCDEHome Health Agency$0$28.5M
    Amazing Home Care AgencyDEHome Health Agency$0$18.7M
    Help At Home Of Delaware, LLCDEIn Home Supportive Care Agency$0$10.7M
    A Center For Mental Wellness, Inc.DEMental Health Counselor$0$9.9M
    State Of DelawareDECase Management Agency$0$9.2M
    West Dover Dental, LLCDEDentist$0$9M
    Americare Home SolutionsDEIn Home Supportive Care Agency$0$8.4M
    Vicdania Health Services LLCDEHome Health Agency$0$7.4M
    Reliable Aid, IncDEPersonal Care Attendant$0$6.4M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Delaware Providers
    2 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Delaware Distribution
    Dedicated To Women Ob-gyn, P.A. — 6 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Delaware