Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidRegional Womens Health Group LLC
    Ask Trek AI about this page

    Regional Womens Health Group LLC — Billing Profile & Reimbursement Data

    NPI 1750880118 · Phoenixville, PA · Obstetrics & Gynecology Physician

    Customize your policy alerts

    Sign up for Regional Womens Health Group LLC — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Regional Womens Health Group LLC is a obstetrics & gynecology physician provider located in Phoenixville, Pennsylvania. This profile covers 0 Medicare and 45 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationRegional Womens Health Group LLC
    Address450 Cresson Blvd Ste 300
    CityPhoenixville
    StatePA
    ZIP19460
    TaxonomyObstetrics & Gynecology Physician
    NPI EnumeratedFebruary 12, 2018

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

    Payer SourceTotal Paid
    Medicaid$5.8M
    Medicare$0

    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.

    45 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…39,780$60$2.3M
    76816The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.13,040$90$1.1M
    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…4,100$220$914.1K
    76805In 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…2,490$100$256.4K
    76801In this procedure, the provider performs a real time or live image, ultrasound of a pregnant uterus for examination of the first or a single fetus and mother during the first trimester, or less than…2,570$90$236.5K
    76813The provider uses either a transabdominal or transvaginal ultrasound to measure the fetal nuchal translucency, or the clear, fluid–filled space at the back of the neck, of the first or a single…2,320$70$151.1K
    59025In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.6,200$20$130.1K
    0502FNo Summary found for this code11,650$10$116.5K
    76815The provider performs a limited examination of the fetus using ultrasound. The provider performs the examination of certain parameters for one or more fetuses.3,380$30$111.6K
    99395The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.1,710$50$82K

    Showing 1–10 of 45

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Pennsylvania median

    45 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J7298Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg1020100$680$589.6K
    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…4100300$130$129.8K
    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…212040$1,340$124.9K
    87798The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…3870270$50$108.2K
    81513The lab analyst performs the technical lab test on a vaginal fluid specimen for quantitative real–time amplification of RNA markers for three bacterial species listed in the code descriptor, and…1130230$40$99.4K
    76816The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.5200330$60$95.3K
    87491The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.71220420$20$91.1K
    87591The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.73220430$20$84.7K
    88175The lab analyst performs the technical lab test to analyze a cervical or vaginal cytopathology specimen that a clinician collected in preservative fluid. The test uses automated thin layer…6690460$20$82K
    87624The lab analyst performs a test to determine the presence of human papillomavirus, or HPV. The provider uses nucleic acid detection for high–risk types and produces a pooled result.2780370$30$71.4K

    Showing 1–10 of 45

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Regional Womens Health Group LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Joel WolfPAVascular & Interventional Radiology Physician$1.3M$4.7K
    Tim ZhengPAAnatomic Pathology & Clinical Pathology Physician$907.5K$0
    Keerthi PrasadTXVascular & Interventional Radiology Physician$666.7K$0
    Robert WoldNJDiagnostic Radiology Physician$451.7K$0
    Rhonda StewartNCDiagnostic Radiology Physician$265.7K$61.8K
    Monish MerchantFLVascular & Interventional Radiology Physician$306.8K$120
    Kenneth FoxNCDiagnostic Radiology Physician$303K$360
    Vincent LucentePAUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician$156.5K$0
    Miles MurphyPAUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician$139.7K$0
    Akira GillinghamILUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician$130K$0

    Nearby Providers

    Other providers in the same ZIP code as Regional Womens Health Group LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tricounty Medical Equipment And Supply, LLCPADurable Medical Equipment & Medical Supplies$0$27.8M
    Relevant Home Care, LLCPAHome Health Agency$0$6.7M
    Penn Psychiatric Center IncPACommunity/Behavioral Health Agency$0$6.1M
    Dennis MonteiroPAPlastic and Reconstructive Surgery Physician$407.5K$9K
    Peter MotelPADermatology Physician$303.9K$0
    Le WangPAHematology (Internal Medicine) Physician$270.4K$0
    Barry FabrizianiPAOptometrist$255K$0
    Raymond KovalskiPAPulmonary Disease Physician$237K$0
    Ira CantorPAInternal Medicine Physician$234.7K$0
    Brian BrokerPAOtolaryngology Physician$225.3K$0

    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. Pennsylvania Providers
    3 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Pennsylvania Distribution
    Regional Womens Health Group LLC — 9 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania