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

Why is the Medicaid comparison limited to New Mexico 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. New Mexico (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 Medical Center LLP (NPI 1780683292)

Field	Value
Entity Type	Organization
Organization	Women's Medical Center LLP
Address	2000 W 21st St
City	Clovis
State	NM
ZIP	88101
Taxonomy	Obstetrics & Gynecology Physician
NPI Enumerated	July 18, 2005

Payer Source	Total Paid
Medicaid	$3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

61 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…	11,420	$60	$627.9K
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…	150	$1,830	$276.6K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	7,050	$40	$246.9K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	7,050	$40	$246.8K
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…	1,590	$150	$239.9K
87661	The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique.	6,130	$30	$208.3K
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…	2,060	$90	$175K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	1,310	$100	$132K
76801	In 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…	750	$150	$111.8K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	940	$100	$96.9K

Showing 1–10 of 61

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New Mexico Distribution

Women's Medical Center LLP — 2 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Mexico

Full comparison — all codes billed, vs. New Mexico median

61 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	10	20	750	$90	$524.9K
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…	104	930	910	$80	$521.6K
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…	339	960	1,010	$90	$490K
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…	9	40	240	$120	$315K
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…	3	10	60	$1,980	$284.7K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	53	380	220	$160	$273.9K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	83	100	2,650	$10	$265.6K
76817	The provider performs an ultrasound of the pregnant uterus to examine the fetus and the mother's organs using a transvaginal approach.	15	40	240	$90	$248K
80050	The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the…	13	30	260	$50	$236.8K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	9	60	930	$40	$226.4K

Showing 1–10 of 61

Nearby Providers

Other providers in the same ZIP code as Women's Medical Center LLP, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Clovis Homecare, Inc.	NM	Home Health Agency	$0	$84M
Enmrsh, Inc.	NM	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$51.9M
Presbyterian Healthcare Services	NM	Rural Acute Care Hospital	$0	$47.6M
Mental Health Resources, Inc.	NM	Mental Health Counselor	$0	$31M
Absolutely You, LLC	NM	Developmentally Disabled Services Day Training Agency	$0	$26.2M
K-bee Homcare Services, LLC	NM	In Home Supportive Care Agency	$0	$18.3M
Genesis Home Care LLC	NM	Personal Care Attendant	$0	$17.3M
New Mexico Healthcare Services, LLC	NM	Home Health Agency	$0	$16.6M
Enmrsh, Inc.	NM	Early Intervention Provider Agency	$0	$11.6M
Curry Emergency Group LLC	NM	Emergency Medicine Physician	$0	$9.6M

Women's Medical Center LLP — Billing Profile & Reimbursement Data

Sign up for Women's Medical Center LLP — Billing Profile & Reimbursement Data policy alerts

Women's Medical Center LLP — Billing Profile & Reimbursement Data

Sign up for Women's Medical Center LLP — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References