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

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

Womens Health Partners LLC (NPI 1851617997)

Womens Health Partners LLC is a obstetrics & gynecology physician provider located in Gadsden, Alabama. This profile covers 0 Medicare and 43 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Womens Health Partners LLC
Address	1026 Goodyear Ave
City	Gadsden
State	AL
ZIP	35903
Taxonomy	Obstetrics & Gynecology Physician
NPI Enumerated	April 14, 2010

Payer Source	Total Paid
Medicaid	$1.1M
Medicare	$0

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

43 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	430	$980	$426.6K
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…	9,440	$40	$349.2K
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…	2,530	$30	$86K
76830	The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient.	900	$60	$53.3K
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…	920	$50	$47.6K
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,…	1,100	$20	$24.1K
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…	260	$90	$23.3K
G9357	Post-partum screenings, evaluations and education performed	290	$80	$22.8K
54150	The provider performs a circumcision, a surgical procedure that removes the foreskin of the penis, using a clamp or other device and regional anesthesia consisting of a dorsal penile or ring block.	120	$120	$13.8K
83026	The lab analyst performs a non–automated determination of the hemoglobin content, typically in the blood, using a copper sulfate solution. Up until recently, lab analysts used this technique…	6,240	$1	$12.5K

Showing 1–10 of 43

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Alabama Distribution

Womens Health Partners LLC — 2 of 23 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. Alabama median

43 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	27	80	150	$1,540	$787.7K
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…	884	1,990	680	$60	$201.7K
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…	557	1,990	560	$40	$185.6K
76819	The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.	16	30	430	$50	$81.4K
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…	148	630	60	$80	$45.8K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	82	90	220	$40	$43.4K
54150	The provider performs a circumcision, a surgical procedure that removes the foreskin of the penis, using a clamp or other device and regional anesthesia consisting of a dorsal penile or ring block.	19	50	60	$140	$42.6K
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,…	70	500	120	$60	$42.2K
59409	In 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…	10	50	80	$250	$37.7K
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	150	260	$40	$27.8K

Showing 1–10 of 43

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mamoun Najjar	AL	Pulmonary Disease Physician	$204.1K	$0
Anurag Gandhi	AL	Infectious Disease Physician	$106K	$0
Muhammad Kaleem	AL	Pulmonary Disease Physician	$75.3K	$0
Tapan Abrol	KY	Neurology Physician	$59.6K	$0
Dhaval Raval	AL	Critical Care Medicine (Internal Medicine) Physician	$52.6K	$0
Melanie Maddox	AL	Nurse Practitioner	$29.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Quality Of Life Health Services Inc	AL	Community Health Clinic/Center	$0	$6.6M
Children And Teen Dental Group Of Alabama	AL	Pediatric Dentistry	$0	$5.2M
Gadsden Regional Medical Center LLC	AL	General Acute Care Hospital	$0	$4.1M
Elquis Castillo	AL	Medical Oncology Physician	$2.5M	$0
Oral Surgery Associates, PC	AL	Oral and Maxillofacial Surgery (Dentist)	$0	$1.2M
Omi Of Gadsden Petct LLC	AL	Diagnostic Radiology Physician	$910.5K	$0
Farah Al Khitan	AL	Interventional Cardiology Physician	$839.9K	$0
Krishna Chaitanya Keri	AL	Nephrology Physician	$339.1K	$0
Rameshkumar Athippalayam Chellamuthu	AL	Nephrology Physician	$272.6K	$0
James Smith	AL	Orthopaedic Surgery Physician	$251.8K	$0

Womens Health Partners LLC — Billing Profile & Reimbursement Data

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Womens Health Partners LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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