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.

Enterprise Women's Center, LLC. (NPI 1922190479)

Field	Value
Entity Type	Organization
Organization	Enterprise Women's Center, LLC.
Address	101 East Brunson Street
City	Enterprise
State	AL
ZIP	36330
Taxonomy	Obstetrics & Gynecology Physician
NPI Enumerated	September 29, 2006

Payer Source	Total Paid
Medicaid	$2.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

25 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…	970	$1,270	$1.2M
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…	3,890	$60	$225.8K
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…	100	$1,340	$134.4K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	3,350	$40	$130.8K
G9357	Post-partum screenings, evaluations and education performed	1,390	$90	$121.3K
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…	2,610	$40	$99.1K
H1000	Prenatal care, at-risk assessment	1,460	$60	$90.5K
76815	The provider performs a limited examination of the fetus using ultrasound. The provider performs the examination of certain parameters for one or more fetuses.	1,700	$40	$69.7K
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…	1,570	$30	$44.1K
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.	930	$50	$43.7K

Showing 1–10 of 25

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

Enterprise Women's Center, LLC. — 3 of 21 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

25 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…	12	80	150	$1,540	$787.7K
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…	19	30	110	$1,850	$709.7K
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…	840	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…	702	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.	10	30	430	$50	$81.4K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	11	90	220	$40	$43.4K
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,…	100	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…	21	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…	3	150	260	$40	$27.8K
99401	At an encounter separate from a preventive medicine visit, the provider offers counseling related to subjects appropriate for the patient’s age, family history, and areas of concern. The subjects…	114	120	770	$10	$27.4K

Showing 1–10 of 25

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Centrum Aba, LLC	AL	Community/Behavioral Health Agency	$0	$6.2M
Qhg Of Enterprise Inc	AL	General Acute Care Hospital	$0	$4M
Advantage Dental Oral Health And Vision Center Of Alabama, P.C.	AL	General Practice Dentistry	$0	$3.9M
Enterprise Rescue Inc.	AL	Land Ambulance	$1.2M	$1.9M
Southern Alabama Physicians,llp	AL	Emergency Medicine Physician	$0	$2M
Coffee County Health Dept-enterprise Fp Clinic	AL	Public Health or Welfare Agency	$0	$1.6M
Renal Treatment Centers-southeast, LP.	AL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$857.2K
Phi Health, LLC	AL	Air Ambulance	$402.2K	$351.2K
Trinity Development, LLC	AL	Ambulatory Surgical Clinic/Center	$243K	$408.1K
Beverly Jordan	AL	Family Medicine Physician	$282.6K	$0

Enterprise Women's Center, LLC. — Billing Profile & Reimbursement Data

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Enterprise Women's Center, 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

Nearby Providers

Frequently Asked Questions

References