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CAPITAL WOMEN'S CARE, L.L.C.

Obstetrics & Gynecology·FULTON, MD·NPI: 1679534069Share

Compared to Obstetrics & Gynecology Peers

Total spending distribution among 5 providers in this specialty

P25MedianP75P90

This provider's total spending of $28.7M is at the 75th percentile among 5 Obstetrics & Gynecology providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$28.7M

$28,694,725

Total Claims

511K

Beneficiaries

416K

1.2 claims/patient

Avg Cost/Claim

$56

Monthly Spending Trend

Yearly Spending

2018
$64K
+39%
2019
$89K
+3969%
2020
$3.6M
+42%
2021
$5.1M
+25%
2022
$6.4M
+6%
2023
$6.7M
+0%
2024
$6.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 41% of total spending.

99213Top 5%

Office/outpatient visit, est. patient, low-mod complexity

$11.8M

122K claims · 41.2%

Your Cost: $97.08/claim|Median: $37.81
2.6× median
99214Top 5%

Office/outpatient visit, est. patient, mod-high complexity

$9.5M

71K claims · 33.0%

Your Cost: $133.10/claim|Median: $53.41
2.5× median
76816Top 25%

Ultrasound, pregnant uterus, follow-up

$746K

7,322 claims · 2.6%

Your Cost: $101.88/claim|Median: $58.55
1.7× median
H1003Normal range

$729K

71K claims · 2.5%

Your Cost: $10.25/claim|Median: $10.04
1.0× median
99395Top 5%

Preventive medicine, established patient, age 18-39

$574K

4,102 claims · 2.0%

Your Cost: $139.83/claim|Median: $72.71
1.9× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$518K

16K claims · 1.8%

Your Cost: $31.69/claim|Median: $24.95
1.3× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$514K

16K claims · 1.8%

Your Cost: $31.47/claim|Median: $23.39
1.3× median
76819Top 25%

Fetal biophysical profile with non-stress test

$482K

5,545 claims · 1.7%

Your Cost: $86.90/claim|Median: $49.45
1.8× median
99212Top 10%

Office/outpatient visit, low complexity

$457K

8,022 claims · 1.6%

Your Cost: $56.94/claim|Median: $25.06
2.3× median
87481Top 25%

$352K

7,563 claims · 1.2%

Your Cost: $46.53/claim|Median: $22.38
2.1× median
76820Top 25%

$326K

6,066 claims · 1.1%

Your Cost: $53.72/claim|Median: $31.79
1.7× median
87661Normal range

Trichomonas vaginalis detection, nucleic acid, amplified probe

$321K

13K claims · 1.1%

Your Cost: $25.59/claim|Median: $21.08
1.2× median
81002Top 10%

Urinalysis, non-automated without microscopy

$308K

101K claims · 1.1%

Your Cost: $3.06/claim|Median: $2.00
1.5× median
99215Top 5%

Office/outpatient visit, high complexity

$294K

1,515 claims · 1.0%

Your Cost: $194.13/claim|Median: $74.09
2.6× median
87624Normal range

HPV detection, high-risk types, nucleic acid

$261K

8,134 claims · 0.9%

Your Cost: $32.06/claim|Median: $25.57
1.3× median
99459Top 5%

$233K

9,886 claims · 0.8%

Your Cost: $23.60/claim|Median: $13.55
1.7× median
87798Normal range

Infectious agent detection, nucleic acid, not otherwise specified

$225K

5,878 claims · 0.8%

Your Cost: $38.21/claim|Median: $26.72
1.4× median
87511Top 25%

$191K

5,944 claims · 0.7%

Your Cost: $32.18/claim|Median: $16.46
2.0× median
76815Top 25%

Ultrasound, pregnant uterus, limited

$96K

1,247 claims · 0.3%

Your Cost: $77.33/claim|Median: $36.79
2.1× median
76830Normal range

Ultrasound, transvaginal

$91K

1,406 claims · 0.3%

Your Cost: $64.83/claim|Median: $57.47
1.1× median
59409Top 25%

Vaginal delivery only

$90K

107 claims · 0.3%

Your Cost: $838.83/claim|Median: $619.91
1.4× median
99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$63K

907 claims · 0.2%

Your Cost: $69.97/claim|Median: $57.85
1.2× median
87563Top 10%

$58K

1,763 claims · 0.2%

Your Cost: $32.62/claim|Median: $16.98
1.9× median
99238Top 5%

Hospital discharge day management, 30 minutes or less

$54K

682 claims · 0.2%

Your Cost: $78.72/claim|Median: $37.22
2.1× median
76817Top 25%

Ultrasound, pregnant uterus, transvaginal

$45K

567 claims · 0.2%

Your Cost: $79.20/claim|Median: $47.65
1.7× median
87625Normal range

$44K

1,571 claims · 0.2%

Your Cost: $27.92/claim|Median: $20.47
1.4× median
59025Normal range

Fetal non-stress test

$40K

1,666 claims · 0.1%

Your Cost: $23.81/claim|Median: $26.45
0.9× median
96127Top 25%

Brief emotional/behavioral assessment, per standardized instrument

$28K

3,719 claims · 0.1%

Your Cost: $7.59/claim|Median: $3.67
2.1× median
76813Top 25%

Ultrasound for fetal nuchal translucency measurement

$23K

195 claims · 0.1%

Your Cost: $115.65/claim|Median: $70.87
1.6× median
76856Top 25%

Ultrasound, pelvic, complete

$21K

207 claims · 0.1%

Your Cost: $102.43/claim|Median: $47.58
2.2× median
81025Top 25%

Urine pregnancy test

$21K

3,014 claims · 0.1%

Your Cost: $6.86/claim|Median: $4.81
1.4× median
99222Top 5%

Initial hospital care, per day, moderate complexity

$20K

151 claims · 0.1%

Your Cost: $132.31/claim|Median: $51.25
2.6× median
99221Top 5%

Initial hospital care, straightforward/low

$20K

191 claims · 0.1%

Your Cost: $104.50/claim|Median: $39.96
2.6× median
99231Top 5%

Subsequent hospital care, per day, low complexity

$20K

457 claims · 0.1%

Your Cost: $42.98/claim|Median: $16.77
2.6× median
76805Top 25%

Ultrasound, pregnant uterus, complete, single fetus

$16K

132 claims · 0.1%

Your Cost: $119.10/claim|Median: $74.78
1.6× median
99396Normal range

Preventive medicine, established patient, age 40-64

$15K

399 claims · 0.1%

Your Cost: $37.49/claim|Median: $76.06
0.5× median
81513Normal range

$13K

952 claims · 0.0%

Your Cost: $14.12/claim|Median: $71.32
0.2× median
81003Normal range

Urinalysis, automated without microscopy

$10K

5,996 claims · 0.0%

Your Cost: $1.73/claim|Median: $1.48
1.2× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$10K

583 claims · 0.0%

Your Cost: $16.81/claim|Median: $9.56
1.8× median
H1000Normal range

Prenatal care, at-risk assessment

$9K

212 claims · 0.0%

Your Cost: $44.54/claim|Median: $50.36
0.9× median
97802Top 10%

Medical nutrition therapy, reassessment, individual, fifteen minutes

$9K

93 claims · 0.0%

Your Cost: $95.08/claim|Median: $12.70
7.5× median
G0101Normal range

Cervical/vaginal cancer screening; pelvic exam

$8K

2,168 claims · 0.0%

Your Cost: $3.88/claim|Median: $21.28
0.2× median
76818Top 25%

$8K

74 claims · 0.0%

Your Cost: $112.25/claim|Median: $68.15
1.6× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$7K

116 claims · 0.0%

Your Cost: $62.46/claim|Median: $84.03
0.7× median
77067Top 10%

Screening mammography, bilateral, including CAD

$7K

59 claims · 0.0%

Your Cost: $118.49/claim|Median: $39.33
3.0× median
76376Top 25%

$3K

159 claims · 0.0%

Your Cost: $21.68/claim|Median: $5.53
3.9× median
36415Top 25%

Collection of venous blood by venipuncture

$3K

1,069 claims · 0.0%

Your Cost: $2.75/claim|Median: $1.57
1.8× median
99233Top 5%

Subsequent hospital care, per day, high complexity

$3K

23 claims · 0.0%

Your Cost: $126.51/claim|Median: $35.30
3.6× median
Q0091Normal range

$3K

838 claims · 0.0%

Your Cost: $3.38/claim|Median: $11.15
0.3× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$3K

33 claims · 0.0%

Your Cost: $76.53/claim|Median: $40.11
1.9× median

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