Clinic
Maternal Fetal Medicine and Genetics PLC
Maternal Fetal Medicine and Genetics PLC was paid $941K by Medicaid between Aug 2018 and Nov 2024, across 17 billing codes. Its largest line is 76819, Fetal biophysical profile; without non-stress testing — 16% of everything it billed.
33Billing provider infoMATERNAL FETAL MEDICINE AND GENETICS PLC
GILBERT, AZ 85295
GILBERT, AZ 85295
33aNPI1003273822assigned 01/25/2016
33bProvider typeMedical Specialty Clinic/Center
28Total paid$941K
24GClaims14,234
24DCodes billed17
24AFirst – last monthAug 2018 – Nov 2024
Compared with peers
Next to other Medical Specialty Clinic/Center providers in Arizona
Rank by total paid#5 of 20
Median peer was paid$167K
This provider vs. median5.6×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 210 | $13K | |
| 2019 | 1,090 | $77K | |
| 2020 | 2,592 | $196K | |
| 2021 | 1,172 | $89K | |
| 2022 | 2,117 | $153K | |
| 2023 | 4,157 | $187K | |
| 2024incomplete | 2,896 | $226K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 76819 | Fetal biophysical profile; without non-stress testing | 16% | 2,779 | 1,724 | $153K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 13% | 1,128 | 737 | $125K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 12% | 1,389 | 1,303 | $114K |
| 93976 | 11% | 1,040 | 850 | $101K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 11% | 1,449 | 783 | $101K |
| 76821 | 10% | 1,812 | 1,048 | $97K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 9.3% | 1,425 | 1,203 | $88K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 6.6% | 566 | 553 | $62K |
| 99205 | Prolong outpt/office vis | 4.0% | 274 | 262 | $37K |
| 76820 | 3.8% | 1,296 | 746 | $36K | |
| 76825 | 1.3% | 75 | 75 | $12K | |
| 76827 | <1% | 187 | 176 | $8K |
5 more codes
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialPONKEY, SUSAN (PHYSICIAN)