Physician
Fort Sanders Perinatal Center
Fort Sanders Perinatal Center was paid $46.50M by Medicaid between Jan 2018 and Dec 2024, across 65 billing codes. Its largest line is 76816, Ultrasound, pregnant uterus, real time with image documentation, follow-up — 15% of everything it billed.
33Billing provider infoFORT SANDERS PERINATAL CENTER
KNOXVILLE, TN 37916
KNOXVILLE, TN 37916
33aNPI1003811381assigned 06/14/2005
33bProvider typeMaternal & Fetal Medicine Physician
28Total paid$46.50M
24GClaims685,285
24DCodes billed65
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Maternal & Fetal Medicine Physician providers in Tennessee
Rank by total paid#1 of 12
Median peer was paid$251K
This provider vs. median186×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official THOMPSON, DONNA controls 20+ related entities in our dataset. Read more
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 | 60,606 | $4.17M | |
| 2019 | 67,951 | $5.06M | |
| 2020 | 119,881 | $7.81M | |
| 2021 | 105,596 | $6.56M | |
| 2022 | 120,258 | $7.93M | |
| 2023 | 114,005 | $7.61M | |
| 2024incomplete | 96,988 | $7.37M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 15% | 76,883 | 47,840 | $6.84M |
| 76820 | 11% | 84,546 | 42,676 | $5.22M | |
| 76819 | Fetal biophysical profile; without non-stress testing | 11% | 61,751 | 34,946 | $5.19M |
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | 11% | 3,097 | 2,550 | $5.10M |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 8.7% | 21,749 | 16,589 | $4.05M |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 6.7% | 34,453 | 24,124 | $3.10M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.7% | 43,323 | 30,614 | $2.17M |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | 3.6% | 25,998 | 16,182 | $1.70M |
| 76818 | 3.2% | 13,466 | 8,417 | $1.49M | |
| 76830 | Ultrasound, transvaginal | 2.9% | 14,996 | 11,547 | $1.37M |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 2.8% | 16,119 | 9,787 | $1.29M |
| 59510 | 2.7% | 735 | 607 | $1.24M |
53 more codes
| 99214 | Doctor's office visit, returning patient (more involved) | 2.6% | 15,074 | $1.20M |
| 76801 | 1.9% | 8,836 | $897K | |
| 59426 | 1.9% | 1,329 | $890K | |
| 59025 | Fetal non-stress test | 1.8% | 21,536 | $841K |
| 76825 | 1.7% | 4,077 | $799K | |
| 76813 | 1.0% | 5,233 | $485K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 3,027 | $345K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 3,010 | $289K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 3,366 | $276K |
| 93325 | <1% | 3,638 | $260K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 7,575 | $227K |
| 59410 | <1% | 175 | $149K | |
| 90715 | <1% | 2,951 | $141K | |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 186 | $141K |
| 54150 | <1% | 677 | $128K | |
| 81025 | <1% | 16,005 | $95K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 34,471 | $82K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 388 | $53K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 538 | $48K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 4,303 | $44K |
| 99459 | <1% | 2,166 | $43K | |
| 96127 | <1% | 6,265 | $35K | |
| 87210 | <1% | 8,194 | $29K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 245 | $25K |
| 59425 | <1% | 60 | $22K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,178 | $22K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 444 | $21K |
| 0500F | <1% | 3,317 | $19K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 231 | $16K |
| 90686 | <1% | 739 | $15K | |
| 81002 | <1% | 4,435 | $12K | |
| 76821 | <1% | 126 | $12K | |
| J2790 | Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) | <1% | 147 | $11K |
| 76826 | <1% | 84 | $9K | |
| 99385 | <1% | 73 | $8K | |
| 58300 | <1% | 90 | $6K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 46 | $5K |
| 82274 | <1% | 649 | $4K | |
| 90674 | <1% | 161 | $4K | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 223 | $4K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 26 | $3K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 52 | $3K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 29 | $2K |
| 99386 | <1% | 15 | $2K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 47 | $2K |
| J2791 | Injection, rho(d) immune globulin (human), (rhophylac), intramuscular or intravenous, 100 iu | <1% | 97 | $2K |
| 90656 | <1% | 53 | $1K | |
| 3008F | <1% | 2,291 | $1K | |
| 0503F | <1% | 4,937 | $555.00 | |
| 0502F | <1% | 107,710 | $20.00 | |
| 0501F | 0% | 6,651 | $0.00 | |
| 3292F | 0% | 959 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 34 | $0.00 |
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 officialTHOMPSON, DONNA (DIR OF FINANCE)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.