Physician
Pinon Perinatal INC
Pinon Perinatal INC was paid $24.44M by Medicaid between Jan 2018 and Dec 2024, across 33 billing codes. Its largest line is 76819, Fetal biophysical profile; without non-stress testing — 19% of everything it billed.
33Billing provider infoPINON PERINATAL INC
ALBUQUERQUE, NM 87109
ALBUQUERQUE, NM 87109
33aNPI1093829210assigned 08/17/2006
33bProvider typeMaternal & Fetal Medicine Physician
28Total paid$24.44M
24GClaims228,275
24DCodes billed33
24AFirst – last monthJan 2018 – Dec 2024
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 | 28,825 | $2.94M | |
| 2019 | 28,007 | $2.83M | |
| 2020 | 28,875 | $2.85M | |
| 2021 | 31,537 | $3.18M | |
| 2022 | 33,900 | $3.40M | |
| 2023 | 36,206 | $4.20M | |
| 2024incomplete | 40,925 | $5.06M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 76819 | Fetal biophysical profile; without non-stress testing | 19% | 41,992 | 30,040 | $4.71M |
| 76820 | 17% | 45,393 | 31,711 | $4.28M | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 16% | 30,512 | 29,159 | $3.91M |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 8.8% | 23,022 | 14,950 | $2.15M |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 8.3% | 8,716 | 8,535 | $2.02M |
| 76825 | 5.9% | 6,805 | 6,635 | $1.44M | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 5.4% | 13,303 | 12,416 | $1.31M |
| 76801 | 4.3% | 9,108 | 8,694 | $1.04M | |
| 76813 | 2.7% | 6,512 | 6,348 | $666K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 2.2% | 3,196 | 3,108 | $549K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.9% | 7,375 | 6,648 | $472K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.9% | 2,870 | 2,732 | $462K |
21 more codes
| 99214 | Doctor's office visit, returning patient (more involved) | 1.6% | 4,019 | $398K |
| 76827 | <1% | 2,062 | $235K | |
| 93325 | <1% | 9,100 | $203K | |
| 99245 | <1% | 842 | $199K | |
| 76826 | <1% | 1,092 | $132K | |
| 76818 | <1% | 875 | $112K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 395 | $31K |
| 76828 | <1% | 311 | $27K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 121 | $22K |
| 81002 | <1% | 5,301 | $12K | |
| 99417 | Prolong home eval add 15m | <1% | 292 | $11K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,471 | $9K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 52 | $9K |
| 76821 | <1% | 81 | $9K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 41 | $7K |
| 99243 | <1% | 43 | $6K | |
| 99072 | <1% | 747 | $5K | |
| 82962 | <1% | 1,477 | $4K | |
| 99415 | Prolong outpt/office vis | <1% | 57 | $799.46 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 20 | $276.48 |
| 36416 | <1% | 72 | $28.22 |
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 officialHURLEY, TIMOTHY (PRESIDENT)