Physician
Advanced Prenatal Diagnosis LLC
Advanced Prenatal Diagnosis LLC was paid $1.12M by Medicaid between Jan 2020 and Dec 2024, across 10 billing codes. Its largest line is 76811, Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed — 20% of everything it billed.
33Billing provider infoADVANCED PRENATAL DIAGNOSIS LLC
SAN JUAN, PR 00902
SAN JUAN, PR 00902
33aNPI1144788548assigned 03/05/2019
33bProvider typeMaternal & Fetal Medicine Physician
28Total paid$1.12M
24GClaims18,088
24DCodes billed10
24AFirst – last monthJan 2020 – Dec 2024
Compared with peers
Next to other Maternal & Fetal Medicine Physician providers in Puerto Rico
Rank by total paid#5 of 6
Median peer was paid$1.36M
This provider vs. median0.8×
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 | |
|---|---|---|---|
| 2020 | 716 | $33K | |
| 2021 | 1,813 | $96K | |
| 2022 | 2,307 | $141K | |
| 2023 | 6,256 | $424K | |
| 2024incomplete | 6,996 | $422K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 20% | 2,114 | 1,902 | $220K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 16% | 2,868 | 2,283 | $176K |
| 99242 | 15% | 2,576 | 1,936 | $166K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 12% | 4,109 | 3,629 | $133K |
| 76819 | Fetal biophysical profile; without non-stress testing | 11% | 2,273 | 1,743 | $119K |
| 99443 | 11% | 1,325 | 679 | $117K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 8.6% | 1,721 | 1,526 | $96K |
| 76801 | 4.5% | 628 | 525 | $50K | |
| 76813 | 3.3% | 445 | 382 | $37K | |
| 76820 | <1% | 29 | 25 | $794.49 |
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 officialPEREZ DELBOY, ANNETTE (PRESIDENT)