Tennessee Maternal-Fetal Medicine LLC
Tennessee Maternal-Fetal Medicine LLC was paid $12.58M by Medicaid between Jan 2018 and Dec 2024, across 34 billing codes. Its largest line is 76816, Ultrasound, pregnant uterus, real time with image documentation, follow-up — 18% of everything it billed.
33Billing provider infoTENNESSEE MATERNAL-FETAL MEDICINE LLC
NASHVILLE, TN 37203
NASHVILLE, TN 37203
33aNPI1154333086assigned 08/12/2006
33bProvider typeSpecialist
28Total paid$12.58M
24GClaims277,839
24DCodes billed34
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Tennessee
Rank by total paid#5 of 252
Median peer was paid$57K
This provider vs. median221×
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 | 31,540 | $1.30M | |
| 2019 | 40,586 | $1.88M | |
| 2020 | 43,369 | $2.11M | |
| 2021 | 47,590 | $1.99M | |
| 2022 | 40,745 | $1.89M | |
| 2023 | 37,199 | $1.74M | |
| 2024incomplete | 36,810 | $1.68M |
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 | 18% | 40,386 | 31,070 | $2.24M |
| 76819 | Fetal biophysical profile; without non-stress testing | 16% | 35,962 | 20,328 | $1.96M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 10% | 33,321 | 19,818 | $1.31M |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 8.3% | 8,803 | 7,426 | $1.05M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 7.8% | 16,435 | 12,048 | $987K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 7.7% | 11,864 | 10,688 | $963K |
| 76825 | 6.8% | 6,956 | 5,544 | $852K | |
| 76820 | 3.7% | 11,098 | 6,658 | $463K | |
| 76827 | 3.5% | 8,313 | 6,748 | $438K | |
| 93325 | 2.4% | 7,469 | 5,901 | $307K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.2% | 4,518 | 1,984 | $282K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.9% | 5,390 | 2,401 | $240K |
22 more codes
| J1439 | Injection, ferric carboxymaltose, 1 mg | 1.6% | 318 | $206K |
| 99203 | Doctor's office visit, new patient (routine) | 1.5% | 3,036 | $190K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 1.5% | 4,224 | $185K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 1.4% | 3,382 | $182K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 5,382 | $139K |
| 99204 | Doctor's office visit, new patient (more involved) | 1.0% | 1,525 | $129K |
| 76828 | <1% | 2,822 | $113K | |
| 76801 | <1% | 1,792 | $110K | |
| 81003 | <1% | 59,685 | $85K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 886 | $71K |
| 76821 | <1% | 393 | $20K | |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 412 | $18K |
| Q0138 | Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) | <1% | 76 | $11K |
| 99205 | Prolong outpt/office vis | <1% | 176 | $9K |
| T1013 | Sign language or oral interpretive services, per 15 minutes | <1% | 1,542 | $5K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 318 | $5K |
| 59025 | Fetal non-stress test | <1% | 71 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 773 | $1K |
| 82962 | <1% | 451 | $1K | |
| 99242 | <1% | 24 | $580.77 | |
| 99243 | <1% | 21 | $334.80 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 15 | $229.31 |
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 officialCOLLINS, HAROLD (PRESIDENT)