Physician
Perinatology Group PSC
Perinatology Group PSC was paid $1.83M by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is 76816, Ultrasound, pregnant uterus, real time with image documentation, follow-up — 18% of everything it billed.
33Billing provider infoPERINATOLOGY GROUP PSC
CAGUAS, PR 00725
CAGUAS, PR 00725
33aNPI1164948766assigned 08/16/2017
33bProvider typeMaternal & Fetal Medicine Physician
28Total paid$1.83M
24GClaims29,001
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Maternal & Fetal Medicine Physician providers in Puerto Rico
Rank by total paid#2 of 6
Median peer was paid$1.36M
This provider vs. median1.3×
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 | 5,247 | $261K | |
| 2019 | 5,855 | $370K | |
| 2020 | 5,159 | $316K | |
| 2021 | 4,630 | $320K | |
| 2022 | 3,272 | $213K | |
| 2023 | 2,167 | $153K | |
| 2024incomplete | 2,671 | $199K |
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% | 3,893 | 3,188 | $331K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 15% | 2,067 | 1,875 | $270K |
| 76821 | 15% | 3,856 | 3,057 | $267K | |
| 76820 | 13% | 6,822 | 5,523 | $242K | |
| 76819 | Fetal biophysical profile; without non-stress testing | 13% | 3,585 | 2,834 | $242K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 12% | 3,074 | 2,638 | $217K |
| 76830 | Ultrasound, transvaginal | 5.3% | 1,106 | 979 | $97K |
| 99402 | 4.4% | 3,909 | 3,280 | $81K | |
| 93975 | 2.9% | 292 | 265 | $53K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.5% | 343 | 69 | $28K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 32 | 28 | $3K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 22 | 21 | $2K |
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 officialALVAREZ PEREZ, JESUS (PRESIDENT)