Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TX › Lewisville › NPI 1225012438
Physician

North Texas Perinatal Associates, P.A.

North Texas Perinatal Associates, P.A. was paid $315K by Medicaid between Apr 2018 and Nov 2024, across 14 billing codes. Its largest line is 76816, Ultrasound, pregnant uterus, real time with image documentation, follow-up — 37% of everything it billed.

33Billing provider infoNORTH TEXAS PERINATAL ASSOCIATES, P.A.
LEWISVILLE, TX 75057
33aNPI1225012438assigned 12/01/2005
28Total paid$315K
24GClaims9,089
24DCodes billed14
24AFirst – last monthApr 2018 – Nov 2024
Compared with peers

Next to other Maternal & Fetal Medicine Physician providers in Texas

Rank by total paid#12 of 34
Median peer was paid$176K
This provider vs. median1.8×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official VAUGHN, KAREN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
201812$0.00
2020881$23K
20212,030$58K
20222,042$63K
20231,405$50K
2024incomplete2,719$121K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 37% 2,545 1,314 $116K
76819 Fetal biophysical profile; without non-stress testing 17% 1,232 776 $54K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13% 1,703 1,003 $40K
76818 10.0% 491 260 $31K
76820 8.4% 2,258 1,058 $26K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 5.0% 186 152 $16K
76825 4.1% 99 90 $13K
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 1.9% 210 113 $6K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.2% 81 75 $4K
76821 1.0% 62 37 $3K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 38 29 $2K
76827 <1% 48 45 $2K
2 more codes
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 18 $1K
93325 <1% 118 $717.53

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 officialVAUGHN, KAREN (OFFICER)
Same official

Other billing entities under VAUGHN, KAREN

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.