Physician
Maternal Fetal Specialists PC
Maternal Fetal Specialists PC was paid $2.83M by Medicaid between Jan 2018 and Sep 2024, across 19 billing codes. Its largest line is 76805, Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation — 17% of everything it billed.
33Billing provider infoMATERNAL FETAL SPECIALISTS PC
FREDERICKSBURG, VA 22405
FREDERICKSBURG, VA 22405
33aNPI1285063461assigned 11/07/2013
33bProvider typeMaternal & Fetal Medicine Physician
28Total paid$2.83M
24GClaims40,271
24DCodes billed19
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Maternal & Fetal Medicine Physician providers in Virginia
Rank by total paid#1 of 21
Median peer was paid$32K
This provider vs. median87×
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 | 5,511 | $369K | |
| 2019 | 6,897 | $485K | |
| 2020 | 10,758 | $797K | |
| 2021 | 8,958 | $632K | |
| 2022 | 3,087 | $206K | |
| 2023 | 3,149 | $230K | |
| 2024incomplete | 1,911 | $116K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 17% | 4,467 | 3,828 | $471K |
| 76820 | 13% | 9,623 | 4,796 | $362K | |
| 76819 | Fetal biophysical profile; without non-stress testing | 12% | 4,749 | 2,594 | $330K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 10% | 4,620 | 2,227 | $298K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 10% | 2,166 | 1,969 | $296K |
| 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 | 7.5% | 2,918 | 1,747 | $214K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.8% | 4,044 | 2,755 | $193K |
| 76818 | 6.7% | 2,073 | 693 | $191K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 4.4% | 1,763 | 1,130 | $125K |
| 76825 | 3.6% | 485 | 432 | $101K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 2.3% | 690 | 391 | $65K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.5% | 402 | 373 | $43K |
7 more codes
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 officialDHILLON, PUSHPHINDER (DIRECTOR)