Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

WILMINGTON MATERNAL-FETAL MEDICINE, PLLC

NPI: 1306957451 · WILMINGTON, NC 28403 · Specialist · NPI assigned 08/31/2006

$2.53M
Total Medicaid Paid
42,344
Total Claims
27,864
Beneficiaries
26
Codes Billed
2020-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTOMPKINS, ASHLEY (PRACTICE ADMINISTRATOR)
NPI Enumeration Date08/31/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 4,137 $258K
2021 10,962 $578K
2022 10,737 $636K
2023 9,592 $594K
2024 6,916 $466K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 9,231 6,532 $624K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 3,638 3,001 $466K
76819 Fetal biophysical profile; without non-stress testing 7,266 3,483 $409K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 4,008 2,212 $206K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,899 3,056 $172K
76820 3,893 1,861 $121K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,788 1,378 $116K
76825 708 443 $72K
76813 927 769 $70K
76801 547 443 $47K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 647 583 $47K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,633 1,166 $43K
76827 706 442 $24K
99242 408 331 $23K
99215 Prolong outpt/office vis 225 193 $18K
93325 692 443 $18K
99401 704 459 $17K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 200 161 $12K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 83 67 $8K
76821 171 53 $8K
99243 51 44 $4K
36415 Collection of venous blood by venipuncture 778 628 $2K
99241 53 41 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 31 31 $2K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 17 16 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 40 28 $623.46