Maternal-Fetal Medicine Associates, P.C.
Maternal-Fetal Medicine Associates, P.C. was paid $511K by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is 76811, Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed — 23% of everything it billed.
33Billing provider infoMATERNAL-FETAL MEDICINE ASSOCIATES, P.C.
GRAND RAPIDS, MI 49546
GRAND RAPIDS, MI 49546
33aNPI1396943858assigned 07/06/2007
33bProvider typeSpecialist
28Total paid$511K
24GClaims10,037
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Michigan
Rank by total paid#45 of 181
Median peer was paid$94K
This provider vs. median5.4×
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 | 1,175 | $61K | |
| 2019 | 1,330 | $65K | |
| 2020 | 1,377 | $70K | |
| 2021 | 1,354 | $68K | |
| 2022 | 1,590 | $79K | |
| 2023 | 1,309 | $74K | |
| 2024incomplete | 1,902 | $95K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 23% | 1,254 | 1,232 | $115K |
| 76820 | 21% | 3,897 | 2,545 | $106K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 11% | 1,331 | 908 | $56K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 11% | 848 | 772 | $55K |
| 76825 | 9.3% | 301 | 299 | $47K | |
| 76819 | Fetal biophysical profile; without non-stress testing | 8.6% | 910 | 684 | $44K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 6.4% | 460 | 425 | $33K |
| 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 | 5.5% | 323 | 323 | $28K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 3.2% | 304 | 180 | $16K |
| 59025 | Fetal non-stress test | 1.8% | 391 | 159 | $9K |
| 76818 | <1% | 18 | 13 | $1K |
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 officialBALASKAS, THOMAS (CEO)