Physician
Urato MFM
Urato MFM was paid $725K by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 22% of everything it billed.
33Billing provider infoURATO MFM
FRAMINGHAM, MA 01702
FRAMINGHAM, MA 01702
33aNPI1447649926assigned 01/21/2015
33bProvider typeMaternal & Fetal Medicine Physician
28Total paid$725K
24GClaims15,255
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Maternal & Fetal Medicine Physician providers in Massachusetts
Rank by total paid#3 of 27
Median peer was paid$33K
This provider vs. median22×
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 | 1,312 | $55K | |
| 2019 | 1,713 | $79K | |
| 2020 | 1,965 | $102K | |
| 2021 | 2,211 | $107K | |
| 2022 | 2,895 | $146K | |
| 2023 | 2,710 | $127K | |
| 2024incomplete | 2,449 | $108K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 2,637 | 2,486 | $158K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 18% | 3,677 | 3,386 | $128K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 17% | 1,663 | 1,617 | $122K |
| 76819 | Fetal biophysical profile; without non-stress testing | 12% | 2,843 | 2,514 | $89K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 8.8% | 742 | 739 | $64K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 5.1% | 948 | 930 | $37K |
| 76813 | 5.0% | 769 | 756 | $36K | |
| 76801 | 4.2% | 777 | 757 | $31K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.6% | 745 | 688 | $26K |
| 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 | 2.7% | 153 | 153 | $20K |
| 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 | 1.6% | 140 | 133 | $11K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 93 | 81 | $3K |
1 more codes
| 76820 | <1% | 68 | $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 officialURATO, ADAM (OWNER)