Medicaid Provider Spending

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

PEARL OBGYN LLC

NPI: 1659949931 · WICHITA, KS 67208 · Obstetrics & Gynecology Physician · NPI assigned 06/14/2021

$59K
Total Medicaid Paid
1,190
Total Claims
1,075
Beneficiaries
8
Codes Billed
2022-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialHERSHBERGER, DAMEN (OWNER)
NPI Enumeration Date06/14/2021

Related Entities

Other providers sharing the same authorized official: HERSHBERGER, DAMEN

ProviderCityStateTotal Paid
HYLO URGENT CARE CLINICS, P.A. WICHITA KS $1.52M
HYLO URGENT CARE CLINICS, P.A. WICHITA KS $2K
PEARL GIRL CLINICS LLC DERBY KS $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 212 $18K
2023 649 $22K
2024 329 $19K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 510 480 $34K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 119 116 $19K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 72 70 $2K
76801 13 13 $1K
76830 Ultrasound, transvaginal 12 12 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 16 15 $980.85
0502F 275 203 $0.00
99000 173 166 $0.00