Newton, J

Newton, J was paid $278K by Medicaid between Jan 2018 and Nov 2020, across 9 billing codes. Its largest line is 76816, Ultrasound, pregnant uterus, real time with image documentation, follow-up — 35% of everything it billed.

33Billing provider infoNEWTON, J
NASHVILLE, TN 37232

33aNPI1689871543assigned 07/02/2007

33bProvider typeObstetrics & Gynecology Physician

28Total paid$278K

24GClaims4,443

24DCodes billed9

24AFirst – last monthJan 2018 – Nov 2020

Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Tennessee

Rank by total paid#51 of 176

Median peer was paid$39K

This provider vs. median7.1×

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	1,108	$62K
2019	1,957	$125K
2020	1,378	$91K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	35%	1,455	1,290	$98K
76819	Fetal biophysical profile; without non-stress testing	25%	1,241	922	$69K
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	21%	614	558	$57K
76820		7.0%	681	505	$19K
76815	Ultrasound, pregnant uterus, real time with image documentation, limited	6.2%	265	242	$17K
76811	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed	4.6%	114	102	$13K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	<1%	42	13	$2K
76817	Ultrasound, pregnant uterus, real time with image documentation, transvaginal	<1%	14	13	$1K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	17	12	$560.71

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.