Perinatal Medical Group

Perinatal Medical Group was paid $15.19M by Medicaid between Jan 2018 and Nov 2024, across 27 billing codes. Its largest line is 99469, Subsequent inpatient neonatal critical care, per day, 28 days or younger — 23% of everything it billed.

33Billing provider infoPERINATAL MEDICAL GROUP
FRESNO, CA 93721

33aNPI1760441844assigned 03/20/2006

33bProvider typeNeonatal-Perinatal Medicine Physician

28Total paid$15.19M

24GClaims33,236

24DCodes billed27

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Neonatal-Perinatal Medicine Physician providers in California

Rank by total paid#2 of 80

Median peer was paid$66K

This provider vs. median230×

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	6,913	$2.92M
2019	3,761	$1.59M
2020	5,633	$2.46M
2021	4,935	$2.70M
2022	3,924	$1.60M
2023	4,010	$2.00M
2024incomplete	4,060	$1.91M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99469	Subsequent inpatient neonatal critical care, per day, 28 days or younger	23%	3,773	2,572	$3.49M
99479	Subsequent intensive care, per day, very low birth weight infant	18%	3,538	2,276	$2.79M
99480	Subsequent intensive care, per day, low birth weight infant	13%	3,298	2,212	$2.03M
Z0102		11%	1,176	868	$1.64M
Z0104		9.8%	1,197	1,069	$1.48M
99472	Subsequent inpatient pediatric critical care, per day, 2-5 years	9.7%	954	500	$1.48M
99468		6.1%	2,417	2,311	$920K
Z0100		2.1%	780	758	$312K
99239	Hospital discharge day management, more than 30 minutes	1.6%	3,689	3,582	$245K
96112		1.6%	1,555	1,550	$239K
99465		1.0%	907	860	$155K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	859	826	$124K

15 more codes

99477		<1%	304	$85K
99464		<1%	893	$69K
99255		<1%	2,061	$36K
99460		<1%	2,019	$19K
99238	Hospital discharge day management, 30 minutes or less	<1%	1,866	$16K
31500		<1%	128	$10K
36510		<1%	286	$9K
99214	Doctor's office visit, returning patient (more involved)	<1%	71	$8K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	<1%	34	$7K
99232	Hospital visit by a doctor, follow-up day	<1%	223	$7K
99462		<1%	959	$6K
99233	Hospital visit by a doctor, follow-up day (complex)	<1%	95	$3K
36660		<1%	70	$3K
99223	Prolong inpt eval add15 m	<1%	42	$448.56
99222	Initial hospital care, per day, moderate complexity	0%	42	$0.00

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 officialRAJANI, KRISHNAKUMAR (DIRECTOR)