NP / PA
Metro Ob Gyn LLC
Metro Ob Gyn LLC was paid $2.56M by Medicaid between Jan 2018 and Nov 2024, across 20 billing codes. Its largest line is 76816, Ultrasound, pregnant uterus, real time with image documentation, follow-up — 34% of everything it billed.
33Billing provider infoMETRO OB GYN LLC
COUNCIL BLUFFS, IA 51503
COUNCIL BLUFFS, IA 51503
33aNPI1770501132assigned 07/17/2006
33bProvider typePhysician Assistant
28Total paid$2.56M
24GClaims42,219
24DCodes billed20
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Physician Assistant providers in Iowa
Rank by total paid#6 of 34
Median peer was paid$49K
This provider vs. median53×
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 | 8,616 | $426K | |
| 2019 | 7,592 | $464K | |
| 2020 | 7,160 | $387K | |
| 2021 | 7,186 | $346K | |
| 2022 | 4,869 | $390K | |
| 2023 | 4,248 | $322K | |
| 2024incomplete | 2,548 | $231K |
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 | 34% | 12,984 | 9,300 | $862K |
| 76819 | Fetal biophysical profile; without non-stress testing | 16% | 5,500 | 3,772 | $421K |
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | 12% | 232 | 228 | $299K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 9.5% | 2,187 | 2,116 | $244K |
| 76830 | Ultrasound, transvaginal | 7.3% | 2,436 | 2,258 | $187K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.1% | 4,282 | 3,899 | $156K |
| 59426 | 4.2% | 959 | 567 | $108K | |
| 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 | 3.2% | 1,484 | 1,382 | $83K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 2.1% | 806 | 610 | $55K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.4% | 461 | 447 | $36K |
| 59510 | <1% | 14 | 14 | $22K | |
| 76818 | <1% | 241 | 148 | $21K |
8 more codes
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 315 | $20K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 688 | $18K |
| 81025 | <1% | 1,604 | $12K | |
| 59425 | <1% | 84 | $10K | |
| 99000 | <1% | 7,500 | $7K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 69 | $3K |
| 36415 | Collection of venous blood by venipuncture | <1% | 278 | $746.44 |
| 0503F | 0% | 95 | $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 officialSOTOLONGO, JORGE (PRESIDENT)