Medicaid Provider Spending

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

HIGH RISK OBSTETRICAL CONSULTANTS, PLLC

NPI: 1770724676 · KNOXVILLE, TN 37920 · Maternal & Fetal Medicine Physician · NPI assigned 03/23/2009

$32.70M
Total Medicaid Paid
430,457
Total Claims
324,293
Beneficiaries
42
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHENNESSY, MARK (OWNER)
NPI Enumeration Date03/23/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 44,786 $2.91M
2019 54,685 $3.90M
2020 63,330 $4.65M
2021 67,326 $5.33M
2022 66,211 $5.26M
2023 67,945 $5.65M
2024 66,174 $4.98M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
76819 Fetal biophysical profile; without non-stress testing 77,823 54,085 $6.71M
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 56,052 45,479 $4.93M
76820 73,772 50,326 $4.79M
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 22,680 19,751 $4.34M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 52,062 40,731 $3.24M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 26,891 21,957 $2.49M
76821 15,651 9,730 $1.35M
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 11,333 9,523 $1.02M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 8,113 6,881 $808K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 5,120 4,473 $732K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 5,878 4,434 $401K
76801 2,956 2,428 $312K
99232 Subsequent hospital care, per day, moderate complexity 4,467 2,151 $307K
76813 2,038 1,630 $196K
99215 Prolong outpt/office vis 1,300 1,125 $162K
59514 145 116 $134K
81003 52,779 40,939 $129K
99205 Prolong outpt/office vis 575 515 $102K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 105 93 $101K
59025 Fetal non-stress test 2,270 1,614 $101K
76825 341 267 $64K
99233 Prolong inpt eval add15 m 658 341 $61K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,323 980 $46K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 284 240 $37K
76818 433 312 $29K
76827 347 275 $24K
93325 351 293 $20K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,472 1,082 $17K
90715 301 264 $12K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 156 128 $10K
59430 58 53 $9K
99406 569 500 $6K
90656 483 318 $5K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 119 86 $2K
90686 24 20 $530.31
99201 12 12 $395.40
T1013 Sign language or oral interpretive services, per 15 minutes 33 30 $360.00
99407 12 12 $343.63
90674 14 12 $308.40
36415 Collection of venous blood by venipuncture 78 69 $177.79
99000 74 59 $22.72
0502F 1,305 959 $0.00