Mid-South Perinatal Associates PC

Mid-South Perinatal Associates PC was paid $11.67M by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is 76819, Fetal biophysical profile; without non-stress testing — 20% of everything it billed.

33Billing provider infoMID-SOUTH PERINATAL ASSOCIATES PC
JACKSON, TN 38301

33aNPI1780608331assigned 07/27/2006

33bProvider typeMaternal & Fetal Medicine Physician

28Total paid$11.67M

24GClaims216,402

24DCodes billed27

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Maternal & Fetal Medicine Physician providers in Tennessee

Rank by total paid#4 of 12

Median peer was paid$251K

This provider vs. median47×

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	24,666	$1.58M
2019	32,618	$1.80M
2020	30,636	$1.64M
2021	32,229	$1.69M
2022	31,557	$1.66M
2023	32,773	$1.70M
2024incomplete	31,923	$1.59M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
76819	Fetal biophysical profile; without non-stress testing	20%	44,763	21,275	$2.30M
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	17%	26,127	22,538	$2.00M
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	16%	49,188	28,254	$1.84M
76811	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed	13%	12,258	10,565	$1.50M
76820		11%	30,989	12,885	$1.27M
76825		4.1%	4,539	3,723	$479K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	3.6%	7,538	6,417	$419K
76817	Ultrasound, pregnant uterus, real time with image documentation, transvaginal	3.4%	8,004	5,840	$398K
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	2.4%	5,860	4,245	$276K
93325		2.1%	4,541	3,730	$250K
99243		2.0%	2,932	2,594	$232K
76801		1.4%	2,860	2,180	$164K

15 more codes

99214	Doctor's office visit, returning patient (more involved)	<1%	1,624	$91K
76813		<1%	2,134	$86K
76810		<1%	738	$78K
76815	Ultrasound, pregnant uterus, real time with image documentation, limited	<1%	1,383	$63K
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	2,283	$52K
99222	Initial hospital care, per day, moderate complexity	<1%	721	$52K
99254		<1%	475	$45K
99223	Prolong inpt eval add15 m	<1%	348	$37K
99232	Hospital visit by a doctor, follow-up day	<1%	316	$12K
36415	Collection of venous blood by venipuncture	<1%	6,434	$12K
99215	Doctor's office visit, returning patient (complex)	<1%	66	$5K
76856	Ultrasound, pelvic (nonobstetric), real time with image documentation; complete	<1%	177	$4K
99218		<1%	74	$3K
99219		<1%	14	$1K
99224		<1%	16	$395.16

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 officialHOELDTKE, NATHAN (PRESIDENT/ CEO)