Physician
High Risk Pregnancy Center of Arizona LLC
High Risk Pregnancy Center of Arizona LLC was paid $1.60M by Medicaid between Jun 2022 and Dec 2024, across 22 billing codes. Its largest line is 76816, Ultrasound, pregnant uterus, real time with image documentation, follow-up — 20% of everything it billed.
33Billing provider infoHIGH RISK PREGNANCY CENTER OF ARIZONA LLC
SCOTTSDALE, AZ 85258
SCOTTSDALE, AZ 85258
33aNPI1801559851assigned 10/18/2021
33bProvider typeMaternal & Fetal Medicine Physician
28Total paid$1.60M
24GClaims20,405
24DCodes billed22
24AFirst – last monthJun 2022 – Dec 2024
Compared with peers
Next to other Maternal & Fetal Medicine Physician providers in Arizona
Rank by total paid#3 of 15
Median peer was paid$273K
This provider vs. median5.8×
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 | |
|---|---|---|---|
| 2022 | 1,715 | $106K | |
| 2023 | 8,538 | $671K | |
| 2024incomplete | 10,152 | $819K |
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 | 20% | 3,416 | 2,773 | $322K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 15% | 1,534 | 1,446 | $237K |
| 76819 | Fetal biophysical profile; without non-stress testing | 13% | 2,805 | 1,419 | $212K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 12% | 2,551 | 1,979 | $199K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 7.6% | 1,713 | 1,062 | $122K |
| 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 | 6.8% | 1,903 | 1,330 | $109K |
| 76821 | 6.0% | 1,179 | 610 | $96K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 5.8% | 901 | 801 | $92K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.4% | 1,187 | 948 | $54K |
| 76820 | 2.6% | 972 | 504 | $41K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.3% | 972 | 740 | $36K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.6% | 444 | 329 | $25K |
10 more codes
| 76801 | 1.2% | 169 | $19K | |
| 59025 | Fetal non-stress test | 1.0% | 410 | $16K |
| 76813 | <1% | 43 | $4K | |
| 76825 | <1% | 17 | $3K | |
| 93976 | <1% | 47 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 80 | $2K |
| 76818 | <1% | 14 | $1K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 18 | $1K |
| 76827 | <1% | 17 | $889.60 | |
| 93325 | <1% | 13 | $298.36 |
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 officialPATEL, KRUNAL (OWNER)