Physician
The Perinatal Group
The Perinatal Group was paid $14.84M by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is 76819, Fetal biophysical profile; without non-stress testing — 23% of everything it billed.
33Billing provider infoTHE PERINATAL GROUP
CLARKSVILLE, TN 37043
CLARKSVILLE, TN 37043
33aNPI1831530906assigned 07/17/2013
33bProvider typeMaternal & Fetal Medicine Physician
28Total paid$14.84M
24GClaims357,454
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Maternal & Fetal Medicine Physician providers in Tennessee
Rank by total paid#3 of 12
Median peer was paid$251K
This provider vs. median59×
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 | 44,638 | $1.86M | |
| 2019 | 59,931 | $2.41M | |
| 2020 | 52,867 | $2.34M | |
| 2021 | 50,332 | $2.11M | |
| 2022 | 48,735 | $2.01M | |
| 2023 | 49,878 | $1.97M | |
| 2024incomplete | 51,073 | $2.13M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 76819 | Fetal biophysical profile; without non-stress testing | 23% | 91,375 | 56,968 | $3.34M |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 19% | 75,382 | 62,336 | $2.84M |
| 93976 | 14% | 25,954 | 15,834 | $2.04M | |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 11% | 21,546 | 18,749 | $1.70M |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 8.0% | 36,267 | 29,175 | $1.19M |
| 76820 | 6.5% | 30,685 | 16,930 | $966K | |
| 76801 | 3.9% | 14,567 | 12,528 | $576K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 3.4% | 11,246 | 9,758 | $500K |
| 76830 | Ultrasound, transvaginal | 2.4% | 12,845 | 11,466 | $363K |
| 76821 | 2.3% | 9,248 | 4,878 | $341K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | 1.9% | 9,184 | 8,250 | $277K |
| 76827 | <1% | 3,080 | 2,416 | $124K |
11 more codes
| 76828 | <1% | 5,114 | $123K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 3,627 | $115K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,390 | $80K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 627 | $56K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,512 | $55K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 856 | $47K |
| 76825 | <1% | 459 | $42K | |
| 93325 | <1% | 460 | $20K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 653 | $18K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 297 | $13K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 80 | $6K |
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 officialMAYOR-LYNN, KATHLEEN (PARTNER)