Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Regional Obstetrical Consultants PC

Regional Obstetrical Consultants PC was paid $14.21M by Medicaid between Jan 2018 and Dec 2024, across 33 billing codes. Its largest line is 76819, Fetal biophysical profile; without non-stress testing — 28% of everything it billed.

33Billing provider infoREGIONAL OBSTETRICAL CONSULTANTS PC
CHATTANOOGA, TN 37403
33aNPI1861485146assigned 08/23/2005
28Total paid$14.21M
24GClaims210,577
24DCodes billed33
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Neonatal-Perinatal Medicine Physician providers in Tennessee

Rank by total paid#1 of 13
Median peer was paid$145K
This provider vs. median98×

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

$0$200K$400K$600K2018201920202021202220232024
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
YearClaimsPaid
201828,521$2.33M
201930,546$2.20M
202024,324$1.66M
202138,641$2.41M
202229,030$1.89M
202328,902$1.85M
2024incomplete30,613$1.87M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
76819 Fetal biophysical profile; without non-stress testing 28% 45,378 29,726 $3.99M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18% 43,320 31,590 $2.52M
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 17% 11,833 10,424 $2.47M
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 16% 25,296 20,182 $2.24M
76820 6.0% 12,243 7,515 $847K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 4.1% 6,249 4,838 $576K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3.9% 5,907 5,249 $561K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 1.3% 2,802 1,788 $183K
81003 1.0% 47,085 35,133 $149K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity <1% 1,288 1,180 $118K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 2,467 1,821 $92K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity <1% 1,091 989 $64K
21 more codes
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 809 $60K
59025 Fetal non-stress test <1% 2,050 $53K
99204 Doctor's office visit, new patient (more involved) <1% 308 $44K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 502 $42K
99214 Doctor's office visit, returning patient (more involved) <1% 401 $39K
99479 Subsequent intensive care, per day, very low birth weight infant <1% 325 $36K
99480 Subsequent intensive care, per day, low birth weight infant <1% 304 $34K
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger <1% 50 $24K
99464 <1% 208 $16K
76801 <1% 95 $14K
76830 Ultrasound, transvaginal <1% 135 $12K
76825 <1% 34 $6K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 65 $4K
99238 Hospital discharge day management, 30 minutes or less <1% 44 $3K
93325 <1% 34 $3K
99221 <1% 28 $3K
76827 <1% 34 $3K
Q3014 Telehealth originating site facility fee <1% 98 $2K
76813 <1% 12 $2K
99239 Hospital discharge day management, more than 30 minutes <1% 13 $1K
81002 <1% 69 $146.24

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 officialHATFIELD, AMANDA (CONTROLLER/EXEC ASSIST)