Perinatal & Infertility Specialists PA

Perinatal & Infertility Specialists PA was paid $9.22M by Medicaid between Apr 2020 and Dec 2024, across 30 billing codes. Its largest line is 76816, Ultrasound, pregnant uterus, real time with image documentation, follow-up — 22% of everything it billed.

33Billing provider infoPERINATAL & INFERTILITY SPECIALISTS PA
SAN ANTONIO, TX 78258

33aNPI1881817930assigned 04/10/2007

33bProvider typeMaternal & Fetal Medicine Physician

28Total paid$9.22M

24GClaims223,408

24DCodes billed30

24AFirst – last monthApr 2020 – Dec 2024

Compared with peers

Next to other Maternal & Fetal Medicine Physician providers in Texas

Rank by total paid#5 of 34

Median peer was paid$176K

This provider vs. median52×

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
2020	11,476	$456K
2021	51,533	$2.23M
2022	60,836	$2.51M
2023	58,359	$2.36M
2024incomplete	41,204	$1.67M

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	22%	28,678	22,445	$2.00M
76818		21%	26,946	16,842	$1.97M
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	9.2%	30,864	22,680	$849K
76820		8.6%	28,871	18,157	$790K
76815	Ultrasound, pregnant uterus, real time with image documentation, limited	7.8%	14,107	10,955	$724K
76817	Ultrasound, pregnant uterus, real time with image documentation, transvaginal	6.6%	10,399	9,187	$610K
76821		5.0%	8,057	4,516	$460K
76819	Fetal biophysical profile; without non-stress testing	4.5%	7,955	7,112	$419K
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	4.3%	10,861	9,039	$395K
76811	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed	4.0%	3,347	3,292	$373K
99243		1.8%	2,028	2,006	$162K
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	1.4%	1,669	1,645	$134K

18 more codes

81002		<1%	38,522	$92K
99242		<1%	816	$49K
76825		<1%	222	$36K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	1,844	$34K
99000		<1%	3,073	$30K
99203	Doctor's office visit, new patient (routine)	<1%	860	$26K
99232	Hospital visit by a doctor, follow-up day	<1%	608	$19K
76813		<1%	269	$19K
76801		<1%	195	$13K
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	301	$7K
81003		<1%	1,606	$3K
93325		<1%	220	$2K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	132	$2K
99244	Office or other outpatient consultation, moderate to high complexity	<1%	12	$1K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	69	$1K
99233	Hospital visit by a doctor, follow-up day (complex)	<1%	14	$816.65
36415	Collection of venous blood by venipuncture	0%	571	$0.00
99072		0%	292	$0.00

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 officialMCFARLAND, MELINDA (OWNER)