Clinic
Boston Maternal-Fetal Medicine, LLC
Boston Maternal-Fetal Medicine, LLC was paid $490K by Medicaid between Jan 2018 and Oct 2023, across 14 billing codes. Its largest line is 76816, Ultrasound, pregnant uterus, real time with image documentation, follow-up — 28% of everything it billed.
33Billing provider infoBOSTON MATERNAL-FETAL MEDICINE, LLC
BROOKLINE, MA 02445
BROOKLINE, MA 02445
33aNPI1891034492assigned 02/04/2013
33bProvider typeMedical Specialty Clinic/Center
28Total paid$490K
24GClaims13,267
24DCodes billed14
24AFirst – last monthJan 2018 – Oct 2023
Compared with peers
Next to other Medical Specialty Clinic/Center providers in Massachusetts
Rank by total paid#5 of 15
Median peer was paid$55K
This provider vs. median8.9×
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 | 6,292 | $247K | |
| 2019 | 2,981 | $113K | |
| 2020 | 1,117 | $40K | |
| 2021 | 647 | $20K | |
| 2022 | 1,433 | $45K | |
| 2023 | 797 | $25K |
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 | 28% | 4,224 | 3,767 | $137K |
| 76819 | Fetal biophysical profile; without non-stress testing | 19% | 3,153 | 2,405 | $93K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 12% | 829 | 805 | $59K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 1,534 | 1,359 | $59K |
| 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 | 6.6% | 549 | 471 | $32K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 6.1% | 1,072 | 968 | $30K |
| 76813 | 4.1% | 436 | 436 | $20K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 3.8% | 490 | 486 | $19K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.9% | 220 | 219 | $14K |
| 76801 | 2.0% | 263 | 259 | $10K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 1.9% | 371 | 270 | $9K |
| 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% | 45 | 42 | $4K |
2 more codes
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 officialHAMAR, BENJAMIN (CFO)
Parent organizationBOSTON MFM
| Provider | Location | Paid |
|---|---|---|
| Boston MFM, LLC | Brookline, MA | $1.75M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.