Physician
Southwestern Perinatal Associates PA
Southwestern Perinatal Associates PA was paid $106K by Medicaid between Feb 2022 and Oct 2023, across 7 billing codes. Its largest line is 76816, Ultrasound, pregnant uterus, real time with image documentation, follow-up — 31% of everything it billed.
33Billing provider infoSOUTHWESTERN PERINATAL ASSOCIATES PA
PLANO, TX 75093
PLANO, TX 75093
33aNPI1962459578assigned 05/28/2006
33bProvider typeNeonatal-Perinatal Medicine Physician
28Total paid$106K
24GClaims1,913
24DCodes billed7
24AFirst – last monthFeb 2022 – Oct 2023
Compared with peers
Next to other Neonatal-Perinatal Medicine Physician providers in Texas
Rank by total paid#20 of 37
Median peer was paid$139K
This provider vs. median0.8×
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 | 1,268 | $69K | |
| 2023 | 645 | $37K |
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 | 31% | 496 | 336 | $33K |
| 76819 | Fetal biophysical profile; without non-stress testing | 22% | 438 | 330 | $23K |
| 76827 | 20% | 477 | 358 | $21K | |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 18% | 180 | 166 | $19K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.8% | 237 | 206 | $6K |
| 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 | 2.4% | 72 | 49 | $3K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 13 | 13 | $555.38 |
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 officialALBERT, THOMAS (OWNER)