Physician
Perinatal Associates LLC
Perinatal Associates LLC was paid $1.32M by Medicaid between Apr 2018 and Oct 2022, across 19 billing codes. Its largest line is 76816, Ultrasound, pregnant uterus, real time with image documentation, follow-up — 34% of everything it billed.
33Billing provider infoPERINATAL ASSOCIATES LLC
PASSAIC, NJ 07055
PASSAIC, NJ 07055
33aNPI1982122453assigned 09/06/2017
33bProvider typeMaternal & Fetal Medicine Physician
28Total paid$1.32M
24GClaims14,473
24DCodes billed19
24AFirst – last monthApr 2018 – Oct 2022
Compared with peers
Next to other Maternal & Fetal Medicine Physician providers in New Jersey
Rank by total paid#6 of 22
Median peer was paid$394K
This provider vs. median3.4×
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 | 742 | $90K | |
| 2019 | 1,165 | $149K | |
| 2020 | 2,391 | $279K | |
| 2021 | 4,500 | $418K | |
| 2022 | 5,675 | $387K |
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 | 34% | 4,451 | 3,917 | $447K |
| 76819 | Fetal biophysical profile; without non-stress testing | 18% | 2,946 | 1,445 | $236K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 16% | 1,335 | 1,294 | $209K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 13% | 1,479 | 1,450 | $166K |
| 76801 | 7.2% | 905 | 870 | $95K | |
| 76813 | 6.1% | 758 | 745 | $80K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 3.7% | 700 | 569 | $49K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.5% | 265 | 231 | $20K |
| 76820 | 1.0% | 359 | 197 | $13K | |
| 76825 | <1% | 20 | 18 | $3K | |
| 76827 | <1% | 38 | 30 | $2K | |
| 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 | <1% | 16 | 16 | $1K |
7 more codes
| 93325 | <1% | 39 | $644.39 | |
| 99241 | <1% | 16 | $517.98 | |
| 36416 | <1% | 334 | $348.18 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 66 | $333.76 |
| 36415 | Collection of venous blood by venipuncture | <1% | 110 | $136.43 |
| 99051 | <1% | 55 | $73.80 | |
| A4559 | Coupling gel or paste, for use with ultrasound device, per oz | <1% | 581 | $31.00 |
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 officialLANGER, ORLI (PRESIDENT)