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    OpenPayerNPI Medicare & MedicaidObstetrix Medical Group Of Atlanta, LLC
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    Obstetrix Medical Group Of Atlanta, LLC — Billing Profile & Reimbursement Data

    NPI 1396970109 · Atlanta, GA · Maternal & Fetal Medicine Physician

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    Obstetrix Medical Group Of Atlanta, LLC is a maternal & fetal medicine physician provider located in Atlanta, Georgia. This profile covers 0 Medicare and 30 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationObstetrix Medical Group Of Atlanta, LLC
    Address1938 Peachtree Road
    CityAtlanta
    StateGA
    ZIP30309
    TaxonomyMaternal & Fetal Medicine Physician
    NPI EnumeratedMay 22, 2009

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$10M
    Medicare$0

    Key Findings

    OBSTETRIX MEDICAL GROUP OF ATLANTA, LLC is effectively a Medicaid-focused practice with no Medicare billing on file and $10M in lifetime Medicaid revenue; the absence of Medicare activity indicates this NPI functions principally within state Medicaid networks rather than serving a dual Medicare/Medicaid population. The provider was enumerated on 2009-05-22 (~17 years ago), indicating a long tenure in the market which supports relationship-building with payers and referral sources in Georgia. The provider’s revenue is highly concentrated in a small set of maternal–fetal service lines: the top 3 Medicaid codes (99214, 76819, 76816) together account for 49.8% of total Medicaid revenue, signaling that routine established-patient E/M visits and high-volume obstetric ultrasound services are primary revenue drivers. Code-level volumes and ranks show this entity is a major in-state provider for targeted obstetric imaging: 76819 ranks #3 of 41 providers (95th percentile) and 76816 ranks #3 of 55 providers (96th percentile), both described as notably above typical state volume, which implies specialized capacity or high demand for biophysical profiles and follow-up fetal ultrasounds. The practice also ranks highly for several other ultrasound and Doppler services — 76817 ranks #2 of 57 providers (98th percentile, labeled an extreme outlier) and 76820 ranks #2 of 24 providers (96th percentile, notably above typical state volume) — reinforcing that advanced fetal imaging and surveillance are core service lines and competitive strengths. Office E/M coding shows substantial activity at higher-level established-patient visits: 99214 generated $2M (20.1% of Medicaid revenue) with 29.2K claims and ranks #24 of 824 in-state (97th percentile), indicating heavy ambulatory throughput for established patients and a sizable role in ongoing prenatal care. Several specialized fetal echocardiography and Doppler codes (76825, 76827, 93325, 76821) contribute meaningfully to revenue and occupy high or leading state ranks (76827 is #1 of 5 providers, 76825 is #2 of 12 providers), suggesting the group offers subspecialty fetal cardiac imaging services that differentiate it within the Georgia Medicaid market. While many additional codes show typical or unremarkable volumes, the mix skews toward imaging and surveillance rather than inpatient or diverse multispecialty care (e.g., 99232 and other hospital care codes rank relatively low), indicating a focused outpatient maternal–fetal medicine practice model concentrated on prenatal diagnostics and management. Given the concentration in a few high-volume ultrasound and E/M codes, payers should view OBSTETRIX as a specialist clinic with predictable imaging-driven revenue and potential sensitivity to reimbursement changes for those key codes that together produce nearly half of its Medicaid revenue.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    30 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…29,200$70$2M
    76819The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.21,860$80$1.7M
    76816The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.22,200$60$1.3M
    76811The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…5,880$180$1.1M
    76820The provider performs Doppler ultrasonography for fetal surveillance to determine the velocity of blood flow through the umbilical artery. This test determines the timing of labor induction and when…13,310$70$945.3K
    76817The provider performs an ultrasound of the pregnant uterus to examine the fetus and the mother's organs using a transvaginal approach.9,160$70$622.9K
    76821The provider performs Doppler ultrasonography for fetal surveillance to determine the velocity of blood flow through the middle cerebral artery. This test determines the timing of labor induction and…5,420$80$428.2K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…8,410$40$370.1K
    76825The provider performs real–time fetal echocardiography, with or without M–mode recording, for complete evaluation of a fetal cardiovascular system.2,240$120$273K
    76818The provider performs a biophysical profile test to measure the health of the baby during pregnancy. The test consists of a nonstress test and an ultrasound.3,410$80$272.4K

    Showing 1–10 of 30

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Georgia providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Georgia median

    30 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    93325The provider performs Doppler echocardiography, a diagnostic procedure based on the Doppler effect of sound, color flow velocity mapping, a two–dimensional image representation of blood flow in the…620890$60$498.3K
    76811The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…220290$180$423.2K
    76821The provider performs Doppler ultrasonography for fetal surveillance to determine the velocity of blood flow through the middle cerebral artery. This test determines the timing of labor induction and…2101,730$80$375.3K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…121920370$60$360.6K
    76825The provider performs real–time fetal echocardiography, with or without M–mode recording, for complete evaluation of a fetal cardiovascular system.210730$240$348.7K
    76819The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.340220$70$299.7K
    76818The provider performs a biophysical profile test to measure the health of the baby during pregnancy. The test consists of a nonstress test and an ultrasound.320420$80$255K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…24820390$70$245K
    99244The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider…73090$160$236.3K
    76816The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.360550$50$193.7K

    Showing 1–10 of 30

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Obstetrix Medical Group Of Atlanta, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pediatrix Medical Group Of Georgia, P.C.FLMaternal & Fetal Medicine Physician$0$50.6M

    Nearby Providers

    Other providers in the same ZIP code as Obstetrix Medical Group Of Atlanta, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dentistry For Children Of Georgia LLCGAPediatric Dentistry$0$7.9M
    Shanice FigueroaGANurse Practitioner$2.8M$0
    Kristin BourgGAPhysician Assistant$1.8M$0
    Janice McalisterGANurse Practitioner$1.6M$0
    Michelle JuneauGADermatology Physician$951K$0
    William WilsonGARheumatology Physician$865.7K$0
    David D'heurleGAOphthalmology Physician$672.5K$0
    Georgia West Imaging, PCGADiagnostic Radiology Physician$0$616.2K
    Peachtree Orthopaedic Surgery Center At Piedmont LLCGAOrthopaedic Surgery Physician$605.7K$0
    Piedmont Hospital, IncGAGeneral Acute Care Hospital$0$542.7K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Georgia Providers
    3 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Georgia Distribution
    Obstetrix Medical Group Of Atlanta, LLC — 5 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia