Loading...
NPI 1942342654 · Springfield, MO · Maternal & Fetal Medicine Physician
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Robert Fraser is a maternal & fetal medicine physician provider located in Springfield, Missouri. This profile covers 3 Medicare and 12 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Robert Fraser |
| Address | 1900 S National Ave |
| City | Springfield |
| State | MO |
| ZIP | 65804 |
| Taxonomy | Maternal & Fetal Medicine Physician |
| NPI Enumerated | February 12, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $561.3K |
| Medicare | $7.2K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 76830 | The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient. | 50 | $80 | $3.7K |
| 76856 | A pelvic ultrasound is a noninvasive procedure used to assess body parts such as the bladder, ovaries, uterus, cervix, and fallopian tubes in females and the bladder, prostate gland, and seminal… | 40 | $70 | $3.1K |
| 76376 | In this procedure, the provider performs 3D rendering for computed tomography magnetic resonance imaging, ultrasound, or another tomographic modality, typically for diagnostic purposes, with… | 30 | $10 | $350 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
12 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 76816 | The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound. | 2,340 | $70 | $161.6K |
| 76805 | In this procedure, the provider performs an ultrasound of a pregnant uterus for examination of the first or a single fetus and to examine the mother after the first trimester, or more than 14 weeks… | 1,750 | $70 | $115.3K |
| 76815 | The provider performs a limited examination of the fetus using ultrasound. The provider performs the examination of certain parameters for one or more fetuses. | 1,280 | $60 | $75.6K |
| 59025 | In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements. | 1,400 | $40 | $56.2K |
| 76811 | The 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… | 320 | $180 | $55.8K |
| 76819 | The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test. | 950 | $40 | $40.9K |
| 76820 | The 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… | 360 | $50 | $18.4K |
| 99244 | The 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… | 110 | $150 | $16.8K |
| 76817 | The provider performs an ultrasound of the pregnant uterus to examine the fetus and the mother's organs using a transvaginal approach. | 220 | $60 | $12.5K |
| 76818 | The 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. | 40 | $110 | $3.9K |
Showing 1–10 of 12
How this provider's Medicaid billing volume and revenue compare to other Missouri providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Missouri median
12 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99213 | The 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… | 3,685 | 4,310 | 300 | $60 | $110.8K |
| 76816 | The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound. | 27 | 190 | 270 | $70 | $91.4K |
| 76811 | The 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… | 34 | 70 | 300 | $110 | $81.2K |
| 76818 | The 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. | 52 | 60 | 290 | $80 | $62K |
| 76819 | The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test. | 22 | 80 | 280 | $50 | $60.3K |
| 59025 | In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements. | 24 | 180 | 150 | $70 | $51K |
| 76817 | The provider performs an ultrasound of the pregnant uterus to examine the fetus and the mother's organs using a transvaginal approach. | 39 | 90 | 170 | $60 | $42.5K |
| 76820 | The 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… | 28 | 60 | 280 | $50 | $35.4K |
| 76815 | The provider performs a limited examination of the fetus using ultrasound. The provider performs the examination of certain parameters for one or more fetuses. | 17 | 150 | 130 | $60 | $35.3K |
| 76805 | In this procedure, the provider performs an ultrasound of a pregnant uterus for examination of the first or a single fetus and to examine the mother after the first trimester, or more than 14 weeks… | 7 | 170 | 90 | $80 | $28.4K |
Showing 1–10 of 12
Other providers in the same ZIP code as Robert Fraser, ranked by combined Medicare and Medicaid revenue.
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.