Ruffner, Randall
Ruffner, Randall was paid $46K by Medicaid between Feb 2022 and Oct 2024, across 5 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 67% of everything it billed.
33Billing provider infoRUFFNER, RANDALL
WEXFORD, PA 15090
WEXFORD, PA 15090
33aNPI1114380532assigned 04/02/2016
33bProvider typeStudent in an Organized Health Care Education/Training Program
28Total paid$46K
24GClaims672
24DCodes billed5
24AFirst – last monthFeb 2022 – Oct 2024
Compared with peers
Next to other Student in an Organized Health Care Education/Training Program providers in Pennsylvania
Rank by total paid#135 of 651
Median peer was paid$8K
This provider vs. median6.0×
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 | 173 | $12K | |
| 2023 | 320 | $23K | |
| 2024incomplete | 179 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 67% | 359 | 355 | $31K |
| 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 | 13% | 131 | 127 | $6K |
| 31231 | 11% | 86 | 85 | $5K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 8.9% | 84 | 83 | $4K |
| 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% | 12 | 12 | $385.00 |
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.