Hospital
Ridgeview Psychiatric Hospital and Center, INC.
Ridgeview Psychiatric Hospital and Center, INC. was paid $42.05M by Medicaid between Jan 2018 and Dec 2024, across 36 billing codes. Its largest line is H0043, Supported housing, per diem — 29% of everything it billed.
33Billing provider infoRIDGEVIEW PSYCHIATRIC HOSPITAL AND CENTER, INC.
OAK RIDGE, TN 37830
OAK RIDGE, TN 37830
33aNPI1184659229assigned 07/11/2006
33bProvider typePsychiatric Hospital
28Total paid$42.05M
24GClaims683,824
24DCodes billed36
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Psychiatric Hospital providers in Tennessee
Rank by total paid#1 of 15
Median peer was paid$356K
This provider vs. median118×
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 | 100,939 | $6.16M | |
| 2019 | 110,756 | $5.92M | |
| 2020 | 86,766 | $5.64M | |
| 2021 | 86,748 | $5.64M | |
| 2022 | 101,867 | $6.53M | |
| 2023 | 115,801 | $6.84M | |
| 2024incomplete | 80,947 | $5.32M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0043 | Supported housing, per diem | 29% | 124,674 | 3,827 | $12.35M |
| H2017 | Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes | 24% | 135,930 | 9,334 | $10.05M |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | 19% | 52,201 | 45,791 | $8.09M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 12% | 83,411 | 40,902 | $4.88M |
| H2018 | Psychosocial rehabilitation services, per diem | 4.9% | 26,202 | 2,115 | $2.07M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.9% | 43,861 | 35,345 | $1.62M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.6% | 29,759 | 14,431 | $1.11M |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.8% | 9,253 | 7,068 | $742K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 8,361 | 7,107 | $261K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 3,807 | 2,508 | $229K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 9,371 | 3,426 | $202K |
| 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% | 3,334 | 2,709 | $154K |
24 more codes
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | <1% | 5,960 | $138K |
| 90837 | Psychotherapy session, about an hour | <1% | 700 | $46K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 2,084 | $37K |
| 99223 | Prolong inpt eval add15 m | <1% | 750 | $34K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 638 | $19K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 136 | $6K |
| 3008F | <1% | 4,497 | $4K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 226 | $3K |
| 3074F | <1% | 2,392 | $3K | |
| 3078F | <1% | 1,783 | $2K | |
| 3079F | <1% | 1,244 | $2K | |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 32 | $2K |
| 3077F | <1% | 1,115 | $1K | |
| 3080F | <1% | 926 | $1K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 24 | $981.79 |
| 3075F | <1% | 504 | $650.00 | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 30 | $578.24 |
| 90899 | <1% | 63 | $0.04 | |
| G9005 | Coordinated care fee, risk adjusted maintenance | <1% | 58,650 | $0.03 |
| G9006 | Coordinated care fee, home monitoring | <1% | 25,102 | $0.02 |
| G9004 | Coordinated care fee, risk adjusted low, initial | <1% | 37,834 | $0.02 |
| G9010 | Coordinated care fee, risk adjusted maintenance, level 4 | <1% | 5,566 | $0.01 |
| H2011 | Crisis intervention service, per 15 minutes | 0% | 1,489 | $0.00 |
| G9011 | Coordinated care fee, risk adjusted maintenance, level 5 | 0% | 1,915 | $0.00 |
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 officialDUFF, MARY (CFO)