Ethridge, John

Ethridge, John was paid $86K by Medicaid between Aug 2018 and Jun 2020, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.

33Billing provider infoETHRIDGE, JOHN
SPRINGFIELD, MO 65807

33aNPI1306042619assigned 06/23/2007

33bProvider typeMaternal & Fetal Medicine Physician

28Total paid$86K

24GClaims1,855

24DCodes billed6

24AFirst – last monthAug 2018 – Jun 2020

Compared with peers

Next to other Maternal & Fetal Medicine Physician providers in Missouri

Rank by total paid#20 of 36

Median peer was paid$89K

This provider vs. median1.0×

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
2018	251	$8K
2019	1,139	$58K
2020	465	$20K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	37%	573	493	$31K
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	26%	641	560	$22K
76819	Fetal biophysical profile; without non-stress testing	15%	433	283	$13K
99244	Office or other outpatient consultation, moderate to high complexity	11%	63	61	$10K
76811	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed	10%	117	113	$9K
76815	Ultrasound, pregnant uterus, real time with image documentation, limited	<1%	28	15	$648.40

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.