NP / PA
Pine Ridge Family Clinic, LLC
Pine Ridge Family Clinic, LLC was paid $168K by Medicaid between Jul 2020 and Oct 2024, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.
33Billing provider infoPINE RIDGE FAMILY CLINIC, LLC
COLLINS, MS 39428
COLLINS, MS 39428
33aNPI1366075236assigned 02/19/2020
33bProvider typeNurse Practitioner
28Total paid$168K
24GClaims3,788
24DCodes billed12
24AFirst – last monthJul 2020 – Oct 2024
Compared with peers
Next to other Nurse Practitioner providers in Mississippi
Rank by total paid#27 of 85
Median peer was paid$35K
This provider vs. median4.8×
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 | |
|---|---|---|---|
| 2020 | 452 | $12K | |
| 2021 | 1,160 | $56K | |
| 2022 | 1,280 | $52K | |
| 2023 | 652 | $35K | |
| 2024incomplete | 244 | $13K |
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 | 43% | 1,317 | 1,159 | $73K |
| 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 | 18% | 432 | 376 | $30K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 11% | 259 | 252 | $19K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 11% | 573 | 490 | $19K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 7.6% | 394 | 365 | $13K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 3.1% | 176 | 163 | $5K |
| 87428 | 2.1% | 142 | 134 | $4K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.6% | 316 | 136 | $3K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.3% | 56 | 53 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 90 | 83 | $960.38 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 20 | 20 | $247.72 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 13 | 13 | $58.20 |
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 officialHEDGEPETH, MARLANA (OWNER)
| Provider | Location | Paid |
|---|---|---|
| South Ridge Family Clinic, LLC | Ellisville, MS | $687K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.