Physician
Healthridge Medical Center INC
Healthridge Medical Center INC was paid $3.24M by Medicaid between Jan 2018 and May 2022, across 84 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.
33Billing provider infoHEALTHRIDGE MEDICAL CENTER INC
CAMPBELL, OH 44405
CAMPBELL, OH 44405
33aNPI1497717664assigned 04/04/2006
33bProvider typePediatrics Physician
28Total paid$3.24M
24GClaims130,843
24DCodes billed84
24AFirst – last monthJan 2018 – May 2022
Compared with peers
Next to other Pediatrics Physician providers in Ohio
Rank by total paid#24 of 401
Median peer was paid$30K
This provider vs. median110×
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 | 32,149 | $913K | |
| 2019 | 34,972 | $850K | |
| 2020 | 26,446 | $626K | |
| 2021 | 27,456 | $624K | |
| 2022 | 9,820 | $227K |
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 | 47% | 40,233 | 36,506 | $1.52M |
| 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 | 26% | 16,323 | 15,036 | $837K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 8.5% | 11,525 | 10,164 | $276K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 4.8% | 4,719 | 4,470 | $156K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.3% | 764 | 756 | $43K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.3% | 683 | 669 | $42K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.2% | 698 | 691 | $39K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.2% | 2,199 | 2,082 | $38K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,651 | 2,552 | $32K |
| 94010 | <1% | 1,195 | 1,159 | $23K | |
| 81003 | <1% | 9,653 | 9,225 | $18K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,309 | 1,165 | $18K |
72 more codes
| 92551 | <1% | 2,978 | $18K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 836 | $16K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,050 | $15K |
| 81025 | <1% | 2,313 | $14K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 264 | $14K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,891 | $14K |
| 85018 | <1% | 6,078 | $13K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 568 | $8K |
| 93000 | <1% | 524 | $7K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 683 | $7K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 95 | $7K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 119 | $6K |
| 90674 | <1% | 322 | $6K | |
| 3008F | <1% | 745 | $6K | |
| 82962 | <1% | 2,117 | $5K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 110 | $4K |
| 99173 | <1% | 2,478 | $4K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 337 | $4K |
| 83655 | <1% | 836 | $4K | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 135 | $4K |
| 96127 | <1% | 1,070 | $4K | |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 141 | $4K |
| 99441 | <1% | 549 | $3K | |
| 36416 | <1% | 624 | $2K | |
| 96160 | <1% | 548 | $2K | |
| 99442 | <1% | 266 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 12 | $1K |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 398 | $748.23 |
| 99406 | <1% | 88 | $680.38 | |
| 69209 | <1% | 77 | $650.35 | |
| 99443 | <1% | 53 | $402.48 | |
| 90633 | <1% | 146 | $386.64 | |
| 3080F | <1% | 205 | $345.00 | |
| 3077F | <1% | 188 | $315.00 | |
| 3079F | <1% | 178 | $260.00 | |
| 3078F | <1% | 110 | $250.00 | |
| 3074F | <1% | 143 | $245.00 | |
| 90698 | <1% | 116 | $200.00 | |
| 90710 | <1% | 108 | $60.00 | |
| 90670 | <1% | 186 | $50.00 | |
| 3075F | <1% | 14 | $50.00 | |
| 90707 | <1% | 42 | $30.00 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 143 | $30.00 |
| 90716 | <1% | 42 | $30.00 | |
| 90651 | <1% | 152 | $25.00 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 205 | $23.95 |
| 90734 | <1% | 144 | $20.00 | |
| 90686 | <1% | 145 | $20.00 | |
| 3046F | <1% | 28 | $10.00 | |
| 90733 | <1% | 126 | $10.00 | |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 333 | $0.00 |
| 4004F | 0% | 939 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 408 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 806 | $0.00 |
| 90715 | 0% | 48 | $0.00 | |
| 3015F | 0% | 402 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 28 | $0.00 |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 0% | 67 | $0.00 |
| 1160F | 0% | 27 | $0.00 | |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 74 | $0.00 |
| 2022F | 0% | 12 | $0.00 | |
| 1036F | 0% | 3,544 | $0.00 | |
| 3017F | 0% | 745 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 57 | $0.00 |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 44 | $0.00 |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 332 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 148 | $0.00 |
| 90688 | 0% | 58 | $0.00 | |
| 90696 | 0% | 31 | $0.00 | |
| 3044F | 0% | 26 | $0.00 | |
| G8952 | Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given | 0% | 24 | $0.00 |
| G8756 | No documentation of blood pressure measurement, reason not given | 0% | 12 | $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 officialMILLER, VICKI (PRACTICE ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Typical Life Corporation | York, PA | $353K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.