Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

HOLLY RIDGE HEALTHCARE PA

NPI: 1558544957 · HOLLY RIDGE, NC 28445 · Family Medicine Physician · NPI assigned 12/10/2007

$300K
Total Medicaid Paid
30,501
Total Claims
18,451
Beneficiary Records
18
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPRIDGEN, JAMES (MEDICAL DIRECTOR)
NPI Enumeration Date12/10/2007

Related Entities

Other providers sharing the same authorized official: PRIDGEN, JAMES

ProviderCityStateTotal Paid
NORTH WHITEVILLE URGENT CARE & FAMILY PRACTICE PA WHITEVILLE NC $2.01M
SOUTHSIDE MEDICAL CENTER PA WILMINGTON NC $803K
WHITEVILLE FAMILY PRACTICE, PA WHITEVILLE NC $6K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,548 $28K
2019 1,095 $29K
2020 1,169 $36K
2021 1,968 $39K
2022 4,308 $44K
2023 7,503 $39K
2024 12,910 $84K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,147 2,213 $133K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,705 1,870 $89K
99199 Unlisted special service, procedure or report 17,172 9,018 $76K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 113 67 $1K
36415 Collection of venous blood by venipuncture 1,027 702 $646.54
80305 87 53 $242.13
82962 161 102 $149.83
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 127 109 $117.93
81003 105 61 $88.64
99072 73 56 $60.00
3074F 1,321 948 $0.00
1036F 1,310 956 $0.00
3075F 96 84 $0.00
1034F 376 281 $0.00
3079F 549 432 $0.00
3078F 1,091 796 $0.00
1159F 521 352 $0.00
1160F 520 351 $0.00