Physician
Ratchford, Mark
Ratchford, Mark was paid $245K by Medicaid between Jan 2018 and Oct 2024, across 10 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoRATCHFORD, MARK
PORTAGE, PA 15946
PORTAGE, PA 15946
33aNPI1669479101assigned 06/30/2005
33bProvider typeFamily Medicine Physician
28Total paid$245K
24GClaims5,186
24DCodes billed10
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#296 of 2,756
Median peer was paid$19K
This provider vs. median13×
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 | 19 | $1K | |
| 2020 | 158 | $8K | |
| 2021 | 1,513 | $67K | |
| 2022 | 1,351 | $64K | |
| 2023 | 1,649 | $76K | |
| 2024incomplete | 496 | $28K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 100% | 3,036 | 2,886 | $245K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 992 | 952 | $94.50 |
| 99173 | 0% | 29 | 29 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 16 | 16 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 26 | 26 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 12 | 12 | $0.00 |
| 90688 | 0% | 27 | 24 | $0.00 | |
| 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 | 0% | 1,006 | 984 | $0.00 |
| 3074F | 0% | 12 | 12 | $0.00 | |
| 92551 | 0% | 30 | 30 | $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.