Ridenour, Karen
Ridenour, Karen was paid $249K by Medicaid between Jan 2018 and Dec 2024, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoRIDENOUR, KAREN
SPRINGFIELD, IL 62781
SPRINGFIELD, IL 62781
33aNPI1720347933assigned 05/08/2012
33bProvider typeRegistered Nurse
28Total paid$249K
24GClaims5,553
24DCodes billed4
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Registered Nurse providers in Illinois
Rank by total paid#36 of 486
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 | 430 | $21K | |
| 2019 | 755 | $35K | |
| 2020 | 439 | $22K | |
| 2021 | 618 | $34K | |
| 2022 | 1,067 | $40K | |
| 2023 | 1,080 | $39K | |
| 2024incomplete | 1,164 | $57K |
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 | 38% | 2,411 | 2,310 | $95K |
| 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 | 29% | 1,645 | 1,493 | $72K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 17% | 900 | 863 | $42K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 16% | 597 | 566 | $40K |
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.