Medicaid Provider Spending

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

RIDGEVIEW MEDICAL CENTER

NPI: 1811174923 · WACONIA, MN 55387 · Family Medicine Physician · NPI assigned 01/31/2008

$7.11M
Total Medicaid Paid
195,146
Total Claims
175,692
Beneficiaries
83
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPHELPS, MICHAEL (CEO)
Parent OrganizationRIDGEVIEW MEDICAL CENTER
NPI Enumeration Date01/31/2008

Related Entities

Other providers sharing the same authorized official: PHELPS, MICHAEL

ProviderCityStateTotal Paid
RIDGEVIEW MEDICAL CENTER WACONIA MN $19.62M
SIBLEY MEDICAL CENTER ARLINGTON MN $238K
MINNESOTA VALLEY HEALTH CENTER INC LE SUEUR MN $205K
SIBLEY MEDICAL CENTER ARLINGTON MN $182K
SIBLEY MEDICAL CENTER GAYLORD MN $153K
SIBLEY MEDICAL CENTER WINTHROP MN $67K
NORRIS CITY-OMAHA-ENFIELD CSUD 3 NORRIS CITY IL $45K
SIBLEY MEDICAL CENTER HENDERSON MN $9K
MARTINSVILLE CHIROPRACTIC CARE, P.C. MARTINSVILLE IN $7K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 38,471 $426K
2019 37,894 $1.45M
2020 30,644 $1.20M
2021 31,595 $1.56M
2022 21,697 $1.03M
2023 18,512 $778K
2024 16,333 $665K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 61,249 55,167 $2.42M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 33,178 29,474 $1.86M
99284 Emergency department visit for the evaluation and management, high severity 15,315 13,908 $958K
99283 Emergency department visit for the evaluation and management, moderate severity 16,286 15,401 $618K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 2,977 2,720 $244K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,198 2,080 $114K
99215 Prolong outpt/office vis 1,226 1,114 $111K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 836 810 $75K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,747 2,600 $74K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 866 823 $67K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 2,967 2,833 $65K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 13,421 10,891 $62K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,746 2,566 $31K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 2,077 1,907 $27K
99000 1,660 1,561 $26K
99308 Subsequent nursing facility care, per day, straightforward 833 637 $26K
36415 Collection of venous blood by venipuncture 11,153 9,888 $25K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1,087 1,049 $24K
71046 Radiologic examination, chest; 2 views 2,586 2,455 $22K
84443 Thyroid stimulating hormone (TSH) 1,589 1,535 $21K
99309 Subsequent nursing facility care, per day, low to moderate complexity 360 271 $18K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,165 1,116 $16K
99232 Subsequent hospital care, per day, moderate complexity 705 231 $16K
0002A 413 369 $13K
80061 Lipid panel 1,099 1,076 $12K
80048 Basic metabolic panel (calcium, ionized) 1,776 1,653 $11K
0001A 530 471 $11K
80053 Comprehensive metabolic panel 1,258 1,211 $11K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 142 142 $10K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,499 1,416 $9K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 57 57 $8K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 205 194 $8K
77067 Screening mammography, bilateral, including computer-aided detection 129 122 $7K
90686 885 848 $7K
74177 Computed tomography, abdomen and pelvis; with contrast material 94 86 $7K
83036 Hemoglobin; glycosylated (A1C) 905 889 $7K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 43 43 $6K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 84 80 $6K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 951 565 $6K
90472 Immunization administration, each additional vaccine (list separately) 323 310 $5K
99239 Hospital discharge day management, more than 30 minutes 89 74 $5K
85027 642 600 $4K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 203 197 $4K
95251 156 147 $3K
90682 55 55 $3K
81001 1,026 965 $3K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 50 46 $2K
81025 446 422 $2K
87088 314 299 $2K
77063 Screening digital breast tomosynthesis, bilateral 114 107 $2K
87631 13 13 $2K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 30 26 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 33 31 $2K
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) 611 583 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 27 26 $1K
99310 Prolong nursin fac eval 15m 16 14 $1K
99307 59 53 $1K
99233 Prolong inpt eval add15 m 20 12 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 121 97 $911.62
90715 106 98 $868.89
71045 Radiologic examination, chest; single view 159 140 $850.02
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 96 91 $811.54
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 13 12 $686.50
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 86 83 $645.19
94729 82 81 $543.54
99152 96 66 $534.92
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 21 12 $524.80
94726 42 41 $424.18
94060 42 41 $336.89
70450 Computed tomography, head or brain; without contrast material 14 12 $320.67
85018 177 164 $262.88
84439 51 50 $245.76
99442 16 13 $236.34
90651 53 50 $221.45
87420 16 16 $207.63
73610 15 14 $136.95
82043 14 14 $86.41
81003 135 128 $70.14
99173 32 31 $55.16
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 155 133 $0.00
90734 43 39 $0.00
87210 17 15 $0.00
99223 Prolong inpt eval add15 m 20 12 $0.00