Physician
Ridgeview Medical Center
Ridgeview Medical Center was paid $7.11M by Medicaid between Jan 2018 and Dec 2024, across 83 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.
33Billing provider infoRIDGEVIEW MEDICAL CENTER
WACONIA, MN 55387
WACONIA, MN 55387
33aNPI1811174923assigned 01/31/2008
33bProvider typeFamily Medicine Physician
28Total paid$7.11M
24GClaims195,146
24DCodes billed83
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Minnesota
Rank by total paid#7 of 126
Median peer was paid$73K
This provider vs. median97×
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 | 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 | |
| 2024incomplete | 16,333 | $665K |
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 | 34% | 61,249 | 55,167 | $2.42M |
| 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% | 33,178 | 29,474 | $1.86M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 13% | 15,315 | 13,908 | $958K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 8.7% | 16,286 | 15,401 | $618K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 3.4% | 2,977 | 2,720 | $244K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.6% | 2,198 | 2,080 | $114K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.6% | 1,226 | 1,114 | $111K |
| 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 | 1.1% | 836 | 810 | $75K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.0% | 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 | <1% | 866 | 823 | $67K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 2,967 | 2,833 | $65K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 13,421 | 10,891 | $62K |
71 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,746 | $31K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 2,077 | $27K |
| 99000 | <1% | 1,660 | $26K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 833 | $26K |
| 36415 | Collection of venous blood by venipuncture | <1% | 11,153 | $25K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 1,087 | $24K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 2,586 | $22K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 1,589 | $21K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 360 | $18K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,165 | $16K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 705 | $16K |
| 0002A | <1% | 413 | $13K | |
| 80061 | Lipid panel | <1% | 1,099 | $12K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 1,776 | $11K |
| 0001A | <1% | 530 | $11K | |
| 80053 | Comprehensive metabolic panel | <1% | 1,258 | $11K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 142 | $10K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,499 | $9K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 57 | $8K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 205 | $8K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 129 | $7K |
| 90686 | <1% | 885 | $7K | |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 94 | $7K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 905 | $7K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 43 | $6K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 84 | $6K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 951 | $6K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 323 | $5K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 89 | $5K |
| 85027 | <1% | 642 | $4K | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 203 | $4K |
| 95251 | <1% | 156 | $3K | |
| 90682 | <1% | 55 | $3K | |
| 81001 | <1% | 1,026 | $3K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 50 | $2K |
| 81025 | <1% | 446 | $2K | |
| 87088 | <1% | 314 | $2K | |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 114 | $2K |
| 87631 | <1% | 13 | $2K | |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | <1% | 30 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 33 | $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) | <1% | 611 | $2K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 27 | $1K |
| 99310 | Prolong nursin fac eval 15m | <1% | 16 | $1K |
| 99307 | <1% | 59 | $1K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 20 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 121 | $911.62 |
| 90715 | <1% | 106 | $868.89 | |
| 71045 | Radiologic examination, chest; single view | <1% | 159 | $850.02 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 96 | $811.54 |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 13 | $686.50 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 86 | $645.19 |
| 94729 | <1% | 82 | $543.54 | |
| 99152 | <1% | 96 | $534.92 | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 21 | $524.80 |
| 94726 | <1% | 42 | $424.18 | |
| 94060 | <1% | 42 | $336.89 | |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 14 | $320.67 |
| 85018 | <1% | 177 | $262.88 | |
| 84439 | <1% | 51 | $245.76 | |
| 99442 | <1% | 16 | $236.34 | |
| 90651 | <1% | 53 | $221.45 | |
| 87420 | <1% | 16 | $207.63 | |
| 73610 | <1% | 15 | $136.95 | |
| 82043 | <1% | 14 | $86.41 | |
| 81003 | <1% | 135 | $70.14 | |
| 99173 | <1% | 32 | $55.16 | |
| G1004 | Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program | 0% | 155 | $0.00 |
| 90734 | 0% | 43 | $0.00 | |
| 87210 | 0% | 17 | $0.00 | |
| 99223 | Prolong inpt eval add15 m | 0% | 20 | $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 officialPHELPS, MICHAEL (CEO)
Parent organizationRIDGEVIEW MEDICAL CENTER
| Provider | Location | Paid |
|---|---|---|
| Ridgeview Medical Center | Waconia, MN | $19.62M |
| Sibley Medical Center | Arlington, MN | $238K |
| Minnesota Valley Health Center INC | Le Sueur, MN | $205K |
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| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.