Physician
Prairie Ridge Health, INC.
Prairie Ridge Health, INC. was paid $105K by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 39% of everything it billed.
33Billing provider infoPRAIRIE RIDGE HEALTH, INC.
COLUMBUS, WI 53925
COLUMBUS, WI 53925
33aNPI1912329335assigned 01/21/2014
33bProvider typeSurgery Physician
28Total paid$105K
24GClaims2,867
24DCodes billed11
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Surgery Physician providers in Wisconsin
Rank by total paid#7 of 22
Median peer was paid$15K
This provider vs. median6.8×
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 | 342 | $7K | |
| 2019 | 448 | $8K | |
| 2020 | 169 | $4K | |
| 2021 | 243 | $5K | |
| 2022 | 160 | $3K | |
| 2023 | 633 | $22K | |
| 2024incomplete | 872 | $55K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 39% | 844 | 724 | $41K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 998 | 763 | $20K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 18% | 352 | 321 | $19K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 11% | 132 | 66 | $12K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 7.2% | 413 | 408 | $8K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 3.5% | 30 | 27 | $4K |
| 0002A | <1% | 12 | 12 | $457.92 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 14 | 13 | $392.30 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 33 | 28 | $386.66 |
| 90686 | <1% | 14 | 14 | $82.64 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 25 | 25 | $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 officialRUSSELL, JOHN (PRESIDENT & CEO)
Parent organizationCOLUMBUS COMMUNITY HOSPITAL INC
| Provider | Location | Paid |
|---|---|---|
| Prairie Ridge Health, INC. | Columbus, WI | $6.82M |
| Cape County Private Ambulance Service, INC. | Cape Girardeau, MO | $5.46M |
| Catholic Health System Infusion Pharmacy INC | Depew, NY | $104K |
| Prairie Ridge Health, INC. | Beaver Dam, WI | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.