NP / PA
Ridge Outpatient Counseling, LLC
Ridge Outpatient Counseling, LLC was paid $5.19M by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 31% of everything it billed.
33Billing provider infoRIDGE OUTPATIENT COUNSELING, LLC
LEXINGTON, KY 40509
LEXINGTON, KY 40509
33aNPI1922214956assigned 05/15/2007
33bProvider typeNurse Practitioner
28Total paid$5.19M
24GClaims144,025
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Nurse Practitioner providers in Kentucky
Rank by total paid#9 of 260
Median peer was paid$89K
This provider vs. median58×
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 | 19,503 | $753K | |
| 2019 | 21,686 | $878K | |
| 2020 | 24,255 | $934K | |
| 2021 | 24,287 | $842K | |
| 2022 | 21,512 | $691K | |
| 2023 | 19,325 | $631K | |
| 2024incomplete | 13,457 | $461K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 31% | 46,470 | 18,134 | $1.59M |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 15% | 39,326 | 15,143 | $796K |
| 99222 | Initial hospital care, per day, moderate complexity | 12% | 8,552 | 7,816 | $619K |
| 99238 | Hospital discharge day management, 30 minutes or less | 9.6% | 11,898 | 10,840 | $497K |
| 99223 | Prolong inpt eval add15 m | 8.9% | 4,938 | 4,523 | $462K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.2% | 13,944 | 11,915 | $376K |
| 99239 | Hospital discharge day management, more than 30 minutes | 5.1% | 4,338 | 3,868 | $264K |
| 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 | 4.7% | 6,092 | 5,034 | $245K |
| 99221 | 2.4% | 3,125 | 2,845 | $124K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.7% | 2,368 | 1,303 | $87K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 575 | 278 | $33K |
| 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% | 465 | 411 | $32K |
10 more codes
| 90832 | Psychotherapy session, about 30 minutes | <1% | 780 | $25K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 461 | $20K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 244 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 204 | $3K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 72 | $3K |
| 90870 | <1% | 75 | $2K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 13 | $787.28 |
| 90887 | <1% | 17 | $649.24 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 29 | $50.00 |
| 96127 | <1% | 39 | $9.24 |
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 officialHANCOCK, TERRI (BUSINESS OFFICE MANAGER)