Mountain Ridge Pediatrics

Mountain Ridge Pediatrics was paid $59K by Medicaid between Oct 2020 and Nov 2024, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 89% of everything it billed.

33Billing provider infoMOUNTAIN RIDGE PEDIATRICS
HARRISONBURG, VA 22801

33aNPI1932504446assigned 10/27/2014

33bProvider typePrimary Care Clinic/Center

28Total paid$59K

24GClaims1,010

24DCodes billed3

24AFirst – last monthOct 2020 – Nov 2024

Compared with peers

Next to other Primary Care Clinic/Center providers in Virginia

Rank by total paid#49 of 80

Median peer was paid$108K

This provider vs. median0.5×

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
2020	13	$696.00
2021	210	$13K
2022	227	$13K
2023	362	$19K
2024incomplete	198	$13K

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	89%	910	806	$53K
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	11%	76	72	$6K
99177		<1%	24	24	$83.80

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 officialHUTTON, JAMIE (OWNER)