Medicaid Provider Spending

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

MOUNTAIN RIDGE PEDIATRICS

NPI: 1932504446 · HARRISONBURG, VA 22801 · Primary Care Clinic/Center · NPI assigned 10/27/2014

$59K
Total Medicaid Paid
1,010
Total Claims
902
Beneficiaries
3
Codes Billed
2020-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHUTTON, JAMIE (OWNER)
NPI Enumeration Date10/27/2014

Monthly Spending Trend

Yearly Breakdown

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

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 910 806 $53K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 76 72 $6K
99177 24 24 $83.80