Ridgeline Physician Services, PLC

Ridgeline Physician Services, PLC was paid $1.18M by Medicaid between Jan 2018 and Mar 2021, across 43 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 47% of everything it billed.

33Billing provider infoRIDGELINE PHYSICIAN SERVICES, PLC
CULPEPER, VA 22701

33aNPI1952627119assigned 04/13/2010

33bProvider typeAnesthesiology Physician

28Total paid$1.18M

24GClaims26,816

24DCodes billed43

24AFirst – last monthJan 2018 – Mar 2021

Compared with peers

Next to other Anesthesiology Physician providers in Virginia

Rank by total paid#8 of 61

Median peer was paid$20K

This provider vs. median60×

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	3,244	$115K
2019	10,122	$439K
2020	10,194	$480K
2021	3,256	$147K

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	47%	9,089	7,923	$553K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	36%	9,405	8,324	$426K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	6.3%	1,163	1,043	$74K
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	2.9%	392	357	$34K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	1.3%	1,215	1,123	$15K
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	<1%	173	97	$10K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	322	304	$9K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	120	113	$6K
99441		<1%	352	274	$5K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	56	56	$4K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	<1%	157	133	$4K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	312	148	$4K

31 more codes

92552		<1%	150	$4K
01992		<1%	64	$3K
64483		<1%	34	$3K
99442		<1%	136	$3K
90686		<1%	237	$3K
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	<1%	153	$2K
96127		<1%	347	$2K
90674		<1%	124	$2K
80305		<1%	311	$2K
64484		<1%	33	$2K
90837	Psychotherapy session, about an hour	<1%	20	$2K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	666	$1K
99215	Doctor's office visit, returning patient (complex)	<1%	12	$1K
64493		<1%	12	$960.02
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	<1%	12	$932.31
90651		<1%	16	$862.52
99177		<1%	261	$816.76
64495		<1%	12	$563.00
64494		<1%	12	$555.56
97802		<1%	14	$522.84
81003		<1%	267	$465.71
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	40	$432.70
11721		<1%	30	$430.61
85018		<1%	191	$422.70
82962		<1%	167	$271.94
90672		<1%	12	$234.79
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	74	$181.80
99000		<1%	126	$157.70
36415	Collection of venous blood by venipuncture	<1%	82	$134.15
90472	Immunization administration, each additional vaccine (list separately)	<1%	80	$123.45
36416		<1%	365	$49.31

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 officialWOLF, CHARITY (DIRECTOR)