Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Mississippi for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Mississippi only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Mississippi (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Ridgewood Clinics PA (NPI 1023233749)

Ridgewood Clinics PA is a mental health counselor provider located in Jackson, Mississippi. This profile covers 0 Medicare and 12 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Ridgewood Clinics PA
Address	1059 Ridgewood Clinic
City	Jackson
State	MS
ZIP	39211
Taxonomy	Mental Health Counselor
NPI Enumerated	April 16, 2007

Payer Source	Total Paid
Medicaid	$1.7M
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	19,890	$40	$855.4K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	9,720	$50	$437.2K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	970	$130	$123.2K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	860	$80	$65.7K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	1,070	$50	$49K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	460	$110	$48.4K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	560	$70	$37K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	950	$40	$36.1K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	280	$50	$12.8K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	310	$40	$11.9K

Showing 1–10 of 12

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Mississippi providers billing the same CPT/HCPCS codes.

Claims Volume vs. Mississippi Distribution

Ridgewood Clinics PA — 0 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Mississippi

Full comparison — all codes billed, vs. Mississippi median

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	28	80	300	$80	$337.4K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	112	1,910	930	$60	$278.7K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	86	160	380	$70	$223.2K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	897	1,670	720	$50	$196.4K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	41	120	340	$50	$148.2K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	37	280	680	$20	$102K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	34	100	190	$100	$69.2K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	63	160	80	$90	$61.3K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	38	150	170	$60	$56.7K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	40	160	300	$40	$41.8K

Showing 1–10 of 12

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Aneta Hopkins	SC	Professional Counselor	$0	$2.3M
Denise Lyn-bradley	GA	Professional Counselor	$0	$713.8K
Jacqueline Bilodeau	VT	Clinical Social Worker	$0	$703.6K
Cheryl Gardner	GA	Professional Counselor	$0	$639.3K
Rachene Alexander	NJ	Psychiatric/Mental Health Nurse Practitioner	$425.3K	$0
Julio Enriquez Torres	FL	Psychiatric/Mental Health Nurse Practitioner	$373.6K	$0
Karin Raaberg	NH	Psychiatric/Mental Health Nurse Practitioner	$22.6K	$328.7K
Jamie Pease	RI	Clinical Social Worker	$0	$338.3K
Krishan Gupta	MS	Psychiatry Physician	$22.9K	$300.7K
Tiffany Vance-whipple	MT	Addiction (Substance Use Disorder) Counselor	$0	$247.7K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Statewide Healthcare Services, Inc	MS	Home Health Agency	$0	$145.2M
Statewide Healthcare Services, Inc	MS	Home Health Agency	$0	$97.6M
Statewide Healthcare Services, Inc	MS	Nursing Care Agency	$0	$67.2M
Statewide Healthcare Services, Inc	MS	Nursing Care Agency	$0	$17.2M
Pleasant Living Care Coordination	MS	Homemaker	$0	$15.7M
Statewide Healthcare Services, Inc	MS	Nursing Care Agency	$0	$9.4M
Isluv Robertson	MS	Registered Nurse	$0	$3.7M
Statewide Healthcare Services, Inc	MS	Community/Behavioral Health Agency	$0	$1.9M
John Wilkaitis	MS	Child & Adolescent Psychiatry Physician	$22.2K	$1.4M
Joseph Blackston	MS	Internal Medicine Physician	$299.4K	$0

Ridgewood Clinics PA — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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