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    v1.0.28
    OpenPayerNPI Medicare & MedicaidAlbert Ridgeway
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    Albert Ridgeway — Billing Profile & Reimbursement Data

    NPI 1326013558 · Sheffield, AL · Specialist

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    Albert Ridgeway is a specialist provider located in Sheffield, Alabama. This profile covers 49 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationAlbert Ridgeway
    Address342 Cox Blvd
    CitySheffield
    StateAL
    ZIP35660
    TaxonomySpecialist
    NPI EnumeratedFebruary 21, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$142.2K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    49 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…220$70$16.1K
    99232The 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…270$60$15.7K
    95811During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more.110$140$14.9K
    95810Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…100$150$14.2K
    99223The 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…100$120$11.5K
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…420$20$8.9K
    71250In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.130$60$7.1K
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…320$20$5.1K
    94729In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream.120$40$4.4K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…90$40$3.5K

    Showing 1–10 of 49

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 49 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    49 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    93306421440170$80$19.1K
    992142,3237,330120$80$16.8K
    8230632734060$30$16K
    99490215350150$40$14.1K
    992326052,530100$60$13.3K
    80053194670140$10$13.1K
    844438356090$20$12.2K
    80061310590120$10$12.1K
    95811127040$180$11.1K
    9581087040$150$8.5K

    Showing 1–10 of 49

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Albert Ridgeway, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Shoals Primary Care, LLCALFamily Medicine Physician$0$5.8M
    Hh Health System - Shoals LLCALGeneral Acute Care Hospital$0$5M
    Nadeem AhmedMOPulmonary Disease Physician$192K$426.2K
    Christopher PavlovicILCardiovascular Disease Physician$400.2K$68.9K
    Loren MccoyALInternal Medicine Physician$334.2K$0
    Kenneth RoseALInternal Medicine Physician$318.9K$0
    Subir PaulALNephrology Physician$276.6K$0
    Zaman ShahALInternal Medicine Physician$262.5K$0
    Anjaneyulu AlapatiALNeurology Physician$221.5K$0
    Brad GinevanALFamily Medicine Physician$217.3K$0

    Nearby Providers

    Other providers in the same ZIP code as Albert Ridgeway, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Northwest Alabama Health Services, LLCALAmbulance$1.3M$2.3M
    Northwest Emergency Physician GroupALEmergency Medicine Physician$0$2.8M
    Colbert County Health Dept Fp ClinicALPublic Health or Welfare Agency$0$1.9M
    Oral & Facial Surgery Of The Shoals, L.L.C.ALOral and Maxillofacial Surgery (Dentist)$0$1.6M
    State Of Alabama Department Of Public HealthALHome Health Agency$0$1.3M
    Faith Based Psychological Associates, IncALCommunity/Behavioral Health Agency$0$1.3M
    Jerry WilliamsALCardiovascular Disease Physician$370.6K$0
    Charles ThompsonALFamily Medicine Physician$303.5K$0
    Anthony HortonALFamily Medicine Physician$301.9K$0
    Mark KasselsALOphthalmology Physician$225.3K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Alabama Distribution
    Albert Ridgeway — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama