Medicaid Provider Spending

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

BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC.

NPI: 1043618523 · CONNELLY SPRINGS, NC 28612 · Family Medicine Physician · NPI assigned 12/15/2014

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official MOLL, PATRICIA controls 20+ related entities in our dataset. Read more

$1.52M
Total Medicaid Paid
59,801
Total Claims
48,274
Beneficiaries
31
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMOLL, PATRICIA (SVP-CFO)
NPI Enumeration Date12/15/2014

Related Entities

Other providers sharing the same authorized official: MOLL, PATRICIA

ProviderCityStateTotal Paid
BLUE RIDGE HEALTHCARE HOSPITALS, INC. MORGANTON NC $20.14M
BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC. MARION NC $3.87M
BLUE RIDGE HEALTHCARE MEDICAL GROUP INC MORGANTON NC $2.37M
BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC. LENOIR NC $1.58M
BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC GLEN ALPINE NC $1.50M
BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC. LENOIR NC $1.36M
BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC. MORGANTON NC $930K
BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC. MORGANTON NC $509K
BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC. MORGANTON NC $483K
BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC. MORGANTON NC $448K
BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC. VALDESE NC $420K
BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC. MORGANTON NC $419K
BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC. MORGANTON NC $406K
BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC. MORGANTON NC $360K
BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC. MORGANTON NC $325K
BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC. MORGANTON NC $323K
BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC. MORGANTON NC $285K
BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC. NEBO NC $259K
BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC. MARION NC $243K
BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC. MORGANTON NC $164K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 350 $14K
2019 2,482 $99K
2020 3,348 $129K
2021 7,299 $213K
2022 13,211 $334K
2023 16,621 $356K
2024 16,490 $373K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11,078 9,160 $525K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,526 6,280 $440K
87428 3,310 2,740 $163K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 1,209 876 $110K
99199 Unlisted special service, procedure or report 24,031 18,864 $109K
99051 2,054 1,806 $47K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,471 3,002 $40K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,258 945 $34K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 368 265 $23K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 489 326 $8K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 34 33 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 144 123 $4K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 302 243 $3K
99442 67 48 $2K
99215 Prolong outpt/office vis 47 31 $2K
99401 28 14 $620.49
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 25 21 $415.15
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 20 19 $389.22
90460 Immunization administration through 18 years of age via any route, first or only component 13 13 $369.53
83036 Hemoglobin; glycosylated (A1C) 61 55 $347.49
90686 49 40 $179.19
90656 13 13 $99.87
81002 26 25 $53.53
81003 15 13 $37.89
3078F 2,066 1,673 $0.00
3077F 156 137 $0.00
3074F 1,638 1,258 $0.00
3075F 141 118 $0.00
3079F 129 108 $0.00
G0008 Administration of influenza virus vaccine 21 13 $0.00
92551 12 12 $0.00