Blue Ridge Heart Care PC

Blue Ridge Heart Care PC was paid $165K by Medicaid between Jan 2018 and Jun 2023, across 5 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 74% of everything it billed.

33Billing provider infoBLUE RIDGE HEART CARE PC
ROCKY MOUNT, VA 24151

33aNPI1104102706assigned 10/26/2011

33bProvider typeMedical Specialty Clinic/Center

28Total paid$165K

24GClaims7,815

24DCodes billed5

24AFirst – last monthJan 2018 – Jun 2023

Compared with peers

Next to other Medical Specialty Clinic/Center providers in Virginia

Rank by total paid#3 of 19

Median peer was paid$18K

This provider vs. median9.0×

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	1,255	$20K
2019	2,816	$58K
2020	2,557	$49K
2021	926	$24K
2022	171	$9K
2023	90	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99309	Subsequent nursing facility care, per day, low to moderate complexity	74%	6,105	2,329	$123K
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	18%	824	659	$29K
99308	Subsequent nursing facility care, per day, straightforward	7.3%	773	519	$12K
99305		<1%	95	48	$1K
99318		<1%	18	13	$70.94

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 officialTURNER, CRAIG (PRESIDENT)