Blue Ridge Pediatric & Adolescent Medicine, INC

Blue Ridge Pediatric & Adolescent Medicine, INC was paid $13.39M by Medicaid between Jan 2018 and Dec 2024, across 79 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 25% of everything it billed.

33Billing provider infoBLUE RIDGE PEDIATRIC & ADOLESCENT MEDICINE, INC
BOONE, NC 28607

33aNPI1114038163assigned 08/31/2006

33bProvider typePediatrics Physician

28Total paid$13.39M

24GClaims647,384

24DCodes billed79

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pediatrics Physician providers in North Carolina

Rank by total paid#20 of 433

Median peer was paid$942K

This provider vs. median14×

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	52,455	$1.42M
2019	50,175	$1.67M
2020	41,955	$1.42M
2021	86,811	$2.10M
2022	155,416	$2.58M
2023	134,116	$2.31M
2024incomplete	126,456	$1.89M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	25%	56,607	48,615	$3.34M
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	22%	33,874	29,480	$2.96M
99199	Unlisted special service, procedure or report	12%	293,558	171,442	$1.60M
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	6.5%	9,855	8,597	$877K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	6.2%	10,194	8,457	$829K
90472	Immunization administration, each additional vaccine (list separately)	5.4%	13,757	11,730	$727K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	4.7%	7,088	6,314	$629K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	3.7%	25,801	21,984	$490K
92552		2.1%	19,482	16,967	$285K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	2.1%	2,876	2,442	$278K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	1.5%	15,022	6,683	$196K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	1.4%	14,176	12,600	$186K

67 more codes

87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	1.3%	5,045	$177K
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	15,903	$133K
99051		<1%	5,429	$125K
90474		<1%	3,794	$74K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	8,054	$71K
D0145	Oral evaluation for a patient under three years of age	<1%	1,953	$67K
96127		<1%	12,776	$52K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	937	$32K
87081		<1%	4,981	$31K
D1206	Topical application of fluoride varnish	<1%	1,944	$30K
99173		<1%	21,829	$24K
96161		<1%	4,132	$16K
90686		<1%	7,549	$14K
90677		<1%	675	$11K
0071A		<1%	195	$10K
83655		<1%	658	$9K
90713		<1%	7,672	$9K
90651		<1%	233	$8K
99215	Doctor's office visit, returning patient (complex)	<1%	71	$8K
90700		<1%	9,962	$8K
0072A		<1%	137	$8K
90670		<1%	7,420	$6K
90680		<1%	4,516	$6K
95117		<1%	520	$5K
99381		<1%	52	$5K
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	174	$4K
90473		<1%	212	$4K
90716		<1%	1,141	$4K
90619		<1%	84	$4K
0001A		<1%	61	$3K
90647		<1%	5,158	$3K
87428		<1%	47	$3K
69210		<1%	67	$2K
90656		<1%	274	$2K
A4627	Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler	<1%	53	$2K
0003A		<1%	40	$2K
99238	Hospital discharge day management, 30 minutes or less	<1%	32	$1K
99203	Doctor's office visit, new patient (routine)	<1%	14	$1K
99460		<1%	33	$1K
81003		<1%	497	$1K
0073A		<1%	23	$1K
0081A		<1%	20	$1K
80053	Comprehensive metabolic panel	<1%	118	$1K
90744		<1%	2,390	$892.73
90707		<1%	1,025	$870.87
99401		<1%	32	$865.24
90672		<1%	306	$862.64
0002A		<1%	13	$859.69
90734		<1%	32	$855.84
36416		<1%	3,529	$807.70
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	48	$795.39
87086	Culture, bacterial; quantitative colony count, urine	<1%	72	$671.72
94664		<1%	59	$591.86
90633		<1%	1,473	$381.65
87807		<1%	40	$365.59
91307		<1%	450	$360.56
90480		<1%	28	$350.00
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	31	$339.56
81025		<1%	35	$253.20
90715		<1%	16	$248.40
36415	Collection of venous blood by venipuncture	<1%	89	$227.27
90660		<1%	15	$178.08
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	13	$142.24
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	34	$2.98
90685		0%	687	$0.00
91308		0%	55	$0.00
91300		0%	137	$0.00

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 officialHARDEE, LAURA (OFFICE MANAGER)