Medicaid Provider Spending

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

BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC.

NPI: 1184915639 · MORGANTON, NC 28655 · Family Medicine Physician · NPI assigned 05/02/2011

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

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

$509K
Total Medicaid Paid
28,704
Total Claims
23,946
Beneficiaries
22
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMOLL, PATRICIA (SVP-CFO)
NPI Enumeration Date05/02/2011

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. CONNELLY SPRINGS NC $1.52M
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 $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 1,236 $43K
2019 1,634 $72K
2020 944 $46K
2021 3,216 $68K
2022 7,227 $81K
2023 6,008 $68K
2024 8,439 $130K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,650 4,173 $204K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,374 2,150 $171K
99199 Unlisted special service, procedure or report 18,047 14,633 $99K
90837 Psychotherapy, 53 minutes with patient 197 99 $18K
99232 Subsequent hospital care, per day, moderate complexity 323 148 $11K
99233 Prolong inpt eval add15 m 44 25 $3K
83036 Hemoglobin; glycosylated (A1C) 168 159 $1K
99442 18 15 $536.90
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 15 12 $496.45
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 100 97 $410.78
36415 Collection of venous blood by venipuncture 240 223 $391.72
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 13 12 $187.97
90686 16 14 $132.40
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 14 12 $74.06
3077F 188 167 $0.00
3078F 1,002 875 $0.00
1160F 12 12 $0.00
3075F 154 138 $0.00
3079F 200 169 $0.00
3074F 875 762 $0.00
3080F 42 39 $0.00
1170F 12 12 $0.00