Blue Ridge Physicians for Women, INC

Blue Ridge Physicians for Women, INC was paid $468K by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.

33Billing provider infoBLUE RIDGE PHYSICIANS FOR WOMEN, INC
GALAX, VA 24333

33aNPI1194082149assigned 04/16/2012

33bProvider typeObstetrics & Gynecology Physician

28Total paid$468K

24GClaims8,928

24DCodes billed18

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Virginia

Rank by total paid#24 of 243

Median peer was paid$8K

This provider vs. median58×

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	269	$10K
2019	1,296	$61K
2020	755	$36K
2021	936	$47K
2022	1,047	$51K
2023	2,479	$140K
2024incomplete	2,146	$122K

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	51%	4,967	4,357	$240K
76856	Ultrasound, pelvic (nonobstetric), real time with image documentation; complete	13%	640	606	$59K
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	7.3%	355	309	$34K
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	6.1%	341	297	$29K
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	4.8%	287	265	$22K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	4.2%	256	241	$20K
76830	Ultrasound, transvaginal	3.5%	191	165	$16K
76801		2.7%	145	129	$12K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	2.3%	159	148	$11K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	1.9%	827	728	$9K
76815	Ultrasound, pregnant uterus, real time with image documentation, limited	1.8%	127	109	$8K
59025	Fetal non-stress test	<1%	112	72	$3K

6 more codes

99459		<1%	144	$2K
85018		<1%	244	$519.71
81025		<1%	88	$478.22
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	17	$342.42
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	14	$23.30
81000		<1%	14	$15.33

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 officialBLATTNER, CARLOS (CONSULTANT)