Blue Ridge Community Health Services, INC.
Blue Ridge Community Health Services, INC. was paid $9.81M by Medicaid between Jan 2018 and Dec 2024, across 52 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 85% of everything it billed.
HENDERSONVILLE, NC 28792
Next to other Family Medicine Physician providers in North Carolina
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 19,479 | $1.28M | |
| 2019 | 22,918 | $1.35M | |
| 2020 | 12,682 | $873K | |
| 2021 | 28,788 | $1.44M | |
| 2022 | 80,734 | $1.43M | |
| 2023 | 92,738 | $1.60M | |
| 2024incomplete | 104,595 | $1.83M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 85% | 77,349 | 50,506 | $8.36M |
| 99199 | Unlisted special service, procedure or report | 11% | 212,322 | 103,708 | $1.05M |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 2.7% | 1,027 | 743 | $262K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 565 | 424 | $17K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 602 | 496 | $16K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 233 | 204 | $14K |
| 87428 | <1% | 200 | 172 | $11K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,016 | 861 | $10K |
| 98968 | <1% | 264 | 131 | $8K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 9,136 | 8,287 | $7K |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 639 | 475 | $7K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 11,173 | 4,621 | $7K |
40 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 344 | $4K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 67 | $4K |
| 98967 | <1% | 164 | $3K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 1,768 | $3K |
| 0002A | <1% | 47 | $3K | |
| 0011A | <1% | 60 | $2K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 33 | $2K |
| 0012A | <1% | 32 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 123 | $2K |
| 96160 | <1% | 504 | $1K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 14 | $1K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 1,434 | $960.86 |
| 0064A | <1% | 21 | $946.32 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 39 | $811.77 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 43 | $351.00 |
| 90686 | <1% | 197 | $279.61 | |
| 92551 | <1% | 115 | $203.03 | |
| 99173 | <1% | 542 | $195.40 | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 107 | $162.58 |
| 96127 | <1% | 67 | $91.11 | |
| 97802 | <1% | 119 | $51.48 | |
| 1160F | <1% | 10,269 | $14.30 | |
| 1159F | <1% | 10,273 | $14.30 | |
| 3074F | <1% | 8,879 | $13.74 | |
| 3078F | <1% | 7,992 | $12.10 | |
| 36416 | <1% | 30 | $9.48 | |
| 3044F | <1% | 183 | $0.37 | |
| 3079F | <1% | 108 | $0.18 | |
| 1036F | 0% | 1,128 | $0.00 | |
| 3008F | 0% | 1,632 | $0.00 | |
| 91306 | 0% | 19 | $0.00 | |
| 91301 | 0% | 96 | $0.00 | |
| 1034F | 0% | 29 | $0.00 | |
| 90656 | 0% | 24 | $0.00 | |
| 90655ST | 0% | 29 | $0.00 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 39 | $0.00 |
| 97803 | 0% | 301 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 304 | $0.00 |
| 3725F | 0% | 185 | $0.00 | |
| 91300 | 0% | 48 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.