Blue Ridge Healthcare Medical Group, INC.
Blue Ridge Healthcare Medical Group, INC. was paid $323K by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.
MORGANTON, NC 28655
Next to other Obstetrics 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 | 739 | $31K | |
| 2019 | 1,390 | $65K | |
| 2020 | 878 | $31K | |
| 2021 | 1,751 | $43K | |
| 2022 | 1,018 | $19K | |
| 2023 | 1,364 | $59K | |
| 2024incomplete | 1,377 | $75K |
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 | 45% | 3,332 | 2,653 | $145K |
| 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 | 23% | 1,072 | 864 | $73K |
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | 10% | 28 | 26 | $33K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 7.2% | 318 | 264 | $23K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 4.1% | 137 | 128 | $13K |
| 76801 | 3.3% | 138 | 118 | $11K | |
| 81025 | 1.8% | 977 | 834 | $6K | |
| 59025 | Fetal non-stress test | 1.5% | 242 | 197 | $5K |
| 76830 | Ultrasound, transvaginal | 1.1% | 49 | 40 | $4K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 247 | 221 | $3K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 28 | 24 | $3K |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | <1% | 30 | 30 | $1K |
11 more codes
| 90686 | <1% | 65 | $579.25 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 14 | $563.89 |
| 90715 | <1% | 25 | $515.43 | |
| 99442 | <1% | 12 | $510.21 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 256 | $423.46 |
| 99441 | <1% | 19 | $271.44 | |
| 81002 | <1% | 18 | $40.47 | |
| 81003 | <1% | 25 | $36.01 | |
| 3078F | 0% | 611 | $0.00 | |
| 3077F | 0% | 14 | $0.00 | |
| 3074F | 0% | 860 | $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.