Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NC › Boone › NPI 1285846493
Physician

Blue Ridge Ear, Nose and Throat, INC.

Blue Ridge Ear, Nose and Throat, INC. was paid $972K by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is 95165, Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials — 32% of everything it billed.

33Billing provider infoBLUE RIDGE EAR, NOSE AND THROAT, INC.
BOONE, NC 28607
33aNPI1285846493assigned 05/03/2007
33bProvider typeOtolaryngology Physician
28Total paid$972K
24GClaims38,787
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Otolaryngology Physician providers in North Carolina

Rank by total paid#5 of 42
Median peer was paid$109K
This provider vs. median8.9×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20186,456$126K
20195,936$132K
20203,521$85K
20214,279$95K
20226,557$193K
20236,581$185K
2024incomplete5,457$156K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 32% 2,657 2,213 $316K
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 28% 5,684 4,276 $274K
95117 15% 21,569 11,121 $141K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9.6% 2,168 1,775 $93K
95024 4.2% 2,619 2,109 $41K
92567 2.9% 2,636 2,170 $28K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2.6% 232 168 $25K
99243 2.1% 231 213 $21K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.5% 473 369 $14K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 42 38 $6K
92557 <1% 190 148 $4K
69210 <1% 222 173 $4K
2 more codes
99203 Doctor's office visit, new patient (routine) <1% 50 $4K
92587 <1% 14 $379.34

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 officialFORD, CHARLES (PRESIDENT)
Same official

Other billing entities under FORD, CHARLES

Full network →
ProviderLocationPaid
Columbia Gorge Ent, LLCThe Dalles, OR$8K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.