Physician
Blue Ridge Community Health Services INC.
Blue Ridge Community Health Services INC. was paid $9.40M by Medicaid between Jan 2018 and Dec 2024, across 76 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 69% of everything it billed.
33Billing provider infoBLUE RIDGE COMMUNITY HEALTH SERVICES INC.
HENDERSONVILLE, NC 28739
HENDERSONVILLE, NC 28739
33aNPI1326587932assigned 02/15/2017
33bProvider typePediatrics Physician
28Total paid$9.40M
24GClaims425,400
24DCodes billed76
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#36 of 433
Median peer was paid$942K
This provider vs. median10.0×
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.
Entity ProliferationAuthorized official GREENWELL, TAMMY controls 20+ related entities in our dataset. Read more
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 | 24,837 | $968K | |
| 2019 | 30,150 | $1.17M | |
| 2020 | 21,162 | $990K | |
| 2021 | 34,614 | $1.42M | |
| 2022 | 105,497 | $1.57M | |
| 2023 | 111,853 | $1.67M | |
| 2024incomplete | 97,287 | $1.61M |
Box 24 · Service lines
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 | 69% | 51,124 | 42,842 | $6.45M |
| 99199 | Unlisted special service, procedure or report | 9.3% | 181,658 | 90,831 | $877K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.3% | 3,976 | 3,280 | $309K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.1% | 3,682 | 2,978 | $288K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.5% | 2,999 | 2,538 | $238K |
| 87428 | 1.8% | 2,879 | 2,501 | $165K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.7% | 13,497 | 11,327 | $163K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.7% | 2,099 | 1,598 | $157K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.6% | 7,235 | 6,129 | $148K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 1.4% | 4,558 | 3,695 | $128K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 1,897 | 1,511 | $93K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 9,104 | 7,235 | $84K |
64 more codes
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 829 | $54K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 1,150 | $39K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 3,959 | $37K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,330 | $30K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 798 | $23K |
| 95819 | <1% | 142 | $21K | |
| D1206 | Topical application of fluoride varnish | <1% | 1,262 | $19K |
| 92551 | <1% | 7,731 | $12K | |
| 80061 | Lipid panel | <1% | 638 | $8K |
| 96127 | <1% | 2,899 | $8K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 13,176 | $7K |
| 90474 | <1% | 426 | $5K | |
| 96160 | <1% | 2,281 | $5K | |
| 99173 | <1% | 8,367 | $4K | |
| 87634 | <1% | 262 | $4K | |
| 90651 | <1% | 241 | $3K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 5,439 | $3K |
| 90686 | <1% | 3,080 | $2K | |
| 83655 | <1% | 117 | $2K | |
| 87807 | <1% | 113 | $2K | |
| 85018 | <1% | 682 | $2K | |
| 36416 | <1% | 3,731 | $1K | |
| 90734 | <1% | 84 | $1K | |
| 90480 | <1% | 21 | $1K | |
| 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% | 57 | $1K |
| 90837 | Psychotherapy session, about an hour | <1% | 280 | $794.01 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 60 | $648.00 |
| 90677 | <1% | 125 | $260.81 | |
| 99177 | <1% | 1,231 | $221.14 | |
| 90619 | <1% | 84 | $152.40 | |
| 81003 | <1% | 52 | $141.98 | |
| 90698 | <1% | 1,166 | $108.07 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 660 | $68.26 |
| 82962 | <1% | 40 | $55.05 | |
| 1159F | <1% | 18,880 | $28.12 | |
| 1160F | <1% | 18,878 | $28.11 | |
| 3074F | <1% | 15,274 | $26.62 | |
| 3078F | <1% | 14,441 | $24.99 | |
| 1126F | <1% | 700 | $0.71 | |
| 3079F | <1% | 241 | $0.40 | |
| 3080F | <1% | 27 | $0.04 | |
| 90670 | 0% | 1,722 | $0.00 | |
| 99051 | 0% | 361 | $0.00 | |
| 90655 | 0% | 281 | $0.00 | |
| 90633 | 0% | 164 | $0.00 | |
| 90707 | 0% | 136 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 399 | $0.00 |
| 3725F | 0% | 204 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 29 | $0.00 |
| 90685 | 0% | 49 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 43 | $0.00 |
| 90651ST | 0% | 14 | $0.00 | |
| 90744 | 0% | 195 | $0.00 | |
| 3008F | 0% | 2,508 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 273 | $0.00 |
| 90680 | 0% | 436 | $0.00 | |
| 90716 | 0% | 123 | $0.00 | |
| 1036F | 0% | 1,342 | $0.00 | |
| 90656 | 0% | 101 | $0.00 | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 0% | 14 | $0.00 |
| 90655ST | 0% | 269 | $0.00 | |
| 99441 | 0% | 19 | $0.00 | |
| 91307 | 0% | 22 | $0.00 | |
| 90697 | 0% | 34 | $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.
From NPPES
Who's on the registration
Authorized officialGREENWELL, TAMMY (CEO)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.