Blue Ridge Healthcare Medical Group, INC.
Blue Ridge Healthcare Medical Group, INC. was paid $448K by Medicaid between Feb 2018 and Dec 2024, across 7 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 66% of everything it billed.
MORGANTON, NC 28655
Next to other Ambulatory Surgical Clinic/Center 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 | 384 | $24K | |
| 2019 | 765 | $73K | |
| 2020 | 451 | $52K | |
| 2021 | 327 | $50K | |
| 2022 | 210 | $33K | |
| 2023 | 485 | $82K | |
| 2024incomplete | 568 | $135K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 66% | 2,095 | 1,500 | $298K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 27% | 827 | 578 | $120K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 3.1% | 52 | 46 | $14K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 2.0% | 30 | 28 | $9K |
| 43249 | 1.7% | 49 | 36 | $8K | |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility | 0% | 86 | 40 | $0.00 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 0% | 51 | 26 | $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.