Blue Ridge Healthcare Medical Group, INC.
Blue Ridge Healthcare Medical Group, INC. was paid $483K by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 29% of everything it billed.
MORGANTON, NC 28655
Next to other Pulmonary Disease 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 | 1,122 | $34K | |
| 2019 | 1,147 | $87K | |
| 2020 | 737 | $88K | |
| 2021 | 1,093 | $68K | |
| 2022 | 1,847 | $56K | |
| 2023 | 1,801 | $65K | |
| 2024incomplete | 1,662 | $85K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 29% | 2,260 | 1,962 | $142K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 29% | 367 | 342 | $139K |
| 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 | 21% | 2,359 | 2,018 | $100K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 1,948 | 1,659 | $60K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 2.7% | 183 | 77 | $13K |
| 99245 | 1.8% | 69 | 61 | $9K | |
| 95800 | 1.1% | 76 | 72 | $5K | |
| 94060 | <1% | 234 | 213 | $5K | |
| 95811 | <1% | 14 | 12 | $3K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 28 | 25 | $3K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 35 | 14 | $2K |
| 94375 | <1% | 108 | 97 | $1K |
11 more codes
| 94726 | <1% | 43 | $775.54 | |
| 94729 | <1% | 41 | $657.12 | |
| 94010 | <1% | 29 | $406.05 | |
| 99406 | <1% | 55 | $257.31 | |
| 94618 | <1% | 13 | $196.70 | |
| 99407 | <1% | 15 | $186.16 | |
| 99443 | <1% | 14 | $161.62 | |
| 3074F | 0% | 562 | $0.00 | |
| G0296 | Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) | 0% | 12 | $0.00 |
| 3078F | 0% | 830 | $0.00 | |
| 3077F | 0% | 114 | $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.