Physician
Blue Ridge Regional Hospital, INC
Blue Ridge Regional Hospital, INC was paid $403K by Medicaid between Jan 2018 and Dec 2023, across 13 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 93% of everything it billed.
33Billing provider infoBLUE RIDGE REGIONAL HOSPITAL, INC
BURNSVILLE, NC 28714
BURNSVILLE, NC 28714
33aNPI1447261698assigned 08/11/2006
33bProvider typeFamily Medicine Physician
28Total paid$403K
24GClaims8,314
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2023
Compared with peers
Next to other Family Medicine Physician providers in North Carolina
Rank by total paid#309 of 960
Median peer was paid$135K
This provider vs. median3.0×
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.
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 | 4,011 | $351K | |
| 2019 | 294 | $36K | |
| 2021 | 1,124 | $6K | |
| 2022 | 2,020 | $8K | |
| 2023 | 865 | $2K |
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 | 93% | 3,378 | 2,459 | $375K |
| 99199 | Unlisted special service, procedure or report | 4.2% | 4,009 | 4,008 | $17K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.0% | 255 | 212 | $4K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 94 | 74 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 28 | 24 | $1K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 34 | 28 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 24 | 13 | $857.12 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 75 | 66 | $538.73 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 38 | 19 | $310.86 |
| 90686 | <1% | 19 | 15 | $16.55 | |
| 92551 | <1% | 160 | 111 | $12.00 | |
| 99173 | <1% | 163 | 114 | $11.00 |
1 more codes
| 90670 | 0% | 37 | $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 officialSTEWART, CLINT (REGIONAL DIRECTOR)
Parent organizationBLUE RIDGE REGIONAL HOSPITAL, INC.
| Provider | Location | Paid |
|---|---|---|
| The Mcdowell Hospital INC | Marion, NC | $1.45M |
| Blue Ridge Regional Hospital, INC | Spruce Pine, NC | $1.32M |
| The Mcdowell Hospital INC | Marion, NC | $278K |
| The Mcdowell Hospital INC | Old Fort, NC | $194K |
| Blue Ridge Regional Hospital, INC. | Spruce Pine, NC | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.