Physician
Blue Ridge Pediatrics LLC
Blue Ridge Pediatrics LLC was paid $1.11M by Medicaid between Jan 2018 and Dec 2024, across 50 billing codes. Its largest line is 87426, Infectious agent antigen detection, SARS-CoV-2 (COVID-19) — 32% of everything it billed.
33Billing provider infoBLUE RIDGE PEDIATRICS LLC
SENECA, SC 29678
SENECA, SC 29678
33aNPI1457324907assigned 02/07/2006
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$1.11M
24GClaims59,061
24DCodes billed50
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in South Carolina
Rank by total paid#9 of 24
Median peer was paid$76K
This provider vs. median15×
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 | 5,286 | $60K | |
| 2019 | 4,523 | $88K | |
| 2020 | 4,830 | $92K | |
| 2021 | 12,166 | $268K | |
| 2022 | 11,822 | $261K | |
| 2023 | 11,674 | $212K | |
| 2024incomplete | 8,760 | $132K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 32% | 7,366 | 6,624 | $352K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 20% | 3,504 | 3,323 | $222K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 11% | 7,205 | 3,158 | $127K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 9.1% | 13,249 | 9,724 | $101K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 7.8% | 3,852 | 3,439 | $87K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 4.7% | 4,111 | 3,878 | $52K |
| 87634 | 3.4% | 746 | 698 | $37K | |
| 96127 | 3.1% | 4,537 | 3,216 | $35K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.3% | 1,097 | 534 | $15K |
| 92551 | 1.3% | 2,599 | 2,495 | $15K | |
| 83655 | <1% | 814 | 794 | $9K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 205 | 198 | $7K |
38 more codes
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 59 | $7K |
| 90461 | <1% | 314 | $6K | |
| 85018 | <1% | 2,791 | $6K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 110 | $6K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 103 | $5K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 72 | $5K |
| 99441 | <1% | 224 | $3K | |
| 0001A | <1% | 75 | $3K | |
| 0071A | <1% | 71 | $3K | |
| 0072A | <1% | 56 | $2K | |
| 0002A | <1% | 56 | $2K | |
| 81003 | <1% | 656 | $1K | |
| 99442 | <1% | 43 | $1K | |
| G9153 | Mapcp demonstration - physician incentive pool | <1% | 12 | $900.00 |
| 87807 | <1% | 41 | $554.81 | |
| 90480 | <1% | 14 | $480.00 | |
| 90671 | <1% | 304 | $384.06 | |
| 87430 | <1% | 35 | $357.95 | |
| 99188 | <1% | 32 | $218.68 | |
| 90651 | <1% | 263 | $159.77 | |
| 94664 | <1% | 14 | $147.22 | |
| 86308 | <1% | 17 | $100.30 | |
| 94760 | <1% | 20 | $28.56 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 184 | $10.00 |
| 90707 | 0% | 107 | $0.00 | |
| 90633 | 0% | 266 | $0.00 | |
| 90670 | 0% | 554 | $0.00 | |
| 90734 | 0% | 258 | $0.00 | |
| 99072 | 0% | 632 | $0.00 | |
| 90672 | 0% | 106 | $0.00 | |
| 90715 | 0% | 35 | $0.00 | |
| 90647 | 0% | 579 | $0.00 | |
| 90620 | 0% | 204 | $0.00 | |
| 90680 | 0% | 445 | $0.00 | |
| 90723 | 0% | 580 | $0.00 | |
| 90686 | 0% | 303 | $0.00 | |
| 90716 | 0% | 121 | $0.00 | |
| 90696 | 0% | 20 | $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 officialGULLY, CAREY (OWNER/PHYSICIAN)
| Provider | Location | Paid |
|---|---|---|
| Blue Ridge Pediatrics LLC | Seneca, SC | $5.57M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.