Blue Ridge Orthopaedic Associates PC

Blue Ridge Orthopaedic Associates PC was paid $398K by Medicaid between Jan 2018 and Nov 2024, across 16 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 31% of everything it billed.

33Billing provider infoBLUE RIDGE ORTHOPAEDIC ASSOCIATES PC
WARRENTON, VA 20186

33aNPI1508959701assigned 10/02/2006

33bProvider typeOrthopaedic Surgery Physician

28Total paid$398K

24GClaims7,841

24DCodes billed16

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Orthopaedic Surgery Physician providers in Virginia

Rank by total paid#7 of 79

Median peer was paid$6K

This provider vs. median66×

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	109	$4K
2019	772	$30K
2020	1,266	$54K
2021	1,608	$82K
2022	1,922	$109K
2023	1,593	$86K
2024incomplete	571	$33K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	31%	2,173	1,888	$123K
90960	End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits	30%	1,784	1,528	$119K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	26%	2,380	2,018	$103K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	6.1%	418	376	$24K
64483		2.8%	61	53	$11K
90961		1.9%	101	90	$7K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	85	73	$2K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	<1%	95	28	$1K
99152		<1%	55	50	$1K
72100		<1%	46	46	$1K
J1040	Injection, methylprednisolone acetate, 80 mg	<1%	153	126	$1K
99222	Initial hospital care, per day, moderate complexity	<1%	21	16	$813.77

4 more codes

92567		<1%	59	$679.07
90935	Hemodialysis procedure with single evaluation by a physician	<1%	30	$617.04
J2250	Injection, midazolam hydrochloride, per 1 mg	<1%	367	$125.72
J1010	Injection, methylprednisolone acetate, 1 mg	<1%	13	$85.05

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 officialHOLLIS, JEFFRY (C.E.O.)