Clinic
Blue Ridge Health Center INC
Blue Ridge Health Center INC was paid $3.25M by Medicaid between Jan 2018 and Dec 2024, across 88 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 39% of everything it billed.
33Billing provider infoBLUE RIDGE HEALTH CENTER INC
ARRINGTON, VA 22922
ARRINGTON, VA 22922
33aNPI1518945187assigned 01/04/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$3.25M
24GClaims111,403
24DCodes billed88
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Virginia
Rank by total paid#13 of 145
Median peer was paid$338K
This provider vs. median9.6×
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 | 11,492 | $256K | |
| 2019 | 19,061 | $479K | |
| 2020 | 16,817 | $470K | |
| 2021 | 18,345 | $511K | |
| 2022 | 18,835 | $540K | |
| 2023 | 15,841 | $524K | |
| 2024incomplete | 11,012 | $470K |
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 | 39% | 19,300 | 17,514 | $1.25M |
| 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% | 16,430 | 14,972 | $857K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.9% | 2,194 | 1,571 | $96K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.9% | 1,213 | 1,199 | $94K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.5% | 1,253 | 803 | $80K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 2.2% | 6,266 | 4,839 | $70K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.7% | 768 | 728 | $56K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.5% | 603 | 595 | $47K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.4% | 1,574 | 1,568 | $45K |
| D0140 | Limited oral evaluation - problem focused | 1.2% | 2,152 | 2,028 | $38K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.2% | 2,403 | 2,382 | $37K |
| D1110 | Prophylaxis - adult | 1.1% | 1,098 | 1,089 | $37K |
76 more codes
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 1.1% | 778 | $35K |
| D9630 | 1.0% | 2,075 | $33K | |
| D1208 | Topical application of fluoride, excluding varnish | 1.0% | 1,943 | $33K |
| D0330 | Panoramic radiographic image | <1% | 623 | $30K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 1,011 | $29K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 371 | $28K |
| 90686 | <1% | 2,106 | $26K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 1,000 | $24K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 176 | $22K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 183 | $21K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 272 | $19K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 2,076 | $18K |
| 3008F | <1% | 26,417 | $18K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 202 | $17K |
| 92551 | <1% | 1,600 | $16K | |
| 90677 | <1% | 74 | $13K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 293 | $13K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 109 | $12K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 863 | $11K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 467 | $10K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 2,353 | $10K |
| 90837 | Psychotherapy session, about an hour | <1% | 106 | $9K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 643 | $8K |
| D4910 | <1% | 203 | $8K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 94 | $7K |
| 90670 | <1% | 295 | $6K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,893 | $6K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 42 | $4K |
| 90649 | <1% | 34 | $4K | |
| 99173 | <1% | 1,633 | $4K | |
| 0012A | <1% | 109 | $4K | |
| 90688 | <1% | 359 | $4K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 286 | $3K |
| D0274 | Bitewings - four radiographic images | <1% | 241 | $3K |
| 90836 | <1% | 48 | $3K | |
| D4342 | <1% | 49 | $3K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 30 | $3K |
| 90461 | <1% | 897 | $3K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 216 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 50 | $2K |
| 90656 | <1% | 112 | $2K | |
| 0011A | <1% | 88 | $2K | |
| 81002 | <1% | 553 | $1K | |
| 81025 | <1% | 169 | $1K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 140 | $1K |
| 90648 | <1% | 90 | $1K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 46 | $979.00 |
| 90723 | <1% | 12 | $967.40 | |
| 0064A | <1% | 33 | $727.00 | |
| D1206 | Topical application of fluoride varnish | <1% | 33 | $686.07 |
| 90734 | <1% | 17 | $627.36 | |
| 90480 | <1% | 14 | $410.40 | |
| 99000 | <1% | 477 | $373.57 | |
| 90633 | <1% | 25 | $343.13 | |
| 90658 | <1% | 17 | $211.52 | |
| 1036F | <1% | 47 | $200.00 | |
| 87807 | <1% | 16 | $160.50 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 136 | $133.16 |
| 90672 | <1% | 12 | $132.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 14 | $121.58 |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 105 | $57.75 |
| 36416 | <1% | 270 | $49.14 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 29 | $35.08 |
| G0008 | Administration of influenza virus vaccine | <1% | 160 | $26.62 |
| 85018 | <1% | 13 | $21.57 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 244 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 292 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 169 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 60 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 46 | $0.00 |
| 90473 | 0% | 12 | $0.00 | |
| 3011F | 0% | 52 | $0.00 | |
| G9511 | Index event date phq-9 or phq-9m score greater than 9 documented during the twelve month denominator identification period | 0% | 343 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 41 | $0.00 |
| D0272 | Bitewings - two radiographic images | 0% | 27 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 15 | $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 officialJOHNSON, RODNEY (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Greater Image Healthcare, Corp | Fayetteville, NC | $2.67M |
| Dynamic Healthcare Training Center | Akron, OH | $921K |
| Blue Ridge Health Center INC | Amherst, VA | $10K |
| Blue Ridge Health Center INC | Appomattox, VA | $6K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.