Physician
Blue Ridge Urological, PC
Blue Ridge Urological, PC was paid $320K by Medicaid between Feb 2018 and Nov 2024, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 69% of everything it billed.
33Billing provider infoBLUE RIDGE UROLOGICAL, PC
FISHERSVILLE, VA 22939
FISHERSVILLE, VA 22939
33aNPI1528394228assigned 10/30/2009
33bProvider typeUrology Physician
28Total paid$320K
24GClaims10,023
24DCodes billed7
24AFirst – last monthFeb 2018 – Nov 2024
Compared with peers
Next to other Urology Physician providers in Virginia
Rank by total paid#5 of 28
Median peer was paid$8K
This provider vs. median39×
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 | 316 | $3K | |
| 2019 | 920 | $16K | |
| 2020 | 607 | $20K | |
| 2021 | 2,016 | $65K | |
| 2022 | 2,077 | $72K | |
| 2023 | 2,335 | $81K | |
| 2024incomplete | 1,752 | $62K |
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 | 69% | 4,235 | 3,434 | $220K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 23% | 951 | 765 | $73K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.3% | 568 | 434 | $17K |
| 81000 | 1.6% | 2,385 | 1,878 | $5K | |
| 51798 | <1% | 506 | 424 | $3K | |
| 81003 | <1% | 1,144 | 932 | $2K | |
| 81002 | <1% | 234 | 178 | $386.55 |
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 officialBUCKLEY, CARIE (PRESIDENT)