Physician
Blue Ridge Healthcare Medical Group, INC.
Blue Ridge Healthcare Medical Group, INC. was paid $1.58M by Medicaid between Jan 2018 and Dec 2024, across 34 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 44% of everything it billed.
33Billing provider infoBLUE RIDGE HEALTHCARE MEDICAL GROUP, INC.
LENOIR, NC 28645
LENOIR, NC 28645
33aNPI1588050215assigned 04/09/2015
33bProvider typeFamily Medicine Physician
28Total paid$1.58M
24GClaims69,743
24DCodes billed34
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in North Carolina
Rank by total paid#81 of 960
Median peer was paid$135K
This provider vs. median12×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official MOLL, PATRICIA controls 20+ related entities in our dataset. Read more
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 | 5,964 | $168K | |
| 2019 | 5,932 | $239K | |
| 2020 | 3,340 | $171K | |
| 2021 | 10,536 | $284K | |
| 2022 | 12,768 | $262K | |
| 2023 | 15,402 | $252K | |
| 2024incomplete | 15,801 | $204K |
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 | 44% | 12,186 | 10,744 | $702K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 34% | 11,473 | 10,046 | $534K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 8.0% | 1,082 | 876 | $127K |
| 99199 | Unlisted special service, procedure or report | 7.6% | 25,537 | 20,812 | $120K |
| 87428 | 1.6% | 524 | 464 | $25K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.0% | 1,338 | 1,173 | $16K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 144 | 102 | $11K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,786 | 1,642 | $11K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 239 | 200 | $7K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 122 | 97 | $4K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 273 | 152 | $4K |
| 80053 | Comprehensive metabolic panel | <1% | 479 | 446 | $3K |
22 more codes
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 71 | $3K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,956 | $3K |
| 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% | 509 | $2K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 224 | $1K |
| 99051 | <1% | 79 | $1K | |
| 90682 | <1% | 47 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 77 | $920.93 |
| 85027 | <1% | 132 | $591.95 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 105 | $523.69 |
| 90686 | <1% | 71 | $500.24 | |
| 81001 | <1% | 204 | $434.04 | |
| 80061 | Lipid panel | <1% | 27 | $343.23 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 32 | $316.31 |
| 99441 | <1% | 21 | $219.51 | |
| 93000 | <1% | 16 | $156.88 | |
| 3078F | 0% | 4,450 | $0.00 | |
| 3077F | 0% | 515 | $0.00 | |
| 3075F | 0% | 314 | $0.00 | |
| 3079F | 0% | 1,176 | $0.00 | |
| 3074F | 0% | 4,455 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 31 | $0.00 |
| 3080F | 0% | 48 | $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 officialMOLL, PATRICIA (SVP-CFO)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.