Blue Ridge Community Health Services, INC.
Blue Ridge Community Health Services, INC. was paid $2.47M by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 79% of everything it billed.
SPINDALE, NC 28160
Next to other Federally Qualified Health Center (FQHC) providers in North Carolina
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,335 | $149K | |
| 2019 | 3,641 | $246K | |
| 2020 | 3,499 | $259K | |
| 2021 | 5,962 | $342K | |
| 2022 | 22,190 | $373K | |
| 2023 | 36,747 | $389K | |
| 2024incomplete | 65,359 | $712K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 79% | 18,245 | 14,762 | $1.95M |
| 99199 | Unlisted special service, procedure or report | 20% | 91,245 | 38,244 | $482K |
| 80305 | <1% | 961 | 736 | $11K | |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 603 | 311 | $7K |
| 98968 | <1% | 170 | 100 | $5K | |
| 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 | <1% | 3,509 | 3,117 | $5K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,691 | 1,306 | $4K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 241 | 212 | $2K |
| 98967 | <1% | 96 | 54 | $2K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 1,122 | 1,031 | $862.11 |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 750 | 513 | $755.70 |
| 90686 | <1% | 45 | 41 | $513.05 |
19 more codes
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 16 | $495.69 |
| 36416 | <1% | 454 | $303.36 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 34 | $139.84 |
| 80061 | Lipid panel | <1% | 13 | $136.32 |
| 1159F | <1% | 4,583 | $5.16 | |
| 1160F | <1% | 4,583 | $5.16 | |
| 3074F | <1% | 2,947 | $4.02 | |
| 3078F | <1% | 2,558 | $3.46 | |
| 3079F | <1% | 1,586 | $2.21 | |
| 3075F | <1% | 456 | $0.68 | |
| 3077F | <1% | 459 | $0.43 | |
| 3080F | <1% | 109 | $0.13 | |
| 3044F | <1% | 75 | $0.11 | |
| 3051F | <1% | 13 | $0.03 | |
| 1034F | 0% | 400 | $0.00 | |
| 3008F | 0% | 1,174 | $0.00 | |
| 1036F | 0% | 685 | $0.00 | |
| 3725F | 0% | 841 | $0.00 | |
| T1017 | Case management, billed per 15 minutes | 0% | 69 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.