Physician
Blue Ridge Regional Hospital INC
Blue Ridge Regional Hospital INC was paid $770K by Medicaid between Jan 2018 and Jan 2019, across 28 billing codes. Its largest line is 99284, emergency room visit (serious) — 42% of everything it billed.
33Billing provider infoBLUE RIDGE REGIONAL HOSPITAL INC
SPRUCE PINE, NC 28777
SPRUCE PINE, NC 28777
33aNPI1679570840assigned 07/04/2005
33bProvider typeEmergency Medicine Physician
28Total paid$770K
24GClaims11,429
24DCodes billed28
24AFirst – last monthJan 2018 – Jan 2019
Compared with peers
Next to other Emergency Medicine Physician providers in North Carolina
Rank by total paid#58 of 196
Median peer was paid$120K
This provider vs. median6.4×
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 | 10,512 | $716K | |
| 2019 | 917 | $55K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 42% | 1,533 | 1,257 | $321K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 41% | 1,855 | 1,716 | $319K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 10% | 295 | 221 | $81K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.0% | 1,498 | 1,322 | $8K |
| 80053 | Comprehensive metabolic panel | <1% | 1,062 | 978 | $6K |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 12 | 12 | $6K |
| 71045 | Radiologic examination, chest; single view | <1% | 81 | 76 | $4K |
| J3490 | Unclassified drugs | <1% | 2,217 | 1,616 | $4K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 48 | 43 | $4K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 162 | 156 | $3K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 57 | 54 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 352 | 168 | $3K |
16 more codes
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 172 | $2K |
| 81001 | <1% | 679 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 930 | $2K |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 13 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 13 | $779.24 |
| 87081 | <1% | 80 | $536.88 | |
| 83735 | <1% | 118 | $501.00 | |
| 84484 | <1% | 115 | $490.40 | |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | <1% | 12 | $366.72 |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 12 | $366.72 |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | <1% | 16 | $206.15 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 12 | $170.16 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 16 | $161.44 |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 28 | $160.80 |
| 83690 | <1% | 28 | $128.70 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 13 | $10.25 |
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 officialSMITH, JONATHAN (CFO)
| Provider | Location | Paid |
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| Pittsford Volunteer Ambulance INC | Pittsford, NY | $468K |
| JS Pedodontics PLLC | Plano, TX | $360K |
| Lawrence-Douglas County Health Dept | Lawrence, KS | $157K |
| Applied Orthotics and Prosthetics | Los Gatos, CA | $57K |
| The Wellness Collaborative | Virginia Beach, VA | $6K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.