Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

BLUE RIDGE HEALTHCARE HOSPITALS, INC.

NPI: 1700860491 · MORGANTON, NC 28655 · General Acute Care Hospital · NPI assigned 12/06/2005

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official MOLL, PATRICIA controls 20+ related entities in our dataset. Read more

$20.14M
Total Medicaid Paid
391,683
Total Claims
318,758
Beneficiaries
133
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMOLL, PATRICIA (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date12/06/2005

Related Entities

Other providers sharing the same authorized official: MOLL, PATRICIA

ProviderCityStateTotal Paid
BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC. MARION NC $3.87M
BLUE RIDGE HEALTHCARE MEDICAL GROUP INC MORGANTON NC $2.37M
BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC. LENOIR NC $1.58M
BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC. CONNELLY SPRINGS NC $1.52M
BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC GLEN ALPINE NC $1.50M
BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC. LENOIR NC $1.36M
BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC. MORGANTON NC $930K
BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC. MORGANTON NC $509K
BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC. MORGANTON NC $483K
BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC. MORGANTON NC $448K
BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC. VALDESE NC $420K
BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC. MORGANTON NC $419K
BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC. MORGANTON NC $406K
BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC. MORGANTON NC $360K
BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC. MORGANTON NC $325K
BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC. MORGANTON NC $323K
BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC. MORGANTON NC $285K
BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC. NEBO NC $259K
BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC. MARION NC $243K
BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC. MORGANTON NC $164K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 46,281 $1.87M
2019 50,613 $2.20M
2020 34,031 $1.54M
2021 45,216 $2.75M
2022 64,801 $3.56M
2023 72,595 $3.94M
2024 78,146 $4.27M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 36,798 34,102 $6.11M
99284 Emergency department visit for the evaluation and management, high severity 29,160 26,624 $5.73M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 9,152 8,352 $1.88M
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 9,201 8,314 $1.45M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 23,111 19,313 $677K
74177 Computed tomography, abdomen and pelvis; with contrast material 813 751 $460K
99282 Emergency department visit for the evaluation and management, low to moderate severity 6,202 5,815 $442K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 12,826 11,664 $321K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 37,352 32,766 $279K
80053 Comprehensive metabolic panel 32,328 28,559 $277K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 7,947 7,095 $244K
96375 Therapeutic injection; each additional sequential IV push 6,490 5,606 $232K
62323 1,050 809 $185K
41899 Unlisted procedure, dentoalveolar structures 108 106 $178K
J3490 Unclassified drugs 63,932 31,018 $166K
96361 Intravenous infusion, hydration; each additional hour 4,492 3,914 $107K
71045 Radiologic examination, chest; single view 4,036 3,701 $104K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 1,061 588 $74K
20610 799 515 $64K
81001 17,981 16,367 $60K
71046 Radiologic examination, chest; 2 views 2,071 1,913 $60K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,538 1,416 $57K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 845 774 $57K
87400 4,816 2,854 $53K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,283 2,039 $51K
70450 Computed tomography, head or brain; without contrast material 322 260 $48K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 3,567 3,146 $47K
70551 Magnetic resonance imaging, brain; without contrast material 163 154 $45K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 677 629 $45K
81025 4,329 3,981 $36K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 472 299 $34K
83690 4,664 4,107 $33K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,912 1,810 $30K
G0378 Hospital observation service, per hour 276 220 $27K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 794 711 $27K
88305 Level IV - Surgical pathology, gross and microscopic examination 574 349 $25K
84484 2,842 2,404 $24K
J7030 Infusion, normal saline solution , 1000 cc 2,835 2,553 $22K
G0483 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed 263 241 $22K
74176 Computed tomography, abdomen and pelvis; without contrast material 48 43 $22K
20553 163 159 $17K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 57 50 $16K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 2,350 1,882 $15K
83605 1,084 974 $14K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 111 94 $13K
80061 Lipid panel 863 827 $13K
80048 Basic metabolic panel (calcium, ionized) 1,711 1,555 $12K
83735 1,957 1,739 $12K
59025 Fetal non-stress test 145 126 $11K
J2405 Injection, ondansetron hydrochloride, per 1 mg 4,197 3,735 $11K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 166 157 $11K
62321 27 25 $10K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 346 327 $10K
87086 Culture, bacterial; quantitative colony count, urine 1,071 1,008 $9K
87081 914 889 $9K
J7120 Ringers lactate infusion, up to 1000 cc 1,321 1,137 $8K
83036 Hemoglobin; glycosylated (A1C) 767 732 $8K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 393 366 $8K
J1885 Injection, ketorolac tromethamine, per 15 mg 2,921 2,702 $8K
27096 133 60 $8K
74018 186 179 $7K
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 1,871 1,639 $7K
J1030 Injection, methylprednisolone acetate, 40 mg 2,390 1,740 $6K
81003 1,295 1,198 $5K
J7050 Infusion, normal saline solution, 250 cc 976 495 $5K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2,769 2,230 $5K
36415 Collection of venous blood by venipuncture 2,090 1,654 $5K
J2704 Injection, propofol, 10 mg 1,858 1,615 $5K
72141 30 29 $5K
J1040 Injection, methylprednisolone acetate, 80 mg 1,942 1,478 $5K
S0020 Injection, bupivicaine hydrochloride, 30 ml 2,453 2,214 $5K
84443 Thyroid stimulating hormone (TSH) 200 196 $4K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 1,861 962 $4K
99281 Emergency department visit for the evaluation and management, self-limited or minor 97 87 $4K
J0696 Injection, ceftriaxone sodium, per 250 mg 1,099 1,025 $4K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 219 180 $3K
87420 169 167 $2K
97597 41 25 $2K
J3010 Injection, fentanyl citrate, 0.1 mg 746 668 $2K
85027 309 276 $2K
77336 25 12 $1K
96415 38 24 $1K
G0482 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed 13 12 $1K
85610 364 342 $1K
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 1,261 1,157 $1K
J2550 Injection, promethazine hcl, up to 50 mg 671 571 $1K
80320 80 75 $1K
J1010 Injection, methylprednisolone acetate, 1 mg 294 258 $1K
J8597 Antiemetic drug, oral, not otherwise specified 226 215 $1K
83880 38 36 $951.48
J1170 Injection, hydromorphone, up to 4 mg 394 311 $913.14
76942 13 13 $893.09
82962 681 589 $885.01
80329 15 14 $761.33
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 128 118 $743.62
87040 30 29 $606.77
J0690 Injection, cefazolin sodium, 500 mg 168 145 $566.43
J2270 Injection, morphine sulfate, up to 10 mg 200 183 $549.62
71271 13 12 $453.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 69 63 $400.89
81015 81 80 $395.29
82728 27 26 $365.73
96376 16 12 $331.86
Q3014 Telehealth originating site facility fee 38 30 $315.29
94760 246 123 $298.47
G0238 Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring) 15 15 $254.98
90715 19 15 $243.51
83550 26 25 $234.69
83540 26 25 $174.17
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 19 15 $158.67
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 84 83 $158.20
J2003 Injection, lidocaine hydrochloride, 1 mg 157 141 $148.93
82550 18 18 $145.73
J2250 Injection, midazolam hydrochloride, per 1 mg 69 65 $128.93
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 15 14 $125.57
84439 12 12 $107.69
85730 16 14 $66.57
82948 38 34 $65.31
J0131 Injection, acetaminophen, not otherwise specified,10 mg 82 77 $57.28
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 15 13 $54.80
J2765 Injection, metoclopramide hcl, up to 10 mg 27 25 $46.58
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 14 14 $44.80
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 13 13 $43.27
Q9965 Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml 241 97 $38.13
J2175 Injection, meperidine hydrochloride, per 100 mg 12 12 $34.87
J2060 Injection, lorazepam, 2 mg 12 12 $31.83
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 16 13 $30.50
J1171 Injection, hydromorphone, 0.1 mg 14 12 $22.98
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 28 27 $17.73
85018 23 18 $5.90
A9270 Non-covered item or service 1,417 556 $1.75
P9604 Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge 430 304 $0.00
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 268 156 $0.00