Physician
Blue Ridge Regional Hospital, INC
Blue Ridge Regional Hospital, INC was paid $1.32M by Medicaid between Jan 2018 and Sep 2022, across 24 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 95% of everything it billed.
33Billing provider infoBLUE RIDGE REGIONAL HOSPITAL, INC
SPRUCE PINE, NC 28777
SPRUCE PINE, NC 28777
33aNPI1790760213assigned 12/07/2005
33bProvider typeFamily Medicine Physician
28Total paid$1.32M
24GClaims13,394
24DCodes billed24
24AFirst – last monthJan 2018 – Sep 2022
Compared with peers
Next to other Family Medicine Physician providers in North Carolina
Rank by total paid#102 of 960
Median peer was paid$135K
This provider vs. median9.8×
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 | 10,368 | $1.19M | |
| 2019 | 1,051 | $127K | |
| 2021 | 1,057 | $7K | |
| 2022 | 918 | $4K |
Box 24 · Service lines
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 | 95% | 8,084 | 7,255 | $1.26M |
| 99199 | Unlisted special service, procedure or report | <1% | 1,975 | 1,975 | $11K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 737 | 362 | $9K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 274 | 243 | $8K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 102 | 92 | $7K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 400 | 351 | $7K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 96 | 87 | $7K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 140 | 126 | $7K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 47 | 41 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 211 | 208 | $3K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 94 | 90 | $3K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 259 | 241 | $2K |
12 more codes
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 officialSTEWART, CLINT (REGIONAL DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| The Mcdowell Hospital INC | Marion, NC | $1.45M |
| Blue Ridge Regional Hospital, INC | Burnsville, NC | $403K |
| The Mcdowell Hospital INC | Marion, NC | $278K |
| The Mcdowell Hospital INC | Old Fort, NC | $194K |
| Blue Ridge Regional Hospital, INC. | Spruce Pine, NC | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.