Medicaid Provider Spending

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

BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC.

NPI: 1801120654 · MARION, NC 28752 · Family Medicine Physician · NPI assigned 09/28/2009

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

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

$3.87M
Total Medicaid Paid
174,379
Total Claims
151,571
Beneficiaries
50
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMOLL, PATRICIA (SVP-CFO)
Parent OrganizationBLUE RIDGE HEALTHCARE MEDICAL GROUP, INC.
NPI Enumeration Date09/28/2009

Related Entities

Other providers sharing the same authorized official: MOLL, PATRICIA

ProviderCityStateTotal Paid
BLUE RIDGE HEALTHCARE HOSPITALS, INC. MORGANTON NC $20.14M
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 11,082 $386K
2019 12,763 $464K
2020 10,252 $386K
2021 24,246 $681K
2022 37,521 $742K
2023 36,336 $565K
2024 42,179 $644K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 23,543 20,883 $1.22M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 15,196 13,426 $1.01M
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 3,639 2,845 $439K
99199 Unlisted special service, procedure or report 91,219 80,519 $378K
87428 4,805 3,889 $250K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 11,774 10,514 $150K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 2,269 1,743 $66K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 671 624 $64K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 4,499 2,215 $59K
99051 2,101 1,934 $49K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,602 2,363 $47K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 315 296 $30K
90472 Immunization administration, each additional vaccine (list separately) 869 816 $30K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 240 230 $20K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 976 703 $15K
90460 Immunization administration through 18 years of age via any route, first or only component 189 186 $9K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 56 52 $5K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 48 41 $4K
90686 904 810 $4K
87807 179 155 $2K
99215 Prolong outpt/office vis 20 17 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 42 32 $2K
99401 67 51 $2K
36415 Collection of venous blood by venipuncture 986 898 $2K
87081 220 213 $1K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12 12 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 24 20 $1K
99441 41 29 $876.66
96110 Developmental screening, with scoring and documentation, per standardized instrument 321 304 $859.00
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) 266 241 $668.88
85025 Blood count; complete (CBC), automated, and automated differential WBC count 77 68 $562.84
81003 287 266 $541.93
90734 29 26 $296.96
96127 66 61 $217.36
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 12 12 $184.26
90656 29 29 $177.87
92551 460 447 $132.01
99173 540 528 $122.74
83036 Hemoglobin; glycosylated (A1C) 13 13 $93.40
86580 28 27 $82.92
85018 446 396 $63.87
3074F 2,096 1,757 $0.00
3079F 108 87 $0.00
90647 66 63 $0.00
90723 13 13 $0.00
90677 14 14 $0.00
90680 13 13 $0.00
3078F 1,852 1,558 $0.00
90670 125 120 $0.00
90633 12 12 $0.00