Blue Ridge Healthcare Medical Group INC
Blue Ridge Healthcare Medical Group INC was paid $2.37M by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
MORGANTON, NC 28655
Next to other Family Medicine Physician 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 | 4,796 | $168K | |
| 2019 | 5,495 | $205K | |
| 2020 | 4,512 | $149K | |
| 2021 | 4,830 | $187K | |
| 2022 | 8,197 | $409K | |
| 2023 | 11,098 | $648K | |
| 2024incomplete | 10,079 | $603K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 40% | 20,433 | 16,958 | $959K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 33% | 7,082 | 5,770 | $780K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 7.9% | 2,791 | 2,217 | $187K |
| 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 | 7.4% | 2,663 | 2,311 | $176K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 4.8% | 9,513 | 8,156 | $113K |
| 87428 | 2.9% | 1,571 | 1,102 | $70K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.3% | 1,264 | 835 | $31K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.0% | 2,044 | 923 | $24K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 78 | 75 | $9K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 76 | 64 | $4K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 360 | 216 | $4K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 225 | 213 | $3K |
8 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 151 | $3K |
| 87807 | <1% | 213 | $3K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 176 | $2K |
| 99199 | Unlisted special service, procedure or report | <1% | 220 | $580.00 |
| 99051 | <1% | 12 | $333.60 | |
| 86308 | <1% | 78 | $229.68 | |
| 81025 | <1% | 13 | $99.76 | |
| 81003 | <1% | 44 | $99.09 |
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.