Physician
Blue Ridge Cardiology and Internal Medicine PA
Blue Ridge Cardiology and Internal Medicine PA was paid $3.85M by Medicaid between Jan 2018 and Dec 2024, across 52 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 54% of everything it billed.
33Billing provider infoBLUE RIDGE CARDIOLOGY AND INTERNAL MEDICINE PA
ELKIN, NC 28621
ELKIN, NC 28621
33aNPI1851363311assigned 02/07/2006
33bProvider typeInternal Medicine Physician
28Total paid$3.85M
24GClaims173,145
24DCodes billed52
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in North Carolina
Rank by total paid#14 of 616
Median peer was paid$74K
This provider vs. median52×
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 | 16,115 | $459K | |
| 2019 | 13,562 | $482K | |
| 2020 | 11,784 | $551K | |
| 2021 | 18,674 | $566K | |
| 2022 | 25,236 | $568K | |
| 2023 | 32,264 | $500K | |
| 2024incomplete | 55,510 | $719K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 54% | 45,340 | 35,713 | $2.09M |
| 99199 | Unlisted special service, procedure or report | 12% | 68,559 | 40,204 | $455K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 7.7% | 21,217 | 5,159 | $297K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 5.1% | 2,646 | 2,218 | $196K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 3.6% | 412 | 354 | $140K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.5% | 3,212 | 2,392 | $136K |
| 95811 | 2.3% | 267 | 234 | $90K | |
| 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 | 2.2% | 957 | 729 | $84K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.1% | 1,369 | 1,178 | $82K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.8% | 5,172 | 2,391 | $69K |
| 99443 | 1.6% | 1,324 | 933 | $60K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | 1.1% | 777 | 641 | $41K |
40 more codes
| 93015 | <1% | 759 | $18K | |
| 93000 | <1% | 2,184 | $15K | |
| 99310 | Prolong nursin fac eval 15m | <1% | 748 | $13K |
| 99401 | <1% | 479 | $12K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 709 | $8K |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | <1% | 142 | $6K |
| 99336 | <1% | 516 | $5K | |
| J2785 | Injection, regadenoson, 0.1 mg | <1% | 217 | $5K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 95 | $4K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 226 | $4K |
| 99318 | <1% | 275 | $4K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 47 | $3K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 32 | $3K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 40 | $3K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 22 | $2K |
| 99306 | Prolong nursin fac eval 15m | <1% | 142 | $1K |
| 93248 | <1% | 127 | $1K | |
| 93246 | <1% | 139 | $777.49 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 21 | $576.35 |
| 81002 | <1% | 282 | $464.91 | |
| 99406 | <1% | 51 | $441.44 | |
| J0280 | Injection, aminophyllin, up to 250 mg | <1% | 163 | $172.17 |
| 94010 | <1% | 15 | $152.46 | |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 12 | $101.20 |
| 0298T | <1% | 15 | $59.77 | |
| 82947 | <1% | 21 | $29.04 | |
| 0296T | <1% | 14 | $27.85 | |
| 3075F | <1% | 957 | $25.00 | |
| 3078F | <1% | 4,190 | $25.00 | |
| 85610 | <1% | 14 | $19.40 | |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 19 | $12.91 |
| 3074F | 0% | 4,952 | $0.00 | |
| 3079F | 0% | 2,459 | $0.00 | |
| 1111F | 0% | 115 | $0.00 | |
| 3080F | 0% | 412 | $0.00 | |
| 3077F | 0% | 1,209 | $0.00 | |
| 90700 | 0% | 26 | $0.00 | |
| 90658 | 0% | 22 | $0.00 | |
| 90633 | 0% | 12 | $0.00 | |
| 90685 | 0% | 13 | $0.00 |
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 officialVYBIRAL, TOMAS (CEO)