Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Blue Ridge Neuroscience Center, P.C.

Blue Ridge Neuroscience Center, P.C. was paid $17K by Medicaid between May 2020 and Dec 2023, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.

33Billing provider infoBLUE RIDGE NEUROSCIENCE CENTER, P.C.
KINGSPORT, TN 37660
33aNPI1871502880assigned 08/07/2006
33bProvider typeSpecialist
28Total paid$17K
24GClaims1,181
24DCodes billed7
24AFirst – last monthMay 2020 – Dec 2023
Compared with peers

Next to other Specialist providers in Tennessee

Rank by total paid#165 of 252
Median peer was paid$57K
This provider vs. median0.3×

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

$0$1.0K$2.0K2018201920202021202220232024
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
YearClaimsPaid
2020200$8K
2021676$6K
2022231$324.64
202374$4K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 42% 306 216 $7K
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 38% 142 105 $6K
99205 Prolong outpt/office vis 17% 29 27 $3K
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 2.0% 20 12 $348.68
99415 Prolong outpt/office vis <1% 45 31 $91.73
99072 <1% 617 424 $65.00
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) <1% 22 14 $47.85

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 officialROYSTON, REGINA (BOOKKEEPER)