Blue Ridge Healthcare Medical Group, INC.
Blue Ridge Healthcare Medical Group, INC. was paid $419K by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 41% of everything it billed.
MORGANTON, NC 28655
Next to other Gastroenterology 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 | 940 | $40K | |
| 2019 | 1,086 | $46K | |
| 2020 | 974 | $42K | |
| 2021 | 1,658 | $57K | |
| 2022 | 1,981 | $52K | |
| 2023 | 2,274 | $79K | |
| 2024incomplete | 1,662 | $104K |
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 | 41% | 3,832 | 3,291 | $174K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 30% | 2,456 | 1,984 | $124K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 14% | 504 | 463 | $60K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.6% | 1,286 | 1,043 | $36K |
| 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 | 1.9% | 124 | 102 | $8K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 1.8% | 122 | 89 | $8K |
| 99442 | <1% | 218 | 159 | $4K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 27 | 24 | $2K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 12 | 12 | $2K |
| 99245 | <1% | 23 | 13 | $1K | |
| 99443 | <1% | 15 | 13 | $753.64 | |
| 99441 | <1% | 16 | 12 | $106.36 |
6 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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.