Blue Ridge Community Health Services INC
Blue Ridge Community Health Services INC was paid $1.04M by Medicaid between Jan 2018 and Dec 2024, across 32 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 80% of everything it billed.
ARDEN, NC 28704
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 | 494 | $29K | |
| 2019 | 528 | $39K | |
| 2020 | 831 | $73K | |
| 2021 | 2,277 | $123K | |
| 2022 | 4,208 | $116K | |
| 2023 | 12,920 | $165K | |
| 2024incomplete | 31,742 | $490K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 80% | 7,199 | 5,395 | $825K |
| 99199 | Unlisted special service, procedure or report | 20% | 39,373 | 15,923 | $204K |
| 0012A | <1% | 49 | 44 | $3K | |
| 0011A | <1% | 36 | 34 | $1K | |
| 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 | <1% | 252 | 232 | $395.32 |
| 90686 | <1% | 50 | 43 | $347.55 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 65 | 58 | $342.75 |
| 99205 | Prolong outpt/office vis | <1% | 76 | 74 | $332.88 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 20 | 20 | $246.80 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 533 | 463 | $240.67 |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 363 | 202 | $146.74 |
| 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% | 13 | 13 | $125.39 |
20 more codes
| 36415 | Collection of venous blood by venipuncture | <1% | 42 | $110.04 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 12 | $45.96 |
| 36416 | <1% | 23 | $12.64 | |
| 1159F | <1% | 1,119 | $2.13 | |
| 1160F | <1% | 1,119 | $2.13 | |
| 3074F | <1% | 732 | $1.59 | |
| 3078F | <1% | 521 | $1.18 | |
| 1126F | <1% | 192 | $0.56 | |
| 3079F | <1% | 73 | $0.16 | |
| 3077F | <1% | 12 | $0.03 | |
| 1036F | 0% | 294 | $0.00 | |
| 3008F | 0% | 420 | $0.00 | |
| 94010 | 0% | 60 | $0.00 | |
| 91301 | 0% | 113 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 139 | $0.00 |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 0% | 26 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 12 | $0.00 |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 0% | 28 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 20 | $0.00 |
| 3725F | 0% | 14 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.