Physician
Blue Ridge Pediatrics LLP
Blue Ridge Pediatrics LLP was paid $3.31M by Medicaid between Jan 2018 and Dec 2024, across 47 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 23% of everything it billed.
33Billing provider infoBLUE RIDGE PEDIATRICS LLP
RALEIGH, NC 27612
RALEIGH, NC 27612
33aNPI1942389838assigned 11/03/2006
33bProvider typePediatrics Physician
28Total paid$3.31M
24GClaims200,037
24DCodes billed47
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#113 of 433
Median peer was paid$942K
This provider vs. median3.5×
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 | 12,813 | $395K | |
| 2019 | 11,878 | $409K | |
| 2020 | 9,690 | $302K | |
| 2021 | 26,216 | $446K | |
| 2022 | 51,058 | $660K | |
| 2023 | 45,693 | $611K | |
| 2024incomplete | 42,689 | $484K |
Box 24 · Service lines
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 | 23% | 12,334 | 10,397 | $775K |
| 99199 | Unlisted special service, procedure or report | 19% | 111,176 | 66,911 | $637K |
| 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 | 18% | 6,482 | 5,573 | $589K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 12% | 10,982 | 9,490 | $404K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.2% | 2,692 | 2,408 | $237K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.6% | 1,805 | 1,622 | $151K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.1% | 1,481 | 1,306 | $134K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.0% | 7,630 | 6,653 | $66K |
| D0145 | Oral evaluation for a patient under three years of age | 1.4% | 1,470 | 1,307 | $46K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.3% | 3,376 | 1,539 | $44K |
| 99401 | 1.2% | 1,385 | 1,210 | $39K | |
| 97802 | 1.1% | 2,603 | 2,198 | $36K |
35 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 268 | $27K |
| D1206 | Topical application of fluoride varnish | <1% | 1,368 | $20K |
| 96127 | <1% | 4,649 | $18K | |
| 99070 | <1% | 2,709 | $17K | |
| 96160 | <1% | 3,796 | $12K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 841 | $11K |
| 92551 | <1% | 6,109 | $10K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 159 | $6K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 45 | $5K |
| 90686 | <1% | 3,637 | $4K | |
| 87081 | <1% | 433 | $3K | |
| 96161 | <1% | 824 | $3K | |
| 99173 | <1% | 6,996 | $2K | |
| 0071A | <1% | 38 | $2K | |
| 99050 | <1% | 74 | $2K | |
| 90651 | <1% | 53 | $1K | |
| 99441 | <1% | 41 | $1K | |
| 97803 | <1% | 66 | $644.80 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 268 | $608.42 |
| 90473 | <1% | 30 | $306.75 | |
| 82465 | <1% | 31 | $150.08 | |
| 36416 | <1% | 539 | $126.40 | |
| 81002 | <1% | 29 | $81.90 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 12 | $41.62 |
| 90633 | 0% | 126 | $0.00 | |
| 90670 | 0% | 1,119 | $0.00 | |
| 90685 | 0% | 160 | $0.00 | |
| 90710 | 0% | 25 | $0.00 | |
| 90680 | 0% | 431 | $0.00 | |
| 90698 | 0% | 522 | $0.00 | |
| 90744 | 0% | 62 | $0.00 | |
| 99000 | 0% | 910 | $0.00 | |
| 90656 | 0% | 186 | $0.00 | |
| 91307 | 0% | 37 | $0.00 | |
| 90677 | 0% | 28 | $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 officialDAVANZO, NICHOLAS (GENERAL PARTNER)