Physician
Blue Ridge Healthcare Medical Group, INC
Blue Ridge Healthcare Medical Group, INC was paid $1.50M by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 41% of everything it billed.
33Billing provider infoBLUE RIDGE HEALTHCARE MEDICAL GROUP, INC
GLEN ALPINE, NC 28628
GLEN ALPINE, NC 28628
33aNPI1952626384assigned 03/29/2010
33bProvider typeNeuromusculoskeletal Medicine & OMM Physician
28Total paid$1.50M
24GClaims92,252
24DCodes billed31
24AFirst – last monthJan 2018 – Dec 2024
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official MOLL, PATRICIA controls 20+ related entities in our dataset. Read more
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 | 4,760 | $175K | |
| 2019 | 5,040 | $230K | |
| 2020 | 2,912 | $133K | |
| 2021 | 14,165 | $301K | |
| 2022 | 22,114 | $256K | |
| 2023 | 20,160 | $189K | |
| 2024incomplete | 23,101 | $210K |
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 | 41% | 9,721 | 8,454 | $615K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 34% | 9,984 | 8,836 | $503K |
| 99199 | Unlisted special service, procedure or report | 17% | 60,008 | 51,976 | $252K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.6% | 1,114 | 814 | $38K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.4% | 2,375 | 822 | $21K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.1% | 939 | 824 | $16K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 689 | 535 | $9K |
| 99442 | <1% | 231 | 183 | $7K | |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 59 | 49 | $6K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 136 | 121 | $5K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 51 | 50 | $4K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 41 | 39 | $4K |
19 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 66 | $2K |
| 87428 | <1% | 36 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 219 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,320 | $2K |
| 90682 | <1% | 97 | $2K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 559 | $2K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 208 | $1K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 28 | $838.45 |
| 90686 | <1% | 348 | $734.62 | |
| 85027 | <1% | 85 | $535.89 | |
| 87807 | <1% | 23 | $326.48 | |
| 90656 | <1% | 27 | $165.53 | |
| 92551 | <1% | 34 | $12.02 | |
| 99173 | <1% | 33 | $4.00 | |
| 3078F | 0% | 1,230 | $0.00 | |
| 3074F | 0% | 1,728 | $0.00 | |
| 3079F | 0% | 687 | $0.00 | |
| 3075F | 0% | 160 | $0.00 | |
| 99441 | 0% | 16 | $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 officialMOLL, PATRICIA (AUTHORIZED OFFICIAL)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.