Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or North Carolina for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to North Carolina only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. North Carolina (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Blue Ridge Community Health Services, Inc. (NPI 1225029051)

Field	Value
Entity Type	Organization
Organization	Blue Ridge Community Health Services, Inc.
Address	2579 Chimney Rock Rd
City	Hendersonville
State	NC
ZIP	28792
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	November 1, 2005

Payer Source	Total Paid
Medicaid	$9.8M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

52 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	77,350	$110	$8.4M
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	212,320	$10	$1.1M
T1017	Targeted case management, each 15 minutes	1,030	$260	$261.9K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	570	$30	$17.5K
87651	The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.	600	$30	$15.7K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	230	$60	$14K
87428	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…	200	$60	$11.2K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	11,170	$1	$11.2K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	1,020	$10	$10.2K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	9,140	$1	$9.1K

Showing 1–10 of 52

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other North Carolina providers billing the same CPT/HCPCS codes.

Claims Volume vs. North Carolina Distribution

Blue Ridge Community Health Services, Inc. — 2 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. North Carolina median

52 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1017	Targeted case management, each 15 minutes	137	220	1,700	$150	$1.3M
T1015	Clinic visit/encounter, all-inclusive	5	530	2,970	$100	$964.2K
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	171	2,850	10,910	$10	$330.3K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	1,731	4,400	960	$60	$271.3K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	459	4,130	670	$50	$219.9K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	454	510	480	$40	$166.3K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	494	530	270	$90	$112.8K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	546	630	840	$30	$101.2K
87428	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…	123	210	310	$50	$73K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	171	320	280	$60	$63.8K

Showing 1–10 of 52

Related Providers

Other providers that share a Tax Identification Number (TIN) with Blue Ridge Community Health Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Blue Ridge Community Health Services Inc.	NC	Federally Qualified Health Center (FQHC)	$0	$9.4M
Karrie Grear	NC	Neurology Physician	$1.5M	$0
Robert Wann	NC	Ophthalmology Physician	$1M	$0
Elizabeth Thomas	NC	Rheumatology Physician	$996K	$0
Jeffrey Warhaftig	NC	Internal Medicine Physician	$694.2K	$0
Dean Karras	NC	Internal Medicine Physician	$566.6K	$0
James Adams	NC	Family Medicine Physician	$554.8K	$0
Mary Rudyk	NC	Internal Medicine Physician	$545.3K	$0
Darshan Dave	NC	Internal Medicine Physician	$492.4K	$0
Charles Allen	NC	Internal Medicine Physician	$475K	$0

Nearby Providers

Other providers in the same ZIP code as Blue Ridge Community Health Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hendersonville Pediatrics, P.A.	NC	Specialist	$0	$24.4M
Fletcher Hospital Inc.	NC	Rural Acute Care Hospital	$0	$12M
Alan Verm	NC	Ophthalmology Physician	$459.7K	$0
Beverly Collins	NC	Gerontology Nurse Practitioner	$198.9K	$0
Publix North Carolina, LP	NC	Community/Retail Pharmacy	$182.5K	$0
Melisa Harrington	NC	Nephrology Physician	$159.9K	$0
Elizabeth Dray	NC	Urology Physician	$153.1K	$0
Marshall Ney	NC	Physical Medicine & Rehabilitation Physician	$124.2K	$0
Royce Bailey	NC	Internal Medicine Physician	$99.9K	$0
Aaron Brodsky	NC	Geriatric Psychiatry Physician	$91.1K	$0

Blue Ridge Community Health Services, Inc. — Billing Profile & Reimbursement Data

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Blue Ridge Community Health Services, Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References