Organization

BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC.

According to 2025 Medicare claims, BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC. (NPI: 1376901900) practices ambulatory surgical center in the Hickory-Lenoir-Morganton, NC market, with the plurality of this provider's patient population coming from Burke, NC. This provider's primary affiliated billing organization is BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC. (NPI: 1376901900; TIN: 020777195) and primary practice location at 28655-8135.

The organization's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 478 traditional Medicare patients, billed 736 HCPCS/CPT codes, and received $272,555 in Medicare payments. The top billing code was 43249 (Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm). No Open Payments records. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has changed little. Concurrently, this provider has fewer than 5 years of reported Part D prescription costs data, so a reliable trend cannot be assigned. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$163K$326K2018 Medicare payment: $250,492 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $325,876 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $261,663 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $324,391 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $287,907 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $269,941 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $272,555 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018560896$250,492
20196511,145$325,876
2020516890$261,663
20215931,083$324,391
2022556924$287,907
2023491798$269,941
2024478736$272,555

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

No connected Part D records

No connected Part D records

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

No connected DME records

No connected DME records

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
43249Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm5051$598
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare186187$442
G0105Colorectal cancer screening; colonoscopy on individual at high risk7172$416
45380Biopsy of large bowel using a flexible endoscope186186$344
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope157164$214

Top 5 Part D drugs in 2024

By total drug costs.

No connected Part D drug-level records for 2024.

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

FAQ

What Medicare data is available for BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC.?

Tedicare shows public-source Medicare data for BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC. (NPI 1376901900), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC. have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC.?

BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC. is linked to BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC. (billing NPI 1376901900) in the available physician profile data.

Does BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC. have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.