BLAIR LYN HOLL, MD
NPI 1780630897, individual, Asheville, NC, Internal Medicine
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | BLAIR LYN HOLL, MD |
| Type | Individual |
| Status | Active |
| NPI issued | May 26, 2006, last updated December 7, 2016 |
| Practice location | 90 SOUTHSIDE AVE, SUITE 350, Asheville, NC 28801-4160, 828-277-4810 |
| Specialties | Internal Medicine, Geriatric Medicine (207RG0300X, license 9900250 NC) Internal Medicine (207R00000X, primary, license 9900250 NC) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $216K | 58% | $28 | $21 (top 5% from $84) | 65th percentile | |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | $124K | 33% | $21 | $14 (top 5% from $58) | 68th percentile | |
| 99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more | $31K | 8% | $42 | $37 (top 5% from $100) | 58th percentile | |
| 99305 | Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | $1K | 0% | $34 | $22 (top 5% from $71) | too few months to rank | |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | $1K | 0% | $44 | $30 (top 5% from $134) | too few months to rank | |
| 99307 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | $765 | 0% | $12 | $7.86 (top 5% from $34) | too few months to rank | |
| 36415 | Insertion of needle into vein for collection of blood sample | $51 | 0% | $2.05 | $1.97 (top 5% from $12) | too few months to rank | |
| 1123F | Medicaid service code | $0 | 0% | $0.00 | $0.00 (top 5% from $0.87) | 0th percentile |
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 2,413 | 537 | $186K | $336 | $101 | 3.3x | 2.0x (90th percentile 3.3x) |
| 99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more | 561 | 474 | $75K | $612 | $170 | 3.6x | 1.9x (90th percentile 3.1x) |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | 270 | 165 | $14K | $255 | $70 | 3.7x | 2.0x (90th percentile 3.4x) |
| 99305 | Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | 27 | 25 | $3K | $477 | $125 | 3.8x | 2.0x (90th percentile 3.3x) |
| 99315 | Nursing facility discharge day management, 30 minutes or less | 36 | 36 | $2K | $269 | $76 | 3.5x | 2.0x (90th percentile 3.4x) |
A submitted charge many times the allowed amount is common and lawful; it matters when it is far above what other providers submit for the same code.
In this area
3 providers in Buncombe County, NC carry an indicator in the public record, with $92K at stake between them. The most common is paid after a public list action, on 2 of them, followed by part of a provider network on 1.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | STONECREEK HEALTH AND REHABILITATION, LLC Asheville, NC, ranked 4176 | $0 |
|
| 5 | JOHN CARTER Asheville, NC, ranked 11763 | $47K | |
| 5 | DIGESTIVE HEALTH PARTNERS, PA Asheville, NC, ranked 11773 | $45K |
Recent enforcement in NC
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.