Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

NPI: 1003152307 · JOHNSON CITY, TN 37604 · Neurological Surgery Physician · NPI assigned 12/14/2012

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official KILGORE, CARL controls 20+ related entities in our dataset. Read more

$70K
Total Medicaid Paid
3,899
Total Claims
2,981
Beneficiaries
14
Codes Billed
2018-01
First Month
2022-06
Last Month

Provider Details

Authorized OfficialKILGORE, CARL (PRESIDENT / CEO)
NPI Enumeration Date12/14/2012

Related Entities

Other providers sharing the same authorized official: KILGORE, CARL

ProviderCityStateTotal Paid
BLUE RIDGE MEDICAL MANAGGEMENT CORPORATION KINGSPORT TN $2.17M
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION JOHNSON CITY TN $1.51M
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION KINGSPORT TN $812K
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION JOHNSON CITY TN $736K
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION ABINGDON VA $713K
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION LEBANON VA $549K
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION ABINGDON VA $544K
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION NORTON VA $408K
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION ELIZABETHTON TN $390K
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION KINGSPORT TN $346K
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION JONESBOROUGH TN $345K
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION JOHNSON CITY TN $250K
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION RURAL RETREAT VA $232K
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION ELIZABETHTON TN $226K
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION ABINGDON VA $217K
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION KINGSPORT TN $201K
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION JOHNSON CITY TN $199K
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION JOHNSON CITY TN $199K
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION ABINGDON VA $193K
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION JOHNSON CITY TN $188K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 918 $11K
2019 1,143 $21K
2020 1,023 $18K
2021 454 $14K
2022 361 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,099 812 $38K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 288 228 $15K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 573 427 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 255 226 $4K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 128 109 $3K
99406 473 341 $2K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 484 373 $2K
72082 33 31 $964.34
J1885 Injection, ketorolac tromethamine, per 15 mg 445 335 $434.47
99442 13 12 $266.18
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 32 25 $232.37
4010F 45 37 $0.00
3078F 17 13 $0.00
3077F 14 12 $0.00