Physician
Blue Ridge Medical Management Corporation
Blue Ridge Medical Management Corporation was paid $188K by Medicaid between Apr 2019 and Nov 2024, across 6 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 90% of everything it billed.
33Billing provider infoBLUE RIDGE MEDICAL MANAGEMENT CORPORATION
JOHNSON CITY, TN 37604
JOHNSON CITY, TN 37604
33aNPI1093016024assigned 11/08/2010
33bProvider typeOrthopaedic Trauma Physician
28Total paid$188K
24GClaims7,452
24DCodes billed6
24AFirst – last monthApr 2019 – Nov 2024
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official KILGORE, CARL 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 | |
|---|---|---|---|
| 2019 | 150 | $4K | |
| 2020 | 60 | $1K | |
| 2021 | 820 | $19K | |
| 2022 | 2,272 | $61K | |
| 2023 | 2,743 | $61K | |
| 2024incomplete | 1,407 | $41K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 90% | 6,822 | 3,419 | $168K |
| 99222 | Initial hospital care, per day, moderate complexity | 2.9% | 100 | 83 | $5K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 2.8% | 385 | 231 | $5K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 2.1% | 51 | 12 | $4K |
| 99223 | Prolong inpt eval add15 m | 1.3% | 28 | 25 | $2K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.3% | 66 | 28 | $2K |
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 officialKILGORE, CARL (PRESIDENT/CEO)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.