Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Blue Ridge Medical Management Corporation

Blue Ridge Medical Management Corporation was paid $87K by Medicaid between Jun 2020 and Apr 2021, across 7 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 34% of everything it billed.

33Billing provider infoBLUE RIDGE MEDICAL MANAGEMENT CORPORATION
JOHNSON CITY, TN 37604
33aNPI1093120222assigned 06/26/2014
33bProvider typePsychiatry Physician
28Total paid$87K
24GClaims3,991
24DCodes billed7
24AFirst – last monthJun 2020 – Apr 2021
Compared with peers

Next to other Psychiatry Physician providers in Tennessee

Rank by total paid#35 of 135
Median peer was paid$18K
This provider vs. median4.8×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20203,798$84K
2021193$4K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 34% 1,268 583 $29K
99231 Subsequent hospital care, per day, straightforward or low complexity 28% 1,666 591 $24K
99239 Hospital discharge day management, more than 30 minutes 16% 358 301 $14K
99222 Initial hospital care, per day, moderate complexity 15% 396 263 $13K
99221 3.9% 243 159 $3K
99253 2.2% 45 37 $2K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m <1% 15 12 $464.82

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)
Parent organizationBLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Same official

Other billing entities under KILGORE, CARL

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.