Medicaid Provider Spending

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

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

NPI: 1093120222 · JOHNSON CITY, TN 37604 · Psychiatry Physician · NPI assigned 06/26/2014

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

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

$87K
Total Medicaid Paid
3,991
Total Claims
1,946
Beneficiaries
7
Codes Billed
2020-06
First Month
2021-04
Last Month

Provider Details

Authorized OfficialKILGORE, CARL (PRESIDENT)
Parent OrganizationBLUE RIDGE MEDICAL MANAGEMENT CORPORATION
NPI Enumeration Date06/26/2014

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
2020 3,798 $84K
2021 193 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 1,268 583 $29K
99231 Subsequent hospital care, per day, straightforward or low complexity 1,666 591 $24K
99239 Hospital discharge day management, more than 30 minutes 358 301 $14K
99222 Initial hospital care, per day, moderate complexity 396 263 $13K
99221 243 159 $3K
99253 45 37 $2K
99233 Prolong inpt eval add15 m 15 12 $464.82