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 $713K by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 42% of everything it billed.

33Billing provider infoBLUE RIDGE MEDICAL MANAGEMENT CORPORATION
ABINGDON, VA 24211
33aNPI1104171826assigned 07/18/2012
28Total paid$713K
24GClaims24,192
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Internal Medicine Physician providers in Virginia

Rank by total paid#31 of 478
Median peer was paid$17K
This provider vs. median43×

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$20K2018201920202021202220232024
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
20185,496$90K
20194,515$156K
20203,052$109K
20212,207$66K
20223,941$115K
20234,621$154K
2024incomplete360$23K
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 42% 13,344 5,431 $301K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 16% 4,485 1,638 $115K
99223 Prolong inpt eval add15 m 14% 1,837 1,526 $103K
99239 Hospital discharge day management, more than 30 minutes 11% 2,351 1,973 $77K
99222 Initial hospital care, per day, moderate complexity 6.4% 854 756 $46K
99220 6.2% 717 622 $44K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 2.7% 247 210 $19K
99238 Hospital discharge day management, 30 minutes or less <1% 159 138 $4K
99219 <1% 29 27 $2K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 155 66 $1K
99217 <1% 14 13 $422.43

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)
Same official

Other billing entities under KILGORE, CARL

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