Medicaid Provider Spending

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

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

NPI: 1124438627 · MARION, VA 24354 · Internal Medicine Physician · NPI assigned 05/06/2014

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

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

$809K
Total Medicaid Paid
21,302
Total Claims
20,181
Beneficiaries
20
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKILGORE, CARL (PRESIDENT)
NPI Enumeration Date05/06/2014

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
2018 159 $3K
2019 1,091 $30K
2020 144 $5K
2023 8,119 $296K
2024 11,789 $474K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,550 4,331 $266K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,314 2,203 $192K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,163 1,113 $86K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,005 989 $81K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,386 1,335 $60K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,582 1,553 $54K
3078F 3,638 3,517 $17K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 142 138 $15K
3074F 2,397 2,329 $12K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 542 243 $6K
3077F 969 933 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 199 173 $5K
3075F 752 717 $3K
87634 38 35 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 184 150 $2K
3080F 98 92 $700.00
4010F 175 165 $325.00
3079F 80 79 $294.70
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 13 13 $213.70
81003 75 73 $150.15