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 $809K by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.

33Billing provider infoBLUE RIDGE MEDICAL MANAGEMENT CORPORATION
MARION, VA 24354
33aNPI1124438627assigned 05/06/2014
28Total paid$809K
24GClaims21,302
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Internal Medicine Physician providers in Virginia

Rank by total paid#29 of 478
Median peer was paid$17K
This provider vs. median48×

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$50K$100K2018201920202021202220232024
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
2018159$3K
20191,091$30K
2020144$5K
20238,119$296K
2024incomplete11,789$474K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 33% 4,550 4,331 $266K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 24% 2,314 2,203 $192K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 11% 1,163 1,113 $86K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 10% 1,005 989 $81K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 7.5% 1,386 1,335 $60K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 6.6% 1,582 1,553 $54K
3078F 2.2% 3,638 3,517 $17K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1.9% 142 138 $15K
3074F 1.4% 2,397 2,329 $12K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 542 243 $6K
3077F <1% 969 933 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 199 173 $5K
8 more codes
3075F <1% 752 $3K
87634 <1% 38 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 184 $2K
3080F <1% 98 $700.00
4010F <1% 175 $325.00
3079F <1% 80 $294.70
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 13 $213.70
81003 <1% 75 $150.15

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.