Physician
Blue Ridge Medical Management Corporation
Blue Ridge Medical Management Corporation was paid $932K by Medicaid between Feb 2018 and Dec 2024, across 17 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 49% of everything it billed.
33Billing provider infoBLUE RIDGE MEDICAL MANAGEMENT CORPORATION
JOHNSON CITY, TN 37604
JOHNSON CITY, TN 37604
33aNPI1134500218assigned 06/15/2015
33bProvider typePediatric Neurodevelopmental Disabilities Physician
28Total paid$932K
24GClaims22,561
24DCodes billed17
24AFirst – last monthFeb 2018 – Dec 2024
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 641 | $45K | |
| 2019 | 642 | $41K | |
| 2020 | 1,075 | $76K | |
| 2021 | 1,757 | $125K | |
| 2022 | 3,547 | $142K | |
| 2023 | 6,820 | $226K | |
| 2024incomplete | 8,079 | $277K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 49% | 7,133 | 6,388 | $457K |
| 95813 | 20% | 2,734 | 2,537 | $184K | |
| 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 | 13% | 1,333 | 1,224 | $124K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 9.2% | 931 | 821 | $86K |
| 95720 | 2.0% | 162 | 118 | $19K | |
| 95816 | 1.7% | 391 | 374 | $16K | |
| 95819 | 1.4% | 288 | 276 | $13K | |
| 99443 | <1% | 133 | 104 | $7K | |
| 99205 | Prolong outpt/office vis | <1% | 44 | 42 | $6K |
| 99442 | <1% | 172 | 147 | $5K | |
| 3074F | <1% | 4,671 | 4,034 | $4K | |
| 3078F | <1% | 4,439 | 3,847 | $4K |
5 more codes
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)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.