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 $41K by Medicaid between Feb 2023 and Feb 2024, across 5 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 42% of everything it billed.

33Billing provider infoBLUE RIDGE MEDICAL MANAGEMENT CORPORATION
JOHNSON CITY, TN 37604
33aNPI1154779817assigned 06/02/2016
33bProvider typePsychiatry Physician
28Total paid$41K
24GClaims804
24DCodes billed5
24AFirst – last monthFeb 2023 – Feb 2024
Compared with peers

Next to other Psychiatry Physician providers in Tennessee

Rank by total paid#46 of 135
Median peer was paid$18K
This provider vs. median2.2×

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$2.5K$5.0K$7.5K2018201920202021202220232024
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
2023646$31K
2024incomplete158$9K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 42% 227 190 $17K
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 29% 234 220 $12K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 18% 131 108 $7K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8.3% 197 140 $3K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation 2.5% 15 12 $1K

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

Full network →

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