Physician
Blue Ridge Medical Management Corporation
Blue Ridge Medical Management Corporation was paid $408K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes.
Its largest line is 99232 , hospital visit by a doctor, follow-up day — 29% of everything it billed.
33 Billing provider infoBLUE RIDGE MEDICAL MANAGEMENT CORPORATION
33a NPI1164867719 assigned 05/08/2013
28 Total paid$408K
24G Claims9,798
24D Codes billed10
24A First – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Hospitalist Physician providers in Virginia
Rank by total paid #8 of 56
Median peer was paid $28K
This provider vs. median 15×
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 Proliferation Authorized official KILGORE, CARL controls 20+ related entities in our dataset.
Read more
Box 24A · Dates of service
Paid by month
$0 $10K $20K 2018 2019 2020 2021 2022 2023 2024
By year, as a table
Year Claims Paid
2018 1,045 $15K 2019 727 $20K 2020 271 $11K 2021 1,090 $37K 2022 1,952 $68K 2023 2,608 $130K 2024incomplete 2,105 $128K
Box 24 · Service lines
What it billed for
Code Service Share Claims Bene. records Paid
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity
29% 4,420
2,015
$119K
99223 Prolong inpt eval add15 m
29% 1,472
1,350
$119K
99239 Hospital discharge day management, more than 30 minutes
28% 2,616
2,346
$113K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m
11% 969
445
$43K
99222 Initial hospital care, per day, moderate complexity
2.8% 177
170
$11K
99220 <1% 29
25
$1K
99217 <1% 16
15
$384.80
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only
<1% 73
55
$290.76
93016 <1% 13
12
$99.80
93018 <1% 13
12
$68.48
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
Provider Location 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 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 Blue Ridge Medical Management Corporation Kingsport, TN $134K
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.