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 $87K by Medicaid between Jan 2018 and Oct 2024, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 81% of everything it billed.

33Billing provider infoBLUE RIDGE MEDICAL MANAGEMENT CORPORATION
ABINGDON, VA 24211
33aNPI1184003873assigned 05/27/2015
33bProvider typeNephrology Physician
28Total paid$87K
24GClaims3,627
24DCodes billed12
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Nephrology Physician providers in Virginia

Rank by total paid#21 of 42
Median peer was paid$72K
This provider vs. median1.2×

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$2.0K$4.0K2018201920202021202220232024
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
2018392$4K
2019405$10K
2020114$3K
2021173$8K
2022864$22K
20231,181$24K
2024incomplete498$15K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 81% 1,602 1,448 $70K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 8.4% 385 164 $7K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 3.1% 27 27 $3K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1.7% 371 275 $2K
90961 1.6% 16 16 $1K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 1.5% 183 41 $1K
4010F 1.1% 373 341 $1K
3074F <1% 266 249 $800.00
3078F <1% 328 298 $750.00
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 19 12 $79.46
3077F 0% 27 24 $0.00
3079F 0% 30 29 $0.00

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.