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 $360K by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 62% of everything it billed.

33Billing provider infoBLUE RIDGE MEDICAL MANAGEMENT CORPORATION
MARION, VA 24354
33aNPI1215395843assigned 02/10/2016
28Total paid$360K
24GClaims8,274
24DCodes billed9
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Orthopaedic Surgery Physician providers in Virginia

Rank by total paid#9 of 79
Median peer was paid$6K
This provider vs. median59×

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$5.0K$10K$15K2018201920202021202220232024
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
2018295$9K
20191,292$49K
20201,021$43K
20211,053$48K
20221,488$68K
20231,823$81K
2024incomplete1,302$64K
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 62% 4,483 3,920 $225K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 20% 1,039 1,012 $74K
20610 11% 841 713 $40K
73564 1.7% 190 162 $6K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 1.4% 913 852 $5K
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 1.2% 42 38 $4K
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 <1% 45 42 $3K
4010F <1% 701 644 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 20 15 $601.84

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.