Nursing facility
Blue Ridge Medical Management Corporation
Blue Ridge Medical Management Corporation was paid $736K by Medicaid between Jan 2018 and Jan 2024, across 47 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 45% of everything it billed.
33Billing provider infoBLUE RIDGE MEDICAL MANAGEMENT CORPORATION
JOHNSON CITY, TN 37604
JOHNSON CITY, TN 37604
33aNPI1255341509assigned 08/09/2006
33bProvider typeNursing Facility/Intermediate Care Facility
28Total paid$736K
24GClaims29,592
24DCodes billed47
24AFirst – last monthJan 2018 – Jan 2024
Compared with peers
Next to other Nursing Facility/Intermediate Care Facility providers in Tennessee
Rank by total paid#2 of 13
Median peer was paid$35K
This provider vs. median21×
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
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 | 1,914 | $52K | |
| 2019 | 1,876 | $54K | |
| 2020 | 1,717 | $45K | |
| 2021 | 2,758 | $68K | |
| 2022 | 8,305 | $142K | |
| 2023 | 12,735 | $365K | |
| 2024incomplete | 287 | $10K |
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 | 45% | 9,349 | 7,327 | $335K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 5,636 | 4,182 | $171K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 12% | 751 | 553 | $87K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.1% | 563 | 359 | $31K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.9% | 495 | 387 | $29K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.6% | 350 | 273 | $19K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.9% | 828 | 696 | $14K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.6% | 172 | 116 | $12K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.2% | 1,023 | 787 | $9K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 1.1% | 257 | 225 | $8K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 254 | 184 | $6K |
| 99442 | <1% | 279 | 249 | $5K |
35 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 392 | $3K |
| 99383 | <1% | 78 | $2K | |
| 99406 | <1% | 310 | $1K | |
| 87807 | <1% | 138 | $1K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 44 | $911.62 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 364 | $839.97 |
| 99384 | <1% | 47 | $750.73 | |
| 90686 | <1% | 85 | $701.55 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 144 | $629.93 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 78 | $358.68 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 14 | $346.15 |
| 83655 | <1% | 21 | $256.54 | |
| 90674 | <1% | 20 | $129.12 | |
| 90461 | <1% | 578 | $97.98 | |
| 99382 | <1% | 25 | $91.61 | |
| 96127 | <1% | 17 | $72.62 | |
| 3078F | <1% | 2,964 | $70.42 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 29 | $60.30 |
| 3077F | <1% | 122 | $50.00 | |
| 90633 | <1% | 105 | $40.69 | |
| 3074F | <1% | 2,745 | $30.12 | |
| 3075F | <1% | 123 | $20.00 | |
| 99173 | <1% | 23 | $8.31 | |
| G0008 | Administration of influenza virus vaccine | <1% | 20 | $3.13 |
| 4010F | 0% | 377 | $0.00 | |
| 90647 | 0% | 169 | $0.00 | |
| 3079F | 0% | 60 | $0.00 | |
| 90723 | 0% | 166 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 20 | $0.00 |
| 3080F | 0% | 23 | $0.00 | |
| 90651 | 0% | 23 | $0.00 | |
| 90696 | 0% | 26 | $0.00 | |
| 90670 | 0% | 237 | $0.00 | |
| 90710 | 0% | 26 | $0.00 | |
| 90734 | 0% | 22 | $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)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.