Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

NPI: 1255634564 · ELIZABETHTON, TN 37643 · Family Medicine Physician · NPI assigned 12/08/2010

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official KILGORE, CARL controls 20+ related entities in our dataset. Read more

$226K
Total Medicaid Paid
14,454
Total Claims
11,217
Beneficiaries
24
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialKILGORE, CARL (PRESIDENT)
NPI Enumeration Date12/08/2010

Related Entities

Other providers sharing the same authorized official: KILGORE, CARL

ProviderCityStateTotal 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 NORTON VA $408K
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 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,720 $46K
2019 1,714 $40K
2020 1,289 $31K
2021 1,400 $38K
2022 2,763 $22K
2023 2,090 $19K
2024 2,478 $30K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,240 7,203 $207K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 725 558 $12K
99442 187 146 $3K
99406 281 197 $853.99
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 409 312 $806.63
99441 80 76 $562.15
99215 Prolong outpt/office vis 14 12 $415.34
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 40 29 $355.47
80305 118 93 $273.99
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 16 13 $247.08
3074F 1,109 864 $195.00
90686 41 28 $182.97
3078F 1,106 873 $150.65
36415 Collection of venous blood by venipuncture 233 166 $148.58
3077F 170 139 $50.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 18 12 $41.76
83036 Hemoglobin; glycosylated (A1C) 19 13 $27.30
G0444 Annual depression screening, 5 to 15 minutes 27 12 $15.19
36416 65 42 $13.40
3075F 37 29 $10.00
3079F 52 42 $0.00
G0008 Administration of influenza virus vaccine 32 28 $0.00
4010F 407 318 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 28 12 $0.00