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 $549K by Medicaid between Jan 2018 and Dec 2024, across 8 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 44% of everything it billed.

33Billing provider infoBLUE RIDGE MEDICAL MANAGEMENT CORPORATION
LEBANON, VA 24266
33aNPI1275701559assigned 02/20/2008
33bProvider typePsychiatry Physician
28Total paid$549K
24GClaims15,018
24DCodes billed8
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Psychiatry Physician providers in Virginia

Rank by total paid#19 of 167
Median peer was paid$28K
This provider vs. median20×

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
20181,612$22K
20192,910$75K
20202,496$75K
20211,927$79K
20221,877$85K
20232,125$104K
2024incomplete2,071$109K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 44% 6,231 3,124 $240K
99239 Hospital discharge day management, more than 30 minutes 18% 1,957 1,777 $99K
99222 Initial hospital care, per day, moderate complexity 17% 1,293 1,201 $95K
99231 Subsequent hospital care, per day, straightforward or low complexity 13% 3,845 1,663 $69K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 3.5% 1,226 438 $19K
99221 1.9% 180 168 $10K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 1.7% 181 109 $9K
99223 Prolong inpt eval add15 m 1.4% 105 77 $8K

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.