Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Blue Ridge Medical Management C Orporation

Blue Ridge Medical Management C Orporation was paid $181K by Medicaid between Apr 2022 and Nov 2024, across 6 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 C ORPORATION
GREENEVILLE, TN 37745
33aNPI1295481869assigned 02/23/2022
33bProvider typeHospitalist Physician
28Total paid$181K
24GClaims9,829
24DCodes billed6
24AFirst – last monthApr 2022 – Nov 2024
Compared with peers

Next to other Hospitalist Physician providers in Tennessee

Rank by total paid#14 of 83
Median peer was paid$13K
This provider vs. median14×

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
20221,885$22K
20234,458$79K
2024incomplete3,486$80K
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% 6,293 2,640 $80K
99223 Prolong inpt eval add15 m 31% 1,468 1,191 $55K
99239 Hospital discharge day management, more than 30 minutes 8.3% 676 552 $15K
99222 Initial hospital care, per day, moderate complexity 7.7% 415 317 $14K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 7.4% 747 343 $13K
99238 Hospital discharge day management, 30 minutes or less 1.7% 230 187 $3K

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 (VP)
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.