Medicaid Provider Spending

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

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

NPI: 1326058272 · JOHNSON CITY, TN 37604 · Child & Adolescent Psychiatry Physician · NPI assigned 08/09/2006

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

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

$1.51M
Total Medicaid Paid
60,032
Total Claims
28,458
Beneficiaries
17
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKILGORE, CARL (PRESIDENT)
NPI Enumeration Date08/09/2006

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 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 ELIZABETHTON TN $226K
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 10,863 $242K
2019 11,673 $219K
2020 3,448 $65K
2021 10,987 $287K
2022 9,673 $262K
2023 7,817 $227K
2024 5,571 $212K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 29,229 10,891 $616K
99222 Initial hospital care, per day, moderate complexity 7,493 5,308 $284K
99231 Subsequent hospital care, per day, straightforward or low complexity 13,135 4,669 $224K
99239 Hospital discharge day management, more than 30 minutes 6,055 5,077 $213K
99233 Prolong inpt eval add15 m 1,577 690 $62K
99223 Prolong inpt eval add15 m 640 476 $36K
99221 876 655 $31K
90837 Psychotherapy, 53 minutes with patient 219 132 $19K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 204 84 $6K
99238 Hospital discharge day management, 30 minutes or less 221 192 $6K
90791 Psychiatric diagnostic evaluation 58 51 $5K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 108 73 $3K
99443 74 62 $2K
90834 Psychotherapy, 45 minutes with patient 30 28 $2K
99253 31 25 $1K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 30 13 $886.09
G0425 Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth 52 32 $579.74