Blue Ridge Medical Management Corporation
Blue Ridge Medical Management Corporation was paid $1.51M by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 41% of everything it billed.
JOHNSON CITY, TN 37604
Next to other Child & Adolescent Psychiatry Physician providers in Tennessee
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.
Paid by month
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 5,571 | $212K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 41% | 29,229 | 10,891 | $616K |
| 99222 | Initial hospital care, per day, moderate complexity | 19% | 7,493 | 5,308 | $284K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 15% | 13,135 | 4,669 | $224K |
| 99239 | Hospital discharge day management, more than 30 minutes | 14% | 6,055 | 5,077 | $213K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 4.1% | 1,577 | 690 | $62K |
| 99223 | Prolong inpt eval add15 m | 2.3% | 640 | 476 | $36K |
| 99221 | 2.1% | 876 | 655 | $31K | |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.3% | 219 | 132 | $19K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 204 | 84 | $6K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 221 | 192 | $6K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 58 | 51 | $5K |
| 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 | <1% | 108 | 73 | $3K |
5 more codes
| 99443 | <1% | 74 | $2K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 30 | $2K |
| 99253 | <1% | 31 | $1K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 30 | $886.09 |
| G0425 | Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth | <1% | 52 | $579.74 |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.