Physician
Blue Ridge Medical Management Corporation
Blue Ridge Medical Management Corporation was paid $80K by Medicaid between Jan 2018 and Jun 2019, across 10 billing codes.
Its largest line is 99238 , Hospital discharge day management, 30 minutes or less — 37% of everything it billed.
33 Billing provider infoBLUE RIDGE MEDICAL MANAGEMENT CORPORATION
33a NPI1386028215 assigned 07/09/2015
28 Total paid$80K
24G Claims1,695
24D Codes billed10
24A First – last monthJan 2018 – Jun 2019
Compared with peers
Next to other Pediatrics Physician providers in Tennessee
Rank by total paid #195 of 333
Median peer was paid $139K
This provider vs. median 0.6×
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 Proliferation Authorized official KILGORE, CARL controls 20+ related entities in our dataset.
Read more
Box 24A · Dates of service
Paid by month
$0 $5.0K $10K 2018 2019 2020 2021 2022 2023 2024
By year, as a table
Year Claims Paid
2018 975 $44K 2019 720 $36K
Box 24 · Service lines
What it billed for
Code Service Share Claims Bene. records Paid
99238 Hospital discharge day management, 30 minutes or less
37% 633
599
$30K
99217 14% 225
214
$11K
99219 12% 120
110
$9K
99218 9.7% 135
131
$8K
99231 Subsequent hospital care, per day, straightforward or low complexity
9.5% 319
155
$8K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity
7.9% 139
80
$6K
99460 3.1% 51
46
$2K
99221 2.6% 31
29
$2K
99222 Initial hospital care, per day, moderate complexity
2.4% 25
24
$2K
99234 1.6% 17
13
$1K
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
Provider Location 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 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
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.