Medicaid Provider Spending

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

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

NPI: 1407142813 · ABINGDON, VA 24211 · Gastroenterology Physician · NPI assigned 06/23/2011

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

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

$217K
Total Medicaid Paid
5,712
Total Claims
5,213
Beneficiaries
20
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKILGORE, CARL (PRESIDENT)
NPI Enumeration Date06/23/2011

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 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 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 372 $9K
2019 828 $34K
2020 437 $20K
2021 538 $29K
2022 1,001 $34K
2023 1,326 $47K
2024 1,210 $43K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,621 1,468 $65K
43235 723 657 $40K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 635 584 $36K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 219 212 $22K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 523 463 $19K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 223 196 $15K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 81 78 $9K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 33 31 $2K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 13 12 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 67 65 $2K
3074F 717 655 $2K
3078F 379 349 $950.00
3077F 113 111 $494.30
43450 15 14 $306.50
99442 16 16 $304.88
99231 Subsequent hospital care, per day, straightforward or low complexity 18 12 $255.53
4010F 164 144 $200.00
3080F 24 24 $150.00
3079F 116 110 $125.60
3075F 12 12 $75.00