Medicaid Provider Spending

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

BLUE RIDGE MEDICAL MANAGEMENT CORPOARTION

NPI: 1417453440 · JOHNSON CITY, TN 37604 · Physician Assistant · NPI assigned 03/30/2018

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

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

$195K
Total Medicaid Paid
9,646
Total Claims
7,882
Beneficiaries
24
Codes Billed
2018-07
First Month
2024-10
Last Month

Provider Details

Authorized OfficialKILGORE, CARL (PRESIDENT)
NPI Enumeration Date03/30/2018

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 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 919 $15K
2019 1,545 $44K
2020 60 $1K
2021 1,103 $34K
2022 4,703 $72K
2023 989 $17K
2024 327 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,619 2,155 $80K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 663 530 $33K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,407 1,176 $23K
99215 Prolong outpt/office vis 334 288 $17K
95886 382 176 $15K
95911 96 85 $10K
62323 142 120 $9K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 67 61 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 205 174 $2K
99231 Subsequent hospital care, per day, straightforward or low complexity 103 55 $1K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 373 271 $1K
3074F 1,214 1,046 $400.00
95816 17 15 $363.46
3078F 751 654 $335.00
99406 55 44 $266.54
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 17 14 $204.52
4010F 477 397 $100.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 36 26 $85.88
3077F 186 148 $60.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 17 13 $5.31
J1885 Injection, ketorolac tromethamine, per 15 mg 14 12 $3.83
3079F 348 316 $0.00
3080F 110 94 $0.00
3075F 13 12 $0.00