Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TN › Johnson City › NPI 1417453440
NP / PA

Blue Ridge Medical Management Corpoartion

Blue Ridge Medical Management Corpoartion was paid $195K by Medicaid between Jul 2018 and Oct 2024, across 24 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 41% of everything it billed.

33Billing provider infoBLUE RIDGE MEDICAL MANAGEMENT CORPOARTION
JOHNSON CITY, TN 37604
33aNPI1417453440assigned 03/30/2018
33bProvider typePhysician Assistant
28Total paid$195K
24GClaims9,646
24DCodes billed24
24AFirst – last monthJul 2018 – Oct 2024
Compared with peers

Next to other Physician Assistant providers in Tennessee

Rank by total paid#43 of 200
Median peer was paid$36K
This provider vs. median5.3×

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 ProliferationAuthorized official KILGORE, CARL controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2018919$15K
20191,545$44K
202060$1K
20211,103$34K
20224,703$72K
2023989$17K
2024incomplete327$11K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 41% 2,619 2,155 $80K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 17% 663 530 $33K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12% 1,407 1,176 $23K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 8.5% 334 288 $17K
95886 7.8% 382 176 $15K
95911 4.9% 96 85 $10K
62323 4.7% 142 120 $9K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.3% 67 61 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 205 174 $2K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 103 55 $1K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 373 271 $1K
3074F <1% 1,214 1,046 $400.00
12 more codes
95816 <1% 17 $363.46
3078F <1% 751 $335.00
99406 <1% 55 $266.54
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 17 $204.52
4010F <1% 477 $100.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 36 $85.88
3077F <1% 186 $60.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 17 $5.31
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 14 $3.83
3079F 0% 348 $0.00
3080F 0% 110 $0.00
3075F 0% 13 $0.00

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

Authorized officialKILGORE, CARL (PRESIDENT)
Same official

Other billing entities under KILGORE, CARL

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.