Medicaid Provider Spending

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

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

NPI: 1457693996 · ELIZABETHTON, TN 37643 · Internal Medicine Physician · NPI assigned 03/22/2013

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

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

$390K
Total Medicaid Paid
25,920
Total Claims
20,219
Beneficiaries
27
Codes Billed
2018-01
First Month
2024-06
Last Month

Provider Details

Authorized OfficialKILGORE, CARL (PRESIDENT)
NPI Enumeration Date03/22/2013

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 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
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION KINGSPORT TN $134K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,547 $59K
2019 3,617 $75K
2020 2,379 $49K
2021 2,820 $65K
2022 5,944 $52K
2023 5,232 $54K
2024 2,381 $37K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 11,818 9,051 $326K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,413 1,950 $49K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 577 351 $4K
36415 Collection of venous blood by venipuncture 3,598 2,974 $3K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 510 385 $1K
J1030 Injection, methylprednisolone acetate, 40 mg 233 165 $1K
90686 165 137 $971.26
99441 91 82 $890.56
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 13 12 $581.56
90674 90 75 $510.49
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 456 304 $385.71
99307 18 14 $366.96
3074F 2,522 2,029 $340.00
3078F 1,920 1,526 $320.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 63 53 $277.39
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 16 13 $204.66
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment 19 14 $131.64
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 18 14 $114.72
3079F 232 201 $70.00
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 55 42 $68.01
G0444 Annual depression screening, 5 to 15 minutes 99 65 $60.73
J1885 Injection, ketorolac tromethamine, per 15 mg 16 13 $11.41
3077F 49 38 $10.00
3080F 19 14 $10.00
3075F 123 96 $10.00
4010F 673 509 $0.00
G0008 Administration of influenza virus vaccine 114 92 $0.00