Medicaid Provider Spending

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

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

NPI: 1467833673 · ELIZABETHTON, TN 37643 · Internal Medicine Physician · NPI assigned 06/12/2015

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

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

$2.81M
Total Medicaid Paid
93,265
Total Claims
78,842
Beneficiaries
29
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKILGORE, CARL (PRESIDENT)
NPI Enumeration Date06/12/2015

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 4,673 $156K
2019 3,128 $96K
2020 3,155 $85K
2021 12,780 $591K
2022 23,791 $661K
2023 22,126 $514K
2024 23,612 $705K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 24,573 20,979 $1.03M
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 5,152 4,030 $534K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,196 5,981 $391K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 9,563 7,856 $270K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 4,944 4,066 $211K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 2,493 1,834 $180K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 3,709 3,045 $70K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 753 669 $41K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,983 2,662 $21K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,783 1,320 $21K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 485 437 $18K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 290 248 $11K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 101 77 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 14 12 $1K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 73 65 $1K
99201 31 30 $974.65
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 25 19 $769.65
87634 37 26 $598.98
3074F 13,349 12,083 $200.00
3079F 2,010 1,880 $175.00
81003 74 63 $137.82
3078F 11,009 10,023 $100.00
3075F 1,003 914 $75.00
81002 57 52 $35.84
3077F 368 319 $25.00
J0696 Injection, ceftriaxone sodium, per 250 mg 21 12 $12.92
J1100 Injection, dexamethasone sodium phosphate, 1 mg 14 12 $6.37
3080F 74 63 $0.00
4010F 81 65 $0.00