Medicaid Provider Spending

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

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

NPI: 1467987917 · GREENEVILLE, TN 37743 · Pediatrics Physician · NPI assigned 04/21/2017

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

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

$7.97M
Total Medicaid Paid
259,269
Total Claims
215,258
Beneficiaries
54
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKILGORE, CARL (PRESIDENT/CEO)
NPI Enumeration Date04/21/2017

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 9,379 $236K
2019 10,641 $304K
2020 9,830 $260K
2021 61,036 $2.04M
2022 58,212 $1.82M
2023 54,045 $1.56M
2024 56,126 $1.75M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 53,317 43,936 $2.18M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 24,805 20,199 $1.50M
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 12,505 9,033 $1.37M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 8,005 6,996 $536K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 9,196 7,172 $525K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 6,247 5,505 $420K
90460 Immunization administration through 18 years of age via any route, first or only component 16,709 14,479 $332K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 4,455 3,793 $324K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 4,099 2,940 $131K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 10,926 9,432 $110K
96110 Developmental screening, with scoring and documentation, per standardized instrument 8,611 7,469 $98K
96127 12,936 11,030 $58K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 4,507 2,161 $54K
92551 7,406 6,242 $43K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 5,560 4,757 $41K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,407 1,245 $39K
92552 2,203 1,937 $35K
99460 624 482 $27K
99173 7,570 6,588 $24K
99238 Hospital discharge day management, 30 minutes or less 489 359 $21K
83655 1,697 1,354 $19K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 388 353 $17K
90651 1,588 1,363 $8K
36416 5,415 4,586 $8K
G0444 Annual depression screening, 5 to 15 minutes 897 652 $7K
90677 1,296 1,011 $6K
90670 3,422 3,175 $6K
85018 2,513 2,058 $5K
54150 35 25 $4K
81003 2,281 1,847 $4K
90461 9,279 8,102 $4K
90723 3,648 3,210 $3K
87807 301 289 $3K
36415 Collection of venous blood by venipuncture 1,176 1,031 $2K
90734 828 699 $2K
90681 1,670 1,469 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 102 102 $1K
90716 461 398 $1K
90647 3,490 3,079 $752.27
90707 422 374 $618.30
90686 918 867 $407.18
90633 1,858 1,596 $380.06
96380 12 12 $269.63
90710 269 238 $158.44
86308 38 37 $153.23
90696 303 270 $80.58
90715 127 117 $64.02
90700 210 180 $37.75
3074F 6,490 5,466 $30.00
3078F 6,186 5,218 $30.00
90671 217 178 $20.04
90674 69 67 $0.00
90688 14 14 $0.00
99000 72 66 $0.00