Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Blue Ridge Medical Management Corporation

Blue Ridge Medical Management Corporation was paid $233K by Medicaid between Jun 2018 and Dec 2024, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 57% of everything it billed.

33Billing provider infoBLUE RIDGE MEDICAL MANAGEMENT CORPORATION
ABINGDON, VA 24211
33aNPI1477055317assigned 03/07/2018
33bProvider typeUrology Physician
28Total paid$233K
24GClaims11,263
24DCodes billed15
24AFirst – last monthJun 2018 – Dec 2024
Compared with peers

Next to other Urology Physician providers in Virginia

Rank by total paid#6 of 28
Median peer was paid$8K
This provider vs. median28×

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$2.5K$5.0K$7.5K2018201920202021202220232024
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
2018501$6K
20191,226$27K
20201,019$21K
20211,593$36K
20222,605$50K
20232,661$53K
2024incomplete1,658$39K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 57% 3,685 3,332 $133K
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 29% 855 802 $69K
51798 2.9% 1,164 1,090 $7K
52000 2.7% 71 66 $6K
81002 2.2% 2,791 2,517 $5K
3074F 1.7% 915 861 $4K
3078F 1.4% 756 712 $3K
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 1.0% 53 51 $2K
99441 <1% 55 53 $2K
4010F <1% 281 264 $750.00
81003 <1% 255 247 $425.72
3079F <1% 137 134 $325.00
3 more codes
3077F <1% 179 $100.00
3080F 0% 48 $0.00
3075F 0% 18 $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

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