Medicaid Provider Spending

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

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

NPI: 1548270879 · KINGSPORT, TN 37660 · Obstetrics & Gynecology Physician · NPI assigned 08/09/2006

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

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

$201K
Total Medicaid Paid
10,771
Total Claims
8,026
Beneficiaries
20
Codes Billed
2018-01
First Month
2019-12
Last Month

Provider Details

Authorized OfficialKILGORE, CARL (PRESIDENT)
NPI Enumeration Date08/09/2006

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 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 4,830 $71K
2019 5,941 $130K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,429 1,142 $50K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,675 1,364 $39K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 403 329 $21K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 219 182 $15K
59426 28 27 $14K
76830 Ultrasound, transvaginal 198 169 $12K
76819 Fetal biophysical profile; without non-stress testing 143 76 $9K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 87 81 $8K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 118 108 $7K
59425 18 18 $6K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 103 83 $5K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 55 40 $3K
90686 150 127 $2K
81025 453 383 $2K
J1050 Injection, medroxyprogesterone acetate, 1 mg 27 24 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 227 185 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 100 79 $1K
81003 458 339 $530.21
59025 Fetal non-stress test 14 12 $315.59
0502F 4,866 3,258 $0.00