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 $544K by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 59% of everything it billed.

33Billing provider infoBLUE RIDGE MEDICAL MANAGEMENT CORPORATION
ABINGDON, VA 24210
33aNPI1568726883assigned 07/02/2012
28Total paid$544K
24GClaims18,359
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pain Medicine (Anesthesiology) Physician providers in Virginia

Rank by total paid#8 of 25
Median peer was paid$29K
This provider vs. median18×

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$10K$20K2018201920202021202220232024
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
20181,087$24K
20191,364$44K
20201,358$56K
20211,481$76K
20225,255$128K
20235,197$128K
2024incomplete2,617$88K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 59% 6,098 5,456 $323K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20% 3,575 3,163 $106K
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 14% 934 865 $74K
64635 2.1% 88 65 $11K
3077F <1% 1,528 1,425 $5K
3074F <1% 1,395 1,310 $4K
3078F <1% 1,276 1,194 $4K
4010F <1% 1,612 1,508 $3K
3080F <1% 972 914 $3K
64493 <1% 39 37 $3K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity <1% 48 41 $2K
62321 <1% 15 15 $1K
6 more codes
64636 <1% 31 $1K
3079F <1% 457 $1K
64494 <1% 29 $793.26
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 41 $471.81
3075F <1% 208 $225.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 13 $187.45

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

Full network →

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