Medicaid Provider Spending

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

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

NPI: 1568726883 · ABINGDON, VA 24210 · Pain Medicine (Anesthesiology) Physician · NPI assigned 07/02/2012

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

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

$544K
Total Medicaid Paid
18,359
Total Claims
16,739
Beneficiaries
18
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKILGORE, CARL (PRESIDENT)
NPI Enumeration Date07/02/2012

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 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
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION KINGSPORT TN $134K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,087 $24K
2019 1,364 $44K
2020 1,358 $56K
2021 1,481 $76K
2022 5,255 $128K
2023 5,197 $128K
2024 2,617 $88K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,098 5,456 $323K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,575 3,163 $106K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 934 865 $74K
64635 88 65 $11K
3077F 1,528 1,425 $5K
3074F 1,395 1,310 $4K
3078F 1,276 1,194 $4K
4010F 1,612 1,508 $3K
3080F 972 914 $3K
64493 39 37 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 48 41 $2K
62321 15 15 $1K
64636 31 26 $1K
3079F 457 444 $1K
64494 29 25 $793.26
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 41 39 $471.81
3075F 208 200 $225.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 13 12 $187.45