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 $71K by Medicaid between May 2019 and Sep 2024, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 79% of everything it billed.

33Billing provider infoBLUE RIDGE MEDICAL MANAGEMENT CORPORATION
ERWIN, TN 37650
33aNPI1588128755assigned 01/22/2019
28Total paid$71K
24GClaims3,846
24DCodes billed10
24AFirst – last monthMay 2019 – Sep 2024
Compared with peers

Next to other Family Medicine Physician providers in Tennessee

Rank by total paid#288 of 754
Median peer was paid$34K
This provider vs. median2.1×

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$2.0K$4.0K2018201920202021202220232024
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
2019524$14K
20201,101$23K
2021525$15K
2022517$4K
2023702$8K
2024incomplete477$8K
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 79% 2,172 1,526 $57K
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 11% 196 142 $8K
99443 4.1% 129 90 $3K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2.8% 87 56 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2.4% 252 105 $2K
81002 <1% 97 62 $33.64
3074F <1% 537 405 $30.00
83036 Hemoglobin; glycosylated (A1C) <1% 77 42 $13.65
3078F <1% 258 199 $10.00
4010F 0% 41 29 $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.