Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NP / PA

Blue Ridge Medical Management Corporation

Blue Ridge Medical Management Corporation was paid $66K by Medicaid between Jan 2018 and Dec 2023, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 92% of everything it billed.

33Billing provider infoBLUE RIDGE MEDICAL MANAGEMENT CORPORATION
ABINGDON, VA 24211
33aNPI1619263068assigned 06/23/2011
28Total paid$66K
24GClaims4,023
24DCodes billed3
24AFirst – last monthJan 2018 – Dec 2023
Compared with peers

Next to other Gerontology Nurse Practitioner providers in Virginia

Rank by total paid#4 of 6
Median peer was paid$66K
This provider vs. median1.0×

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$1.0K$2.0K$3.0K2018201920202021202220232024
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
20181,262$14K
2019623$8K
2020170$3K
2021563$12K
2022533$11K
2023872$18K
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 92% 3,371 2,031 $61K
97597 4.9% 259 176 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3.6% 393 264 $2K

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.