Medicaid Provider Spending

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

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

NPI: 1619349578 · JOHNSON CITY, TN 37604 · Pediatric Gastroenterology Physician · NPI assigned 10/30/2015

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

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

$1.19M
Total Medicaid Paid
27,377
Total Claims
23,796
Beneficiaries
15
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKILGORE, CARL (PRESIDENT)
NPI Enumeration Date10/30/2015

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 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 816 $68K
2019 1,334 $96K
2020 1,387 $90K
2021 2,241 $143K
2022 5,575 $201K
2023 7,710 $272K
2024 8,314 $322K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99215 Prolong outpt/office vis 4,656 4,125 $425K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,799 4,152 $299K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 974 800 $128K
99205 Prolong outpt/office vis 757 698 $90K
97802 1,356 1,167 $54K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 496 427 $46K
97803 1,409 1,156 $43K
99245 337 314 $38K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 477 444 $21K
99244 Office or other outpatient consultation, moderate to high complexity 175 152 $17K
99443 282 265 $15K
36415 Collection of venous blood by venipuncture 2,653 2,269 $6K
3074F 4,516 3,933 $4K
3078F 4,416 3,845 $4K
99442 74 49 $3K