Blue Ridge Medical Management Corporation

Blue Ridge Medical Management Corporation was paid $36K by Medicaid between Jan 2018 and May 2024, across 5 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 54% of everything it billed.

33Billing provider infoBLUE RIDGE MEDICAL MANAGEMENT CORPORATION
MARION, VA 24354

33aNPI1639463490assigned 06/08/2011

33bProvider typeInternal Medicine Physician

28Total paid$36K

24GClaims1,588

24DCodes billed5

24AFirst – last monthJan 2018 – May 2024

Compared with peers

Next to other Internal Medicine Physician providers in Virginia

Rank by total paid#199 of 478

Median peer was paid$17K

This provider vs. median2.2×

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

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

Year	Claims	Paid
2018	369	$2K
2019	166	$4K
2021	121	$3K
2022	148	$4K
2023	446	$15K
2024incomplete	338	$10K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	54%	837	364	$19K
99239	Hospital discharge day management, more than 30 minutes	28%	282	255	$10K
99222	Initial hospital care, per day, moderate complexity	10%	71	67	$4K
99231	Subsequent hospital care, per day, straightforward or low complexity	6.6%	129	60	$2K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	1.7%	269	177	$625.16

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 →

Provider	Location	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

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