Blue Ridge Medical Managgement Corporation
Blue Ridge Medical Managgement Corporation was paid $2.17M by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.
KINGSPORT, TN 37663
Next to other Internal Medicine Physician providers in Tennessee
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 5,141 | $188K | |
| 2019 | 7,547 | $242K | |
| 2020 | 5,146 | $156K | |
| 2021 | 7,681 | $401K | |
| 2022 | 12,141 | $399K | |
| 2023 | 12,990 | $362K | |
| 2024incomplete | 12,121 | $423K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 41% | 21,880 | 18,834 | $894K |
| 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 | 25% | 9,989 | 8,399 | $535K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 15% | 3,112 | 2,317 | $316K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 5.6% | 4,245 | 3,444 | $121K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 5.0% | 2,687 | 2,243 | $108K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 3.7% | 1,021 | 712 | $81K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.6% | 1,069 | 978 | $34K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.3% | 3,660 | 1,591 | $29K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.2% | 3,705 | 3,201 | $27K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 412 | 358 | $21K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 140 | 112 | $4K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 34 | 29 | $955.31 |
11 more codes
| 99201 | <1% | 36 | $836.63 | |
| 3074F | <1% | 5,147 | $509.65 | |
| 3078F | <1% | 4,115 | $325.00 | |
| 3079F | <1% | 1,009 | $143.90 | |
| 3075F | <1% | 206 | $100.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 13 | $90.60 |
| 81003 | <1% | 49 | $81.55 | |
| 81002 | <1% | 38 | $62.26 | |
| 4010F | 0% | 38 | $0.00 | |
| 3080F | 0% | 16 | $0.00 | |
| 3077F | 0% | 146 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.