Medicaid Provider Spending

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

BLUE RIDGE MEDICAL MANAGGEMENT CORPORATION

NPI: 1649518309 · KINGSPORT, TN 37663 · Internal Medicine Physician · NPI assigned 01/30/2013

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

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

$2.17M
Total Medicaid Paid
62,767
Total Claims
51,938
Beneficiaries
23
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKILGORE, CARL (PRESIDENT)
NPI Enumeration Date01/30/2013

Related Entities

Other providers sharing the same authorized official: KILGORE, CARL

ProviderCityStateTotal Paid
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
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION KINGSPORT TN $134K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 12,121 $423K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 21,880 18,834 $894K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,989 8,399 $535K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 3,112 2,317 $316K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 4,245 3,444 $121K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,687 2,243 $108K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,021 712 $81K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,069 978 $34K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3,660 1,591 $29K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,705 3,201 $27K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 412 358 $21K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 140 112 $4K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 34 29 $955.31
99201 36 33 $836.63
3074F 5,147 4,620 $509.65
3078F 4,115 3,678 $325.00
3079F 1,009 947 $143.90
3075F 206 188 $100.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 13 12 $90.60
81003 49 38 $81.55
81002 38 37 $62.26
4010F 38 29 $0.00
3080F 16 13 $0.00
3077F 146 125 $0.00