Medicaid Provider Spending

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

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

NPI: 1659776375 · JOHNSON CITY, TN 37604 · Neurology Physician · NPI assigned 10/23/2014

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

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

$64K
Total Medicaid Paid
1,933
Total Claims
1,369
Beneficiaries
12
Codes Billed
2018-02
First Month
2024-09
Last Month

Provider Details

Authorized OfficialKILGORE, CARL (PRESIDENT / CEO)
NPI Enumeration Date10/23/2014

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 156 $5K
2019 136 $3K
2020 341 $8K
2021 620 $26K
2022 213 $5K
2023 168 $5K
2024 299 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99223 Prolong inpt eval add15 m 324 253 $15K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 315 246 $12K
99215 Prolong outpt/office vis 241 187 $12K
99232 Subsequent hospital care, per day, moderate complexity 598 366 $11K
99245 34 27 $3K
99222 Initial hospital care, per day, moderate complexity 110 88 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 38 31 $2K
99231 Subsequent hospital care, per day, straightforward or low complexity 174 121 $2K
99233 Prolong inpt eval add15 m 40 12 $2K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 25 13 $955.43
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17 12 $372.58
95816 17 13 $283.21