Blue Ridge Medical Management Corporation
Blue Ridge Medical Management Corporation was paid $64K by Medicaid between Feb 2018 and Sep 2024, across 12 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 24% of everything it billed.
JOHNSON CITY, TN 37604
Next to other Neurology 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 | 156 | $5K | |
| 2019 | 136 | $3K | |
| 2020 | 341 | $8K | |
| 2021 | 620 | $26K | |
| 2022 | 213 | $5K | |
| 2023 | 168 | $5K | |
| 2024incomplete | 299 | $11K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99223 | Prolong inpt eval add15 m | 24% | 324 | 253 | $15K |
| 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 | 19% | 315 | 246 | $12K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 18% | 241 | 187 | $12K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 17% | 598 | 366 | $11K |
| 99245 | 4.9% | 34 | 27 | $3K | |
| 99222 | Initial hospital care, per day, moderate complexity | 4.9% | 110 | 88 | $3K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 3.6% | 38 | 31 | $2K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 3.2% | 174 | 121 | $2K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.6% | 40 | 12 | $2K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 1.5% | 25 | 13 | $955.43 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 17 | 12 | $372.58 |
| 95816 | <1% | 17 | 13 | $283.21 |
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.