Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Blue Ridge Medical Management Corporation

Blue Ridge Medical Management Corporation was paid $24K by Medicaid between Jan 2021 and Nov 2024, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 84% of everything it billed.

33Billing provider infoBLUE RIDGE MEDICAL MANAGEMENT CORPORATION
ELIZABETHTON, TN 37643
33aNPI1669903803assigned 03/21/2017
28Total paid$24K
24GClaims1,454
24DCodes billed10
24AFirst – last monthJan 2021 – Nov 2024
Compared with peers

Next to other Internal Medicine Physician providers in Tennessee

Rank by total paid#262 of 581
Median peer was paid$15K
This provider vs. median1.6×

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

$0$1.0K$2.0K$3.0K2018201920202021202220232024
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
YearClaimsPaid
2021153$3K
2022310$1K
2023483$7K
2024incomplete508$12K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 84% 866 635 $20K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 6.8% 68 24 $2K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 5.9% 70 13 $1K
99222 Initial hospital care, per day, moderate complexity 1.6% 27 13 $370.57
99406 <1% 57 41 $181.11
94726 <1% 13 12 $81.00
94729 <1% 13 12 $55.23
3078F 0% 159 126 $0.00
3074F 0% 139 111 $0.00
4010F 0% 42 27 $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.

From NPPES

Who's on the registration

Authorized officialKILGORE, CARL (PRESIDENT/CEO)
Same official

Other billing entities under KILGORE, CARL

Full network →

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