Physician
Blue Ridge Medical Management Corporation
Blue Ridge Medical Management Corporation was paid $5K by Medicaid between Apr 2018 and Mar 2019, across 3 billing codes. Its largest line is 99462, — 43% of everything it billed.
33Billing provider infoBLUE RIDGE MEDICAL MANAGEMENT CORPORATION
ABINGDON, VA 24211
ABINGDON, VA 24211
33aNPI1689056731assigned 06/25/2015
33bProvider typePediatrics Physician
28Total paid$5K
24GClaims198
24DCodes billed3
24AFirst – last monthApr 2018 – Mar 2019
Compared with peers
Next to other Pediatrics Physician providers in Virginia
Rank by total paid#662 of 817
Median peer was paid$29K
This provider vs. median0.2×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 96 | $3K | |
| 2019 | 102 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99462 | 43% | 125 | 91 | $2K | |
| 99460 | 39% | 42 | 41 | $2K | |
| 99238 | Hospital discharge day management, 30 minutes or less | 18% | 31 | 27 | $983.56 |
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)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.