Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › VA › Abingdon › NPI 1700264900
Physician

Blue Ridge Medical Management Corporation

Blue Ridge Medical Management Corporation was paid $554K by Medicaid between Jan 2018 and Dec 2024, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 76% of everything it billed.

33Billing provider infoBLUE RIDGE MEDICAL MANAGEMENT CORPORATION
ABINGDON, VA 24211
33aNPI1700264900assigned 05/08/2015
28Total paid$554K
24GClaims13,008
24DCodes billed3
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Endocrinology, Diabetes & Metabolism Physician providers in Virginia

Rank by total paid#5 of 32
Median peer was paid$18K
This provider vs. median31×

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$5.0K$10K$15K2018201920202021202220232024
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
2018846$24K
20191,426$60K
20201,442$70K
20211,765$74K
20222,280$96K
20232,787$118K
2024incomplete2,462$112K
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 76% 9,503 8,894 $419K
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 16% 1,188 1,105 $86K
95251 8.7% 2,317 2,185 $48K

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)
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.