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

Blue Ridge Medical Mangement Corporation

Blue Ridge Medical Mangement Corporation was paid $657K by Medicaid between Jan 2018 and Jun 2021, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.

33Billing provider infoBLUE RIDGE MEDICAL MANGEMENT CORPORATION
GREENEVILLE, TN 37745
33aNPI1700313012assigned 05/17/2017
28Total paid$657K
24GClaims21,243
24DCodes billed16
24AFirst – last monthJan 2018 – Jun 2021
Compared with peers

Next to other Urgent Care Clinic/Center providers in Tennessee

Rank by total paid#12 of 38
Median peer was paid$345K
This provider vs. median1.9×

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.

Box 24A · Dates of service

Paid by month

$0$20K$40K$60K2018201920202021202220232024
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
20182,806$88K
20198,021$216K
20205,584$152K
20214,832$202K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 41% 6,699 5,253 $267K
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% 2,558 1,885 $127K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 15% 1,976 1,591 $98K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 11% 954 474 $69K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 4.1% 3,277 1,289 $27K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3.1% 2,691 2,250 $20K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 3.0% 460 392 $19K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2.0% 1,308 740 $13K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1.3% 413 260 $9K
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 <1% 86 73 $6K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 195 163 $701.39
81003 <1% 254 201 $354.88
4 more codes
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 188 $245.22
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 56 $184.29
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 114 $82.08
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 14 $20.64

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, STEVE (PRESIDENT)