Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

NPI: 1730401209 · KINGSPORT, TN 37660 · Family Medicine Physician · NPI assigned 02/24/2010

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official KILGORE, CARL controls 20+ related entities in our dataset. Read more

$812K
Total Medicaid Paid
61,227
Total Claims
48,598
Beneficiaries
32
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKILGORE, CARL (PRESIDENT)
NPI Enumeration Date02/24/2010

Related Entities

Other providers sharing the same authorized official: KILGORE, CARL

ProviderCityStateTotal Paid
BLUE RIDGE MEDICAL MANAGGEMENT CORPORATION KINGSPORT TN $2.17M
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION JOHNSON CITY TN $1.51M
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION JOHNSON CITY TN $736K
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION ABINGDON VA $713K
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION LEBANON VA $549K
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION ABINGDON VA $544K
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION NORTON VA $408K
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION ELIZABETHTON TN $390K
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION KINGSPORT TN $346K
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION JONESBOROUGH TN $345K
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION JOHNSON CITY TN $250K
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION RURAL RETREAT VA $232K
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION ELIZABETHTON TN $226K
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION ABINGDON VA $217K
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION KINGSPORT TN $201K
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION JOHNSON CITY TN $199K
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION JOHNSON CITY TN $199K
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION ABINGDON VA $193K
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION JOHNSON CITY TN $188K
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION KINGSPORT TN $134K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,788 $74K
2019 3,409 $65K
2020 3,355 $58K
2021 8,292 $152K
2022 15,475 $145K
2023 14,500 $150K
2024 12,408 $166K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 17,385 13,568 $536K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,559 5,188 $159K
99442 3,214 2,167 $52K
99443 870 715 $25K
36415 Collection of venous blood by venipuncture 8,998 7,456 $9K
90686 561 471 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 83 69 $4K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 1,236 969 $4K
3074F 6,006 4,854 $3K
90674 244 217 $3K
3078F 5,020 4,036 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 222 191 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 103 74 $1K
83036 Hemoglobin; glycosylated (A1C) 553 439 $1K
3075F 1,699 1,411 $960.73
3077F 788 631 $784.33
3079F 1,046 928 $725.75
3080F 333 264 $580.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 123 80 $561.64
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 114 64 $548.24
4010F 2,986 2,395 $410.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 1,139 876 $331.27
36416 467 388 $196.79
90661 14 12 $140.00
81003 161 132 $128.02
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 241 171 $116.12
G0008 Administration of influenza virus vaccine 729 594 $89.67
G0444 Annual depression screening, 5 to 15 minutes 86 51 $16.49
96160 68 43 $2.46
90662 95 80 $0.19
99397 18 16 $0.00
3044F 66 48 $0.00