Physician
Blue Ridge Medical Management Corporation
Blue Ridge Medical Management Corporation was paid $812K by Medicaid between Jan 2018 and Dec 2024, across 32 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 66% of everything it billed.
33Billing provider infoBLUE RIDGE MEDICAL MANAGEMENT CORPORATION
KINGSPORT, TN 37660
KINGSPORT, TN 37660
33aNPI1730401209assigned 02/24/2010
33bProvider typeFamily Medicine Physician
28Total paid$812K
24GClaims61,227
24DCodes billed32
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Tennessee
Rank by total paid#69 of 754
Median peer was paid$34K
This provider vs. median24×
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 | 3,788 | $74K | |
| 2019 | 3,409 | $65K | |
| 2020 | 3,355 | $58K | |
| 2021 | 8,292 | $152K | |
| 2022 | 15,475 | $145K | |
| 2023 | 14,500 | $150K | |
| 2024incomplete | 12,408 | $166K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 66% | 17,385 | 13,568 | $536K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 6,559 | 5,188 | $159K |
| 99442 | 6.4% | 3,214 | 2,167 | $52K | |
| 99443 | 3.1% | 870 | 715 | $25K | |
| 36415 | Collection of venous blood by venipuncture | 1.2% | 8,998 | 7,456 | $9K |
| 90686 | <1% | 561 | 471 | $4K | |
| 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% | 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% | 1,236 | 969 | $4K |
| 3074F | <1% | 6,006 | 4,854 | $3K | |
| 90674 | <1% | 244 | 217 | $3K | |
| 3078F | <1% | 5,020 | 4,036 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 222 | 191 | $2K |
20 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 103 | $1K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 553 | $1K |
| 3075F | <1% | 1,699 | $960.73 | |
| 3077F | <1% | 788 | $784.33 | |
| 3079F | <1% | 1,046 | $725.75 | |
| 3080F | <1% | 333 | $580.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 123 | $561.64 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 114 | $548.24 |
| 4010F | <1% | 2,986 | $410.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 1,139 | $331.27 |
| 36416 | <1% | 467 | $196.79 | |
| 90661 | <1% | 14 | $140.00 | |
| 81003 | <1% | 161 | $128.02 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 241 | $116.12 |
| G0008 | Administration of influenza virus vaccine | <1% | 729 | $89.67 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 86 | $16.49 |
| 96160 | <1% | 68 | $2.46 | |
| 90662 | <1% | 95 | $0.19 | |
| 99397 | 0% | 18 | $0.00 | |
| 3044F | 0% | 66 | $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)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.