Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › VA › Abingdon › NPI 1770864670
Physician

Blue Ridge Medical Management Corporation

Blue Ridge Medical Management Corporation was paid $102K by Medicaid between Jan 2018 and Dec 2023, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 41% of everything it billed.

33Billing provider infoBLUE RIDGE MEDICAL MANAGEMENT CORPORATION
ABINGDON, VA 24210
33aNPI1770864670assigned 09/06/2011
28Total paid$102K
24GClaims2,373
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2023
Compared with peers

Next to other Internal Medicine Physician providers in Virginia

Rank by total paid#136 of 478
Median peer was paid$17K
This provider vs. median6.1×

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
20181,465$59K
201937$918.26
2023871$42K
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 41% 675 612 $42K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 38% 751 677 $39K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 9.2% 119 115 $9K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3.8% 314 154 $4K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2.7% 60 56 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2.6% 202 194 $3K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1.1% 16 16 $1K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1.1% 30 29 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 15 12 $248.24
3074F 0% 59 56 $0.00
3078F 0% 132 120 $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)
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.