Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › VA › Lebanon › NPI 1790167351
Physician

Blue Ridge Medical Management

Blue Ridge Medical Management was paid $3K by Medicaid between Feb 2018 and Jan 2020, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 68% of everything it billed.

33Billing provider infoBLUE RIDGE MEDICAL MANAGEMENT
LEBANON, VA 24266
33aNPI1790167351assigned 06/19/2015
33bProvider typeSurgery Physician
28Total paid$3K
24GClaims92
24DCodes billed2
24AFirst – last monthFeb 2018 – Jan 2020
Compared with peers

Next to other Surgery Physician providers in Virginia

Rank by total paid#27 of 50
Median peer was paid$3K
This provider vs. median0.9×

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.

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$500$1.0K2018201920202021202220232024
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
201848$583.55
201928$1K
202016$452.25
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 68% 79 53 $2K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 32% 13 12 $809.20

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.