Physician
Blue Ridge Medical Management Corporation
Blue Ridge Medical Management Corporation was paid $432K by Medicaid between Jan 2024 and Dec 2024, across 29 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 26% of everything it billed.
33Billing provider infoBLUE RIDGE MEDICAL MANAGEMENT CORPORATION
JOHNSON CITY, TN 37604
JOHNSON CITY, TN 37604
33aNPI1831979186assigned 10/04/2023
33bProvider typePediatrics Physician
28Total paid$432K
24GClaims15,744
24DCodes billed29
24AFirst – last monthJan 2024 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Tennessee
Rank by total paid#116 of 333
Median peer was paid$139K
This provider vs. median3.1×
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.
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 | |
|---|---|---|---|
| 2024incomplete | 15,744 | $432K |
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 | 26% | 2,237 | 1,237 | $113K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 3,224 | 1,733 | $102K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 17% | 865 | 428 | $76K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.5% | 538 | 303 | $32K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.9% | 507 | 300 | $30K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 5.6% | 885 | 473 | $24K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.5% | 425 | 256 | $24K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.4% | 908 | 551 | $15K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.0% | 110 | 76 | $8K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 350 | 77 | $2K |
| 99381 | <1% | 21 | 14 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 194 | 77 | $1K |
17 more codes
| 90677 | <1% | 354 | $1K | |
| 83655 | <1% | 96 | $918.31 | |
| 90734 | <1% | 43 | $731.73 | |
| 90461 | <1% | 697 | $268.16 | |
| 87807 | <1% | 16 | $169.23 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 74 | $140.74 |
| 90647 | <1% | 172 | $70.00 | |
| 90715 | <1% | 16 | $62.46 | |
| 3078F | <1% | 1,814 | $10.00 | |
| 90723 | 0% | 192 | $0.00 | |
| 3074F | 0% | 1,730 | $0.00 | |
| 90696 | 0% | 49 | $0.00 | |
| 90651 | 0% | 28 | $0.00 | |
| 3075F | 0% | 39 | $0.00 | |
| 90710 | 0% | 51 | $0.00 | |
| 90633 | 0% | 56 | $0.00 | |
| 90681 | 0% | 53 | $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 officialTARTE, PATRICIA (ENROLLMENT SUPERVISOR)
Parent organizationBLUE RIDGE MEDICAL MANAGEMENT CORPORATION
| Provider | Location | Paid |
|---|---|---|
| Mountain States Health Alliance | Johnson City, TN | $45K |
| Blue Ridge Medical Management Corpoartion | Big Stone Gap, VA | $18K |
| Blue Ridge Medical Management C Orporation | Johnson City, TN | $18K |
| Blue Ridge Medical Management Corpoartion | Mountain City, TN | $114.88 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.