Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Blue Ridge Medical Management Corporation

Blue Ridge Medical Management Corporation was paid $136K by Medicaid between Oct 2022 and Dec 2024, across 8 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 35% of everything it billed.

33Billing provider infoBLUE RIDGE MEDICAL MANAGEMENT CORPORATION
JOHNSON CITY, TN 37604
33aNPI1841770864assigned 08/20/2018
28Total paid$136K
24GClaims4,988
24DCodes billed8
24AFirst – last monthOct 2022 – Dec 2024
Compared with peers

Next to other Pediatric Pulmonology Physician providers in Tennessee

Rank by total paid#2 of 6
Median peer was paid$110K
This provider vs. median1.2×

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
2022123$7K
20231,612$42K
2024incomplete3,253$87K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 35% 539 419 $47K
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 27% 585 506 $36K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 19% 587 458 $26K
94375 11% 723 612 $15K
99205 Prolong outpt/office vis 6.5% 78 70 $9K
94010 <1% 53 46 $1K
3078F <1% 1,205 975 $1K
3074F <1% 1,218 986 $975.00

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.