Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

NPI: 1841794443 · ABINGDON, VA 24211 · Internal Medicine Physician · NPI assigned 03/20/2018

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official KILGORE, CARL controls 20+ related entities in our dataset. Read more

$425K
Total Medicaid Paid
23,529
Total Claims
20,030
Beneficiaries
27
Codes Billed
2018-06
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKILGORE, CARL (PRESIDENT)
NPI Enumeration Date03/20/2018

Related Entities

Other providers sharing the same authorized official: KILGORE, CARL

ProviderCityStateTotal Paid
BLUE RIDGE MEDICAL MANAGGEMENT CORPORATION KINGSPORT TN $2.17M
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION JOHNSON CITY TN $1.51M
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION KINGSPORT TN $812K
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION JOHNSON CITY TN $736K
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION ABINGDON VA $713K
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION LEBANON VA $549K
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION ABINGDON VA $544K
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION NORTON VA $408K
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION ELIZABETHTON TN $390K
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION KINGSPORT TN $346K
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION JONESBOROUGH TN $345K
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION JOHNSON CITY TN $250K
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION RURAL RETREAT VA $232K
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION ELIZABETHTON TN $226K
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION ABINGDON VA $217K
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION KINGSPORT TN $201K
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION JOHNSON CITY TN $199K
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION JOHNSON CITY TN $199K
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION ABINGDON VA $193K
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION JOHNSON CITY TN $188K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,064 $227.58
2019 3,614 $34K
2020 2,863 $39K
2021 3,467 $76K
2022 4,710 $122K
2023 4,823 $88K
2024 2,988 $67K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1,778 1,620 $89K
76819 Fetal biophysical profile; without non-stress testing 1,872 1,272 $68K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,227 1,075 $64K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,461 1,280 $41K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 25 24 $40K
59510 13 13 $34K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 311 286 $20K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 428 367 $18K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 145 127 $11K
3074F 2,794 2,531 $10K
3078F 2,290 2,060 $8K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 80 78 $6K
36415 Collection of venous blood by venipuncture 1,787 1,642 $4K
0502F 8,421 6,821 $3K
76830 Ultrasound, transvaginal 38 37 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 14 14 $2K
90715 46 38 $1K
3079F 259 241 $975.00
59025 Fetal non-stress test 15 13 $636.75
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 96 84 $544.81
81025 81 72 $442.05
90686 26 26 $413.98
3075F 70 66 $325.00
81003 152 145 $299.26
90674 13 12 $210.00
0500F 75 74 $150.01
0503F 12 12 $0.00