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 $425K by Medicaid between Jun 2018 and Dec 2024, across 27 billing codes. Its largest line is 76816, Ultrasound, pregnant uterus, real time with image documentation, follow-up — 21% of everything it billed.

33Billing provider infoBLUE RIDGE MEDICAL MANAGEMENT CORPORATION
ABINGDON, VA 24211
33aNPI1841794443assigned 03/20/2018
28Total paid$425K
24GClaims23,529
24DCodes billed27
24AFirst – last monthJun 2018 – Dec 2024
Compared with peers

Next to other Internal Medicine Physician providers in Virginia

Rank by total paid#51 of 478
Median peer was paid$17K
This provider vs. median25×

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$25K$50K$75K2018201920202021202220232024
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
20181,064$227.58
20193,614$34K
20202,863$39K
20213,467$76K
20224,710$122K
20234,823$88K
2024incomplete2,988$67K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 21% 1,778 1,620 $89K
76819 Fetal biophysical profile; without non-stress testing 16% 1,872 1,272 $68K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15% 1,227 1,075 $64K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 9.7% 1,461 1,280 $41K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 9.4% 25 24 $40K
59510 8.0% 13 13 $34K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4.8% 311 286 $20K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 4.1% 428 367 $18K
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 2.6% 145 127 $11K
3074F 2.4% 2,794 2,531 $10K
3078F 2.0% 2,290 2,060 $8K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1.4% 80 78 $6K
15 more codes
36415 Collection of venous blood by venipuncture <1% 1,787 $4K
0502F <1% 8,421 $3K
76830 Ultrasound, transvaginal <1% 38 $3K
99204 Doctor's office visit, new patient (more involved) <1% 14 $2K
90715 <1% 46 $1K
3079F <1% 259 $975.00
59025 Fetal non-stress test <1% 15 $636.75
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 96 $544.81
81025 <1% 81 $442.05
90686 <1% 26 $413.98
3075F <1% 70 $325.00
81003 <1% 152 $299.26
90674 <1% 13 $210.00
0500F <1% 75 $150.01
0503F 0% 12 $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

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.