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 $34K by Medicaid between Feb 2019 and Nov 2024, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 70% of everything it billed.

33Billing provider infoBLUE RIDGE MEDICAL MANAGEMENT CORPORATION
MARION, VA 24354
33aNPI1902317803assigned 10/18/2017
28Total paid$34K
24GClaims2,249
24DCodes billed15
24AFirst – last monthFeb 2019 – Nov 2024
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Virginia

Rank by total paid#74 of 243
Median peer was paid$8K
This provider vs. median4.1×

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.

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$1.0K$2.0K$3.0K2018201920202021202220232024
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
2019116$2K
202096$2K
2021363$10K
2022499$4K
2023891$13K
2024incomplete284$4K
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 70% 437 395 $24K
3078F 8.9% 830 756 $3K
3074F 5.9% 516 471 $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 5.3% 28 26 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3.0% 44 38 $995.70
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 1.4% 52 49 $460.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1.3% 16 14 $426.97
87210 <1% 81 56 $277.60
87590 <1% 15 14 $237.27
87490 <1% 15 14 $237.27
36415 Collection of venous blood by venipuncture <1% 89 76 $194.67
3077F <1% 28 24 $175.00
3 more codes
81025 <1% 15 $96.66
99000 <1% 61 $57.57
81003 <1% 22 $28.60

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.