Medicaid Provider Spending

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

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

NPI: 1912137506 · JOHNSON CITY, TN 37604 · Nurse Practitioner · NPI assigned 07/17/2009

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

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

$250K
Total Medicaid Paid
13,005
Total Claims
5,340
Beneficiaries
5
Codes Billed
2018-01
First Month
2021-05
Last Month

Provider Details

Authorized OfficialKILGORE, CARL (PRESIDENT)
NPI Enumeration Date07/17/2009

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 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
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION KINGSPORT TN $134K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,129 $88K
2019 3,736 $82K
2020 2,926 $45K
2021 2,214 $34K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 10,278 3,544 $171K
99239 Hospital discharge day management, more than 30 minutes 1,168 928 $28K
99233 Prolong inpt eval add15 m 992 420 $26K
99223 Prolong inpt eval add15 m 547 434 $24K
99221 20 14 $279.12