NP / PA
Blue Ridge Medical Management Corporation
Blue Ridge Medical Management Corporation was paid $250K by Medicaid between Jan 2018 and May 2021, across 5 billing codes.
Its largest line is 99232 , hospital visit by a doctor, follow-up day — 69% of everything it billed.
33 Billing provider infoBLUE RIDGE MEDICAL MANAGEMENT CORPORATION JOHNSON CITY, TN 37604
33a NPI1912137506 assigned 07/17/2009
28 Total paid$250K
24G Claims13,005
24D Codes billed5
24A First – last monthJan 2018 – May 2021
Compared with peers
Next to other Nurse Practitioner providers in Tennessee
Rank by total paid #24 of 212
Median peer was paid $17K
This provider vs. median 15×
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 Proliferation Authorized official KILGORE, CARL controls 20+ related entities in our dataset.
Read more
Box 24A · Dates of service
Paid by month
$0 $5.0K $10K $15K 2018 2019 2020 2021 2022 2023 2024
Paid that month Nov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
Year Claims Paid
2018 4,129 $88K 2019 3,736 $82K 2020 2,926 $45K 2021 2,214 $34K
Box 24 · Service lines
What it billed for
Code Service Share Claims Bene. records Paid
99232
Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity
69%
10,278
3,544
$171K
99239
Hospital discharge day management, more than 30 minutes
11%
1,168
928
$28K
99233
Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m
11%
992
420
$26K
99223
Prolong inpt eval add15 m
9.6%
547
434
$24K
99221
<1%
20
14
$279.12
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
Provider Location 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
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.