Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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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.

33Billing provider infoBLUE RIDGE MEDICAL MANAGEMENT CORPORATION
JOHNSON CITY, TN 37604
33aNPI1912137506assigned 07/17/2009
33bProvider typeNurse Practitioner
28Total paid$250K
24GClaims13,005
24DCodes billed5
24AFirst – 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. median15×

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$5.0K$10K$15K2018201920202021202220232024
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
20184,129$88K
20193,736$82K
20202,926$45K
20212,214$34K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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

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.