Medicaid Provider Spending

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

BLUE RIDGE MEDICAL MANAGEMENT CORPOARTION

NPI: 1932617271 · JOHNSON CITY, TN 37604 · Orthopaedic Surgery Physician · NPI assigned 01/22/2018

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

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

$1.22M
Total Medicaid Paid
25,203
Total Claims
21,896
Beneficiaries
16
Codes Billed
2018-03
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKILGORE, CARL (PRESIDENT)
NPI Enumeration Date01/22/2018

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 JOHNSON CITY TN $250K
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 774 $32K
2019 1,969 $116K
2020 2,264 $128K
2021 3,830 $187K
2022 4,314 $200K
2023 6,014 $274K
2024 6,038 $282K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10,895 9,485 $472K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,196 1,940 $214K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,071 2,666 $193K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,174 1,935 $146K
72082 2,515 2,341 $106K
77073 735 658 $20K
72170 1,068 920 $20K
73070 969 713 $17K
73100 667 518 $13K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 212 187 $6K
73090 282 215 $5K
73560 228 174 $4K
73600 78 61 $1K
73620 52 40 $776.84
73590 39 30 $696.77
29705 22 13 $537.44