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

Blue Ridge Medical Management Corpoartion

Blue Ridge Medical Management Corpoartion was paid $1.22M by Medicaid between Mar 2018 and Dec 2024, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.

33Billing provider infoBLUE RIDGE MEDICAL MANAGEMENT CORPOARTION
JOHNSON CITY, TN 37604
33aNPI1932617271assigned 01/22/2018
28Total paid$1.22M
24GClaims25,203
24DCodes billed16
24AFirst – last monthMar 2018 – Dec 2024
Compared with peers

Next to other Orthopaedic Surgery Physician providers in Tennessee

Rank by total paid#3 of 75
Median peer was paid$42K
This provider vs. median29×

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$20K$40K2018201920202021202220232024
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
2018774$32K
20191,969$116K
20202,264$128K
20213,830$187K
20224,314$200K
20236,014$274K
2024incomplete6,038$282K
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 39% 10,895 9,485 $472K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 18% 2,196 1,940 $214K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 16% 3,071 2,666 $193K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12% 2,174 1,935 $146K
72082 8.7% 2,515 2,341 $106K
77073 1.7% 735 658 $20K
72170 1.6% 1,068 920 $20K
73070 1.4% 969 713 $17K
73100 1.1% 667 518 $13K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 212 187 $6K
73090 <1% 282 215 $5K
73560 <1% 228 174 $4K
4 more codes
73600 <1% 78 $1K
73620 <1% 52 $776.84
73590 <1% 39 $696.77
29705 <1% 22 $537.44

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.