Medicaid Provider Spending

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

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

NPI: 1962883678 · JOHNSON CITY, TN 37604 · Endocrinology, Diabetes & Metabolism Physician · NPI assigned 06/18/2015

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

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

$932K
Total Medicaid Paid
36,827
Total Claims
32,761
Beneficiaries
18
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKILGORE, CARL (PRESIDENT)
NPI Enumeration Date06/18/2015

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 1,171 $45K
2019 2,382 $92K
2020 1,637 $68K
2021 3,347 $130K
2022 6,801 $145K
2023 10,319 $215K
2024 11,170 $237K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99215 Prolong outpt/office vis 5,095 4,591 $467K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,711 4,254 $295K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 441 396 $43K
95251 1,639 1,487 $39K
83036 Hemoglobin; glycosylated (A1C) 5,243 4,552 $26K
99205 Prolong outpt/office vis 147 125 $17K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 307 291 $13K
36415 Collection of venous blood by venipuncture 5,605 4,912 $12K
3074F 6,465 5,752 $6K
3078F 6,111 5,435 $6K
99417 Prolong home eval add 15m 96 85 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 32 30 $2K
99243 28 26 $2K
99244 Office or other outpatient consultation, moderate to high complexity 13 13 $860.17
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 129 126 $837.61
3044F 655 586 $550.00
3079F 69 62 $30.00
3046F 41 38 $25.00