Medicaid Provider Spending

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

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

NPI: 1972531044 · JONESBOROUGH, TN 37659 · Urgent Care Clinic/Center · NPI assigned 06/29/2006

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

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

$345K
Total Medicaid Paid
11,268
Total Claims
9,143
Beneficiaries
8
Codes Billed
2018-01
First Month
2020-03
Last Month

Provider Details

Authorized OfficialKILGORE, CARL (PRESIDENT)
NPI Enumeration Date06/29/2006

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 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
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION KINGSPORT TN $134K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,370 $116K
2019 5,444 $168K
2020 2,454 $61K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,243 2,922 $178K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,683 2,429 $116K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,622 1,231 $23K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,496 2,364 $20K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 111 97 $6K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 51 50 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 47 37 $423.05
81002 15 13 $24.22