Medicaid Provider Spending

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

MISSION HEALTH COMMUNITY MULTISPECIALTY PROVIDERS, LLC

NPI: 1003386228 · ASHEVILLE, NC 28803 · Internal Medicine Physician · NPI assigned 11/30/2018

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

Authorized official JOHNSON, WILLIAM controls 20+ related entities in our dataset. Read more

$1.66M
Total Medicaid Paid
35,724
Total Claims
15,575
Beneficiaries
23
Codes Billed
2019-05
First Month
2024-11
Last Month

Provider Details

Authorized OfficialJOHNSON, WILLIAM (GROUP VP/AUTHORIZED OFFICIAL)
Parent OrganizationMISSION HEALTH COMMUNITY MULTISPECIALTY PROVIDERS, LLC
NPI Enumeration Date11/30/2018

Related Entities

Other providers sharing the same authorized official: JOHNSON, WILLIAM

ProviderCityStateTotal Paid
STATE OF OKLAHOMA DEPARTMENT OF HUMAN SERVICES OKLAHOMA CITY OK $21.69M
1ST PRIORITY HOMECARE LLC KANSAS CITY MO $5.21M
COASTAL CAROLINA PRIMARY CARE, LLC MYRTLE BEACH SC $4.04M
CITRUS SPECIALTY GROUP, INC INVERNESS FL $3.80M
MIAMI-DADE CARDIOLOGY CONSULTANTS, LLC MIAMI FL $2.32M
COMMUNITY HOSPITAL FAMILY PRACTICE LLC BROOKSVILLE FL $1.74M
CAPITAL REGIONAL HEALTHCARE LLC TALLAHASSEE FL $1.73M
CHILDRENS CLINIC OF FREDERICKSBURG URGENT CARE PC FREDERICKSBURG VA $820K
LAYTON FAMILY PRACTICE LLC LAYTON UT $673K
LARGO PHYSICIAN GROUP, LLC BROOKSVILLE FL $653K
WEST FLORIDA PHYSICIAN NETWORK, LLC BRADENTON FL $411K
BEHAVIORAL HEALTH SCIENCES OF WEST FLORIDA LLC SARASOTA FL $332K
NORTH FLORIDA REGIONAL PSYCHIATRY, LLC GAINESVILLE FL $204K
CITRUS PRIMARY CARE, INC HOMOSASSA FL $190K
COVENANT PRIMARY & BEHAVIORAL CARE PEMBROKE NC $166K
BROWARD NEUROSURGEONS LLC PLANTATION FL $77K
FAMILY MEDICINE OF BLACKSBURG, LLC BLACKSBURG VA $59K
LAWNWOOD CARDIOVASCULAR SURGERY LLC FORT PIERCE FL $54K
GREATER TAMPA BAY PHYSICIAN NETWORK, LLC SOUTH PASADENA FL $45K
SOUTHWEST VIRGINIA ORTHOPEDIC AND SPINE LLC BLACKSBURG VA $29K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 4,174 $219K
2020 4,660 $182K
2021 4,602 $194K
2022 6,659 $348K
2023 9,403 $394K
2024 6,226 $323K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 23,141 6,695 $851K
90792 Psychiatric diagnostic evaluation with medical services 3,470 2,763 $256K
99233 Prolong inpt eval add15 m 4,055 1,781 $254K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,465 1,272 $84K
99239 Hospital discharge day management, more than 30 minutes 991 854 $58K
90847 Family psychotherapy with the patient present, 50 minutes 510 383 $31K
99215 Prolong outpt/office vis 338 312 $30K
96131 157 149 $28K
96130 163 151 $14K
96112 112 108 $11K
99244 Office or other outpatient consultation, moderate to high complexity 68 62 $9K
99245 58 55 $8K
99223 Prolong inpt eval add15 m 51 42 $5K
99231 Subsequent hospital care, per day, straightforward or low complexity 190 83 $5K
96136 153 141 $4K
96137 39 36 $3K
96127 590 544 $2K
99238 Hospital discharge day management, 30 minutes or less 53 47 $2K
90791 Psychiatric diagnostic evaluation 23 17 $2K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 43 36 $2K
99354 13 12 $600.30
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 21 18 $536.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 20 14 $118.86