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

Mission Hospitals INC

Mission Hospitals INC was paid $266K by Medicaid between Jan 2018 and Jan 2019, across 14 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 47% of everything it billed.

33Billing provider infoMISSION HOSPITALS INC
ASHEVILLE, NC 28803
33aNPI1013987411assigned 01/26/2006
33bProvider typePediatrics Physician
28Total paid$266K
24GClaims5,554
24DCodes billed14
24AFirst – last monthJan 2018 – Jan 2019
Compared with peers

Next to other Pediatrics Physician providers in North Carolina

Rank by total paid#282 of 433
Median peer was paid$942K
This provider vs. median0.3×

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.

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
20184,905$235K
2019649$32K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 47% 2,946 2,187 $126K
96101 14% 161 148 $38K
90847 Family psychotherapy with the patient present, 50 minutes 9.0% 838 508 $24K
96111 7.4% 205 192 $20K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 7.3% 273 236 $20K
99245 5.5% 114 98 $15K
99244 Office or other outpatient consultation, moderate to high complexity 4.7% 121 104 $13K
96131 1.5% 32 24 $4K
96130 <1% 33 25 $2K
96127 <1% 719 484 $2K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 46 42 $2K
90846 Family psychotherapy without the patient present, 50 minutes <1% 15 13 $810.03
2 more codes
96136 <1% 33 $486.68
96137 <1% 18 $250.65

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 officialFALE, DALE (CHIEF MEDICAL OFFICER)