Physician
The Mcdowell Hospital INC
The Mcdowell Hospital INC was paid $1.45M by Medicaid between Jan 2018 and Nov 2021, across 34 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 79% of everything it billed.
33Billing provider infoTHE MCDOWELL HOSPITAL INC
MARION, NC 28752
MARION, NC 28752
33aNPI1033410840assigned 11/10/2010
33bProvider typePediatrics Physician
28Total paid$1.45M
24GClaims23,127
24DCodes billed34
24AFirst – last monthJan 2018 – Nov 2021
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#188 of 433
Median peer was paid$942K
This provider vs. median1.5×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 20,008 | $1.30M | |
| 2019 | 2,105 | $147K | |
| 2021 | 1,014 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 79% | 6,772 | 5,838 | $1.14M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.9% | 1,080 | 980 | $71K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.6% | 1,096 | 935 | $66K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.3% | 1,754 | 1,526 | $48K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.1% | 2,873 | 2,481 | $44K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.4% | 468 | 320 | $20K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.1% | 1,197 | 579 | $15K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 921 | 879 | $12K |
| 90474 | <1% | 437 | 410 | $8K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 262 | 250 | $7K |
| 99199 | Unlisted special service, procedure or report | <1% | 1,014 | 1,014 | $6K |
| D1206 | Topical application of fluoride varnish | <1% | 265 | 250 | $3K |
22 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 295 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 39 | $2K |
| 83655 | <1% | 106 | $1K | |
| 96161 | <1% | 192 | $635.80 | |
| 87807 | <1% | 15 | $211.95 | |
| 90734 | <1% | 20 | $119.02 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 12 | $108.72 |
| 90686 | <1% | 716 | $102.62 | |
| 92551 | <1% | 307 | $70.16 | |
| 90633 | <1% | 242 | $64.28 | |
| 90715 | <1% | 19 | $38.93 | |
| 99173 | <1% | 784 | $22.00 | |
| 90680 | 0% | 438 | $0.00 | |
| 90698 | 0% | 30 | $0.00 | |
| 90723 | 0% | 406 | $0.00 | |
| 90647 | 0% | 120 | $0.00 | |
| 90696 | 0% | 20 | $0.00 | |
| 90648 | 0% | 98 | $0.00 | |
| 90670 | 0% | 922 | $0.00 | |
| 90687 | 0% | 45 | $0.00 | |
| 90685 | 0% | 52 | $0.00 | |
| 90710 | 0% | 110 | $0.00 |
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 officialSTEWART, CLINT (VP FINANCE/BUSINESS OPERATIONS)
| Provider | Location | Paid |
|---|---|---|
| Blue Ridge Regional Hospital, INC | Spruce Pine, NC | $1.32M |
| Blue Ridge Regional Hospital, INC | Burnsville, NC | $403K |
| The Mcdowell Hospital INC | Marion, NC | $278K |
| The Mcdowell Hospital INC | Old Fort, NC | $194K |
| Blue Ridge Regional Hospital, INC. | Spruce Pine, NC | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.