Clinic
Carolina Mountain Gastroenterology Endoscopy Center
Carolina Mountain Gastroenterology Endoscopy Center was paid $104K by Medicaid between Jan 2018 and Nov 2024, across 4 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 96% of everything it billed.
33Billing provider infoCAROLINA MOUNTAIN GASTROENTEROLOGY ENDOSCOPY CENTER
HENDERSONVILLE, NC 28791
HENDERSONVILLE, NC 28791
33aNPI1093993727assigned 02/05/2008
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$104K
24GClaims995
24DCodes billed4
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in North Carolina
Rank by total paid#45 of 89
Median peer was paid$104K
This provider vs. median1.0×
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 | 215 | $5K | |
| 2019 | 147 | $9K | |
| 2020 | 37 | $4K | |
| 2021 | 193 | $24K | |
| 2022 | 172 | $22K | |
| 2023 | 67 | $11K | |
| 2024incomplete | 164 | $28K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 96% | 880 | 615 | $99K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 3.9% | 65 | 38 | $4K |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 0% | 25 | 25 | $0.00 |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility | 0% | 25 | 25 | $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 officialRHOLL, JAMES (AUTHORIZED OFFICIAL)