Clinic
Appalachian Mountain Community Health Centers
Appalachian Mountain Community Health Centers was paid $4.49M by Medicaid between Jan 2018 and Dec 2024, across 33 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 infoAPPALACHIAN MOUNTAIN COMMUNITY HEALTH CENTERS
ASHEVILLE, NC 28806
ASHEVILLE, NC 28806
33aNPI1154701415assigned 06/02/2015
33bProvider typeClinic/Center
28Total paid$4.49M
24GClaims188,200
24DCodes billed33
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in North Carolina
Rank by total paid#6 of 57
Median peer was paid$97K
This provider vs. median46×
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 | 3,180 | $280K | |
| 2019 | 1,974 | $220K | |
| 2020 | 1,950 | $255K | |
| 2021 | 11,074 | $660K | |
| 2022 | 29,557 | $668K | |
| 2023 | 49,918 | $867K | |
| 2024incomplete | 90,547 | $1.54M |
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% | 29,057 | 20,705 | $3.55M |
| 99199 | Unlisted special service, procedure or report | 18% | 150,829 | 61,265 | $803K |
| 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 | 1.5% | 2,035 | 1,642 | $65K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.1% | 2,093 | 1,557 | $51K |
| 80305 | <1% | 831 | 585 | $8K | |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 13 | 12 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 18 | 12 | $1K |
| 99401 | <1% | 110 | 102 | $1K | |
| 92551 | <1% | 181 | 130 | $1K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 35 | 18 | $839.70 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 110 | 88 | $744.46 |
| D1110 | Prophylaxis - adult | <1% | 35 | 18 | $716.94 |
21 more codes
| D0274 | Bitewings - four radiographic images | <1% | 31 | $503.25 |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 135 | $501.23 |
| 96160 | <1% | 495 | $486.20 | |
| G0467 | Community health center visit, returning patient | <1% | 16 | $332.40 |
| D1206 | Topical application of fluoride varnish | <1% | 35 | $302.04 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 43 | $265.85 |
| 96127 | <1% | 511 | $238.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 13 | $160.42 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 16 | $145.70 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 12 | $123.39 |
| 85018 | <1% | 21 | $36.38 | |
| 99173 | <1% | 197 | $2.00 | |
| 90837 | Psychotherapy session, about an hour | 0% | 42 | $0.00 |
| 3078F | 0% | 492 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 15 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 15 | $0.00 |
| 99080 | 0% | 19 | $0.00 | |
| T1013 | Sign language or oral interpretive services, per 15 minutes | 0% | 12 | $0.00 |
| 3074F | 0% | 667 | $0.00 | |
| 99406 | 0% | 53 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 13 | $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 officialSIMPSON, SHANTELLE (PRESIDENT & CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Appalachian Mountain Community Health Centers | Robbinsville, NC | $5.69M |
| Appalachian Mountain Community Health Centers | Asheville, NC | $4.15M |
| Appalachian Mountain Community Health Centers | Murphy, NC | $2.28M |
| Appalachian Mountain Community Health Centers | Sylva, NC | $1.28M |
| Appalachian Mountain Community Health Centers | Asheville, NC | $154K |
| Appalachian Mountain Community Health Centers | Robbinsville, NC | $640.20 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.