Mission Hospitals INC
Mission Hospitals INC was paid $1.22M by Medicaid between Jan 2018 and Jun 2019, across 30 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 21% of everything it billed.
ASHEVILLE, NC 28803
Next to other Pediatrics Physician providers in North Carolina
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 21,686 | $1.11M | |
| 2019 | 2,367 | $112K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 21% | 3,234 | 860 | $262K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 16% | 4,230 | 2,305 | $192K |
| 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 | 12% | 3,623 | 2,584 | $148K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 8.4% | 2,733 | 1,763 | $102K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 7.6% | 1,096 | 792 | $93K |
| 99245 | 6.2% | 969 | 515 | $76K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.5% | 2,173 | 1,414 | $55K |
| 99223 | Prolong inpt eval add15 m | 3.7% | 299 | 276 | $45K |
| 99243 | 3.2% | 700 | 530 | $40K | |
| 99499 | 2.4% | 72 | 65 | $29K | |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.8% | 276 | 258 | $22K |
| 97802 | 1.7% | 448 | 317 | $21K |
18 more codes
| 97803 | 1.5% | 656 | $18K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 1.5% | 176 | $18K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.4% | 184 | $17K |
| 90834 | Psychotherapy session, about 45 minutes | 1.4% | 394 | $17K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 1.3% | 133 | $16K |
| 94010 | 1.2% | 1,246 | $14K | |
| 95816 | 1.1% | 325 | $13K | |
| 99205 | Prolong outpt/office vis | <1% | 42 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 284 | $5K |
| 99170 | <1% | 62 | $4K | |
| 95813 | <1% | 61 | $4K | |
| 99284 | Emergency room visit (serious) | <1% | 24 | $2K |
| 99367 | <1% | 118 | $2K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 256 | $2K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 25 | $993.50 |
| 94664 | <1% | 123 | $455.92 | |
| 92587 | <1% | 61 | $324.28 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 0% | 30 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.