Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MISSION HOSPITALS INC

NPI: 1174503858 · ASHEVILLE, NC 28803 · Pediatrics Physician · NPI assigned 01/19/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official HATHAWAY, WILLIAM controls 20+ related entities in our dataset. Read more

$1.22M
Total Medicaid Paid
24,053
Total Claims
14,693
Beneficiaries
30
Codes Billed
2018-01
First Month
2019-06
Last Month

Provider Details

Authorized OfficialHATHAWAY, WILLIAM (SENIOR VP)
NPI Enumeration Date01/19/2006

Related Entities

Other providers sharing the same authorized official: HATHAWAY, WILLIAM

ProviderCityStateTotal Paid
MOUNTAIN AREA HEALTH EDUCATION CENTER, INC. ASHEVILLE NC $17.53M
MOUNTAIN AREA HEALTH EDUCATION CENTER, INC. ASHEVILLE NC $14.23M
MOUNTAIN AREA HEALTH EDUCATION CENTER, INC. CANDLER NC $7.16M
MOUNTAIN AREA HEALTH EDUCATION CENTER, INC. ASHEVILLE NC $5.47M
MOUNTAIN AREA HEALTH EDUCATION CENTER, INC. ASHEVILLE NC $1.67M
MOUNTAIN AREA HEALTH EDUCATION CENTER, INC. FLETCHER NC $1.55M
MOUNTAIN AREA HEALTH EDUCATION CENTER, INC. ASHEVILLE NC $971K
MOUNTAIN AREA HEALTH EDUCATION CENTER, INC. ASHEVILLE NC $843K
MOUNTAIN AREA HEALTH EDUCATION CENTER, INC. ASHEVILLE NC $651K
MOUNTAIN AREA HEALTH EDUCATION CENTER, INC. ASHEVILLE NC $647K
MOUNTAIN AREA HEALTH EDUCATION CENTER, INC. FRANKLIN NC $164K
MISSION HOSPITALS INC ASHEVILLE NC $69K
MISSION HOSPITALS INC ASHEVILLE NC $25K
MISSION HOSPITAL INC ASHEVILLE NC $14K
MISSION HOSPITALS, INC ASHEVILLE NC $13K
MISSION HOSPITALS, INC ASHEVILLE NC $4K
MISSION HOSPITALS INC ASHEVILLE NC $3K
MISSION HOSPITALS, INC. ARDEN NC $2K
MISSION HOSPITAL, INC. ASHEVILLE NC $1K
MISSION HOSPITALS, INC. ASHEVILLE NC $189.21

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 21,686 $1.11M
2019 2,367 $112K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99233 Prolong inpt eval add15 m 3,234 860 $262K
99215 Prolong outpt/office vis 4,230 2,305 $192K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,623 2,584 $148K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,733 1,763 $102K
99244 Office or other outpatient consultation, moderate to high complexity 1,096 792 $93K
99245 969 515 $76K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,173 1,414 $55K
99223 Prolong inpt eval add15 m 299 276 $45K
99243 700 530 $40K
99499 72 65 $29K
99239 Hospital discharge day management, more than 30 minutes 276 258 $22K
97802 448 317 $21K
97803 656 430 $18K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 176 168 $18K
90792 Psychiatric diagnostic evaluation with medical services 184 178 $17K
90834 Psychotherapy, 45 minutes with patient 394 365 $17K
95810 Polysomnography; sleep staging with 4 or more additional parameters 133 126 $16K
94010 1,246 609 $14K
95816 325 310 $13K
99205 Prolong outpt/office vis 42 42 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 284 244 $5K
99170 62 57 $4K
95813 61 60 $4K
99284 Emergency department visit for the evaluation and management, high severity 24 18 $2K
99367 118 79 $2K
96110 Developmental screening, with scoring and documentation, per standardized instrument 256 203 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 25 25 $993.50
94664 123 45 $455.92
92587 61 43 $324.28
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 30 12 $0.00