Physician
Mountain Area Health Education Center, INC.
Mountain Area Health Education Center, INC. was paid $17.53M by Medicaid between Jan 2018 and Dec 2024, across 77 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 48% of everything it billed.
33Billing provider infoMOUNTAIN AREA HEALTH EDUCATION CENTER, INC.
ASHEVILLE, NC 28803
ASHEVILLE, NC 28803
33aNPI1265549919assigned 08/25/2006
33bProvider typeFamily Medicine Physician
28Total paid$17.53M
24GClaims443,242
24DCodes billed77
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in North Carolina
Rank by total paid#2 of 960
Median peer was paid$135K
This provider vs. median130×
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.
Entity ProliferationAuthorized official HATHAWAY, WILLIAM controls 20+ related entities in our dataset. Read more
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 | 45,306 | $1.32M | |
| 2019 | 43,818 | $1.45M | |
| 2020 | 38,643 | $1.64M | |
| 2021 | 56,919 | $1.93M | |
| 2022 | 106,098 | $3.87M | |
| 2023 | 88,830 | $4.00M | |
| 2024incomplete | 63,628 | $3.31M |
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 | 48% | 48,262 | 34,094 | $8.46M |
| 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% | 46,878 | 30,409 | $2.13M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.3% | 49,898 | 34,633 | $1.63M |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 5.9% | 21,804 | 15,499 | $1.04M |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 4.0% | 7,386 | 5,654 | $703K |
| 99199 | Unlisted special service, procedure or report | 3.7% | 125,696 | 62,167 | $651K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 2.7% | 7,730 | 5,727 | $475K |
| 59025 | Fetal non-stress test | 2.7% | 27,050 | 17,073 | $471K |
| 76818 | 1.9% | 6,147 | 3,411 | $330K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 1.3% | 4,496 | 3,276 | $223K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 1.2% | 369 | 290 | $217K |
| 59410 | 1.2% | 352 | 252 | $213K |
65 more codes
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 1,987 | $103K |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 2,656 | $97K |
| 76820 | <1% | 3,756 | $95K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 1,854 | $95K |
| 76830 | Ultrasound, transvaginal | <1% | 1,615 | $73K |
| 80305 | <1% | 6,850 | $57K | |
| 99243 | <1% | 654 | $51K | |
| 76801 | <1% | 621 | $49K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 1,402 | $39K |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | <1% | 535 | $38K |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | <1% | 1,466 | $35K |
| 36415 | Collection of venous blood by venipuncture | <1% | 21,039 | $34K |
| 81003 | <1% | 16,389 | $29K | |
| 81025 | <1% | 6,345 | $28K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 1,031 | $28K |
| 99241 | <1% | 678 | $21K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,208 | $13K |
| 96127 | <1% | 4,791 | $11K | |
| 99242 | <1% | 213 | $11K | |
| 85018 | <1% | 4,928 | $11K | |
| 59514 | <1% | 15 | $8K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 910 | $8K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 174 | $7K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 636 | $6K |
| 76825 | <1% | 48 | $6K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 152 | $5K |
| 90715 | <1% | 197 | $5K | |
| 99493 | <1% | 69 | $4K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 91 | $2K |
| S9442 | Birthing classes, non-physician provider, per session | <1% | 294 | $2K |
| 99283 | Emergency room visit (moderate) | <1% | 52 | $2K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 22 | $2K |
| 90686 | <1% | 291 | $2K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 15 | $2K |
| 93325 | <1% | 47 | $1K | |
| 99284 | Emergency room visit (serious) | <1% | 19 | $1K |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 71 | $930.41 |
| 99443 | <1% | 21 | $745.29 | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 14 | $306.66 |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 53 | $183.91 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 33 | $153.80 |
| 87210 | <1% | 50 | $123.27 | |
| 81001 | <1% | 164 | $122.97 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 501 | $95.76 |
| 82951 | <1% | 293 | $15.88 | |
| 82947 | <1% | 61 | $9.68 | |
| 36416 | <1% | 727 | $9.48 | |
| 86703 | 0% | 1,972 | $0.00 | |
| 87653 | 0% | 60 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 53 | $0.00 |
| 2014F | 0% | 56 | $0.00 | |
| G0512 | Rural health clinic or federally qualified health center (rhc/fqhc) only, psychiatric collaborative care model (psychiatric cocm), 60 minutes or more of clinical staff time for psychiatric cocm services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm) and including services furnished by a behavioral health care manager and consultation with a psychiatric consultant, per calendar month | 0% | 23 | $0.00 |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 0% | 14 | $0.00 |
| 88175 | Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer | 0% | 94 | $0.00 |
| 99000 | 0% | 1,253 | $0.00 | |
| 87801 | Infectious agent detection by nucleic acid; amplified probe, multiple organisms | 0% | 2,702 | $0.00 |
| 87088 | 0% | 2,858 | $0.00 | |
| 4037F | 0% | 15 | $0.00 | |
| 86780 | 0% | 605 | $0.00 | |
| 80055 | 0% | 250 | $0.00 | |
| 3008F | 0% | 976 | $0.00 | |
| 99024 | 0% | 94 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 70 | $0.00 |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 0% | 14 | $0.00 |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 27 | $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 officialHATHAWAY, WILLIAM (CEO)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.