Mountain Area Health Education Center, INC.
Mountain Area Health Education Center, INC. was paid $1.67M by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 57% of everything it billed.
ASHEVILLE, NC 28804
Next to other Family Medicine 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 | 4,068 | $117K | |
| 2019 | 5,087 | $164K | |
| 2020 | 3,122 | $104K | |
| 2021 | 4,693 | $100K | |
| 2022 | 10,322 | $255K | |
| 2023 | 14,040 | $474K | |
| 2024incomplete | 22,286 | $457K |
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 | 57% | 5,686 | 4,106 | $949K |
| 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 | 17% | 6,773 | 4,729 | $276K |
| 99199 | Unlisted special service, procedure or report | 11% | 37,132 | 16,956 | $191K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 4,986 | 3,631 | $186K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.5% | 1,960 | 1,518 | $26K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 125 | 96 | $10K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 296 | 253 | $9K |
| 96127 | <1% | 2,473 | 1,703 | $7K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 54 | 51 | $4K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 96 | 64 | $3K |
| 90686 | <1% | 999 | 767 | $3K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 36 | 27 | $2K |
14 more codes
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 27 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 665 | $960.71 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 139 | $937.31 |
| 92551 | <1% | 607 | $250.71 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 12 | $169.56 |
| 96160 | <1% | 69 | $148.04 | |
| 99173 | <1% | 553 | $67.02 | |
| 96161 | <1% | 18 | $41.14 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 15 | $2.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 24 | $0.00 |
| 90670 | 0% | 13 | $0.00 | |
| 3008F | 0% | 822 | $0.00 | |
| 99000 | 0% | 24 | $0.00 | |
| 4037F | 0% | 14 | $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.