Medicaid Provider Spending

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

MOUNTAIN AREA HEALTH EDUCATION CENTER, INC.

NPI: 1265774590 · ASHEVILLE, NC 28804 · Family Medicine Physician · NPI assigned 03/25/2013

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

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

$1.67M
Total Medicaid Paid
63,618
Total Claims
36,214
Beneficiaries
26
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHATHAWAY, WILLIAM (CEO)
NPI Enumeration Date03/25/2013

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. FLETCHER NC $1.55M
MISSION HOSPITALS INC ASHEVILLE NC $1.22M
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 4,068 $117K
2019 5,087 $164K
2020 3,122 $104K
2021 4,693 $100K
2022 10,322 $255K
2023 14,040 $474K
2024 22,286 $457K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 5,686 4,106 $949K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,773 4,729 $276K
99199 Unlisted special service, procedure or report 37,132 16,956 $191K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,986 3,631 $186K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,960 1,518 $26K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 125 96 $10K
90472 Immunization administration, each additional vaccine (list separately) 296 253 $9K
96127 2,473 1,703 $7K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 54 51 $4K
99238 Hospital discharge day management, 30 minutes or less 96 64 $3K
90686 999 767 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 36 27 $2K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 27 14 $2K
36415 Collection of venous blood by venipuncture 665 500 $960.71
96110 Developmental screening, with scoring and documentation, per standardized instrument 139 96 $937.31
92551 607 487 $250.71
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 12 12 $169.56
96160 69 52 $148.04
99173 553 459 $67.02
96161 18 12 $41.14
83036 Hemoglobin; glycosylated (A1C) 15 14 $2.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 24 19 $0.00
90670 13 13 $0.00
3008F 822 611 $0.00
99000 24 12 $0.00
4037F 14 12 $0.00