Mission Hospitals, INC.
Mission Hospitals, INC. was paid $68K by Medicaid between Jan 2018 and Jan 2019, across 10 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 44% of everything it billed.
ASHEVILLE, NC 28801
Next to other Pulmonary Disease 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 | 3,388 | $64K | |
| 2019 | 218 | $4K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 44% | 493 | 176 | $30K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 24% | 1,037 | 358 | $16K |
| 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 | 9.8% | 362 | 206 | $7K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.5% | 283 | 163 | $4K |
| 95811 | 5.4% | 53 | 38 | $4K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 4.1% | 118 | 38 | $3K |
| 94010 | 1.8% | 356 | 217 | $1K | |
| 94727 | 1.8% | 431 | 254 | $1K | |
| 94729 | 1.7% | 428 | 251 | $1K | |
| 94060 | <1% | 45 | 26 | $111.94 |
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
| Provider | Location | Paid |
|---|---|---|
| The Mcdowell Hospital INC | Marion, NC | $1.60M |
| Angel Medical Center, INC | Franklin, NC | $608K |
| Mission Medical Associates INC | Asheville, NC | $587K |
| Angel Medical Center, INC. | Franklin, NC | $328K |
| The Mcdowell Hospital INC | Nebo, NC | $292K |
| Angel Medical Center, INC. | Franklin, NC | $246K |
| The Mcdowell Hospital INC | Marion, NC | $208K |
| The Mcdowell Hospital INC | Marion, NC | $191K |
| Transylvania Community Hospital, INC. | Brevard, NC | $163K |
| Transylvania Community Hospital, INC. | Clyde, NC | $162K |
| Blue Ridge Regional Hospital, INC | Spruce Pine, NC | $120K |
| Angel Medical Center,inc. | Franklin, NC | $89K |
| Mission Medical Associates INC | Arden, NC | $70K |
| The Mcdowell Hospital INC | Morganton, NC | $59K |
| Highlands-Cashiers Hospital, INC. | Cashiers, NC | $54K |
| Transylvania Community Hospital, INC. | Brevard, NC | $47K |
| Mission Medical Associates, INC | Weaverville, NC | $47K |
| Angel Medical Center, INC | Franklin, NC | $17K |
| Mission Medical Associates INC | Franklin, NC | $12K |
| Transylvania Physician Services, INC. | Brevard, NC | $12K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.