Medicaid Provider Spending

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

MOUNTAIN AREA HEALTH EDUCATION CENTER, INC.

NPI: 1295390409 · ASHEVILLE, NC 28803 · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · NPI assigned 05/02/2019

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

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

$5.47M
Total Medicaid Paid
71,194
Total Claims
37,629
Beneficiaries
21
Codes Billed
2019-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHATHAWAY, WILLIAM (CEO)
NPI Enumeration Date05/02/2019

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 $1.67M
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
2019 336 $18K
2020 1,662 $106K
2021 7,758 $407K
2022 13,761 $868K
2023 24,613 $1.63M
2024 23,064 $2.44M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 18,429 10,796 $3.77M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12,078 8,110 $458K
90832 Psychotherapy, 30 minutes with patient 15,761 6,079 $394K
90834 Psychotherapy, 45 minutes with patient 10,536 4,401 $362K
90837 Psychotherapy, 53 minutes with patient 5,488 2,202 $260K
99215 Prolong outpt/office vis 2,543 1,804 $141K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,481 1,079 $19K
99199 Unlisted special service, procedure or report 1,917 1,598 $13K
90792 Psychiatric diagnostic evaluation with medical services 259 205 $13K
90791 Psychiatric diagnostic evaluation 147 109 $11K
H0038 Self-help/peer services, per 15 minutes 1,612 596 $8K
90847 Family psychotherapy with the patient present, 50 minutes 93 51 $6K
90853 Group psychotherapy (other than of a multiple-family group) 237 105 $4K
99214GT 36 36 $4K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 239 178 $3K
99215GT 16 16 $2K
36415 Collection of venous blood by venipuncture 207 166 $295.77
80305 37 28 $132.51
99000 20 15 $0.00
2014F 46 43 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 12 12 $0.00