Clinic
Appalachian Mountain Community Health Centers
Appalachian Mountain Community Health Centers was paid $4.15M by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 90% of everything it billed.
33Billing provider infoAPPALACHIAN MOUNTAIN COMMUNITY HEALTH CENTERS
ASHEVILLE, NC 28801
ASHEVILLE, NC 28801
33aNPI1336528314assigned 05/25/2015
33bProvider typeDental Clinic/Center
28Total paid$4.15M
24GClaims86,604
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in North Carolina
Rank by total paid#11 of 105
Median peer was paid$224K
This provider vs. median19×
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.
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 | 4,710 | $382K | |
| 2019 | 3,442 | $378K | |
| 2020 | 3,175 | $391K | |
| 2021 | 5,447 | $554K | |
| 2022 | 10,642 | $621K | |
| 2023 | 16,863 | $650K | |
| 2024incomplete | 42,325 | $1.18M |
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 | 90% | 29,939 | 20,981 | $3.73M |
| 99199 | Unlisted special service, procedure or report | 6.7% | 47,853 | 19,082 | $279K |
| 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 | 1.5% | 1,979 | 1,500 | $61K |
| 80305 | <1% | 4,172 | 2,947 | $37K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 1,208 | 873 | $23K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 280 | 235 | $10K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 68 | 67 | $5K |
| D0140 | Limited oral evaluation - problem focused | <1% | 95 | 70 | $2K |
| D0330 | Panoramic radiographic image | <1% | 39 | 38 | $2K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 142 | 103 | $1K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 151 | 116 | $1K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 12 | 12 | $774.06 |
11 more codes
| G0467 | Community health center visit, returning patient | <1% | 39 | $631.56 |
| 88141 | <1% | 28 | $365.37 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 144 | $325.18 |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 37 | $219.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 63 | $0.00 |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 14 | $0.00 |
| 3078F | 0% | 74 | $0.00 | |
| 99000 | 0% | 85 | $0.00 | |
| 99459 | 0% | 16 | $0.00 | |
| 3074F | 0% | 133 | $0.00 | |
| 3079F | 0% | 33 | $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 officialSIMPSON, SHANTELLE (PRESIDENT & CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Appalachian Mountain Community Health Centers | Robbinsville, NC | $5.69M |
| Appalachian Mountain Community Health Centers | Asheville, NC | $4.49M |
| Appalachian Mountain Community Health Centers | Murphy, NC | $2.28M |
| Appalachian Mountain Community Health Centers | Sylva, NC | $1.28M |
| Appalachian Mountain Community Health Centers | Asheville, NC | $154K |
| Appalachian Mountain Community Health Centers | Robbinsville, NC | $640.20 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.