Behavioral
Appalachian Mountain Community Health Centers
Appalachian Mountain Community Health Centers was paid $154K by Medicaid between Nov 2022 and Dec 2024, across 5 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 86% of everything it billed.
33Billing provider infoAPPALACHIAN MOUNTAIN COMMUNITY HEALTH CENTERS
ASHEVILLE, NC 28803
ASHEVILLE, NC 28803
33aNPI1356069819assigned 08/19/2022
33bProvider typeSocial Worker
28Total paid$154K
24GClaims4,334
24DCodes billed5
24AFirst – last monthNov 2022 – Dec 2024
Compared with peers
Next to other Social Worker providers in North Carolina
Rank by total paid#13 of 27
Median peer was paid$119K
This provider vs. median1.3×
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 | |
|---|---|---|---|
| 2022 | 66 | $10K | |
| 2023 | 741 | $62K | |
| 2024incomplete | 3,527 | $82K |
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 | 86% | 731 | 412 | $133K |
| 99199 | Unlisted special service, procedure or report | 10% | 3,498 | 2,558 | $16K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 2.0% | 43 | 28 | $3K |
| 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% | 44 | 28 | $1K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 18 | 13 | $613.91 |
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 | Asheville, NC | $4.15M |
| Appalachian Mountain Community Health Centers | Murphy, NC | $2.28M |
| Appalachian Mountain Community Health Centers | Sylva, NC | $1.28M |
| 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.