Clinic
Appalachian Mountain Community Health Centers
Appalachian Mountain Community Health Centers was paid $2.28M by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 88% of everything it billed.
33Billing provider infoAPPALACHIAN MOUNTAIN COMMUNITY HEALTH CENTERS
MURPHY, NC 28906
MURPHY, NC 28906
33aNPI1356896187assigned 08/22/2016
33bProvider typeDental Clinic/Center
28Total paid$2.28M
24GClaims53,373
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in North Carolina
Rank by total paid#14 of 105
Median peer was paid$224K
This provider vs. median10×
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 | 824 | $31K | |
| 2019 | 786 | $54K | |
| 2020 | 1,044 | $129K | |
| 2021 | 3,475 | $385K | |
| 2022 | 7,036 | $420K | |
| 2023 | 11,607 | $506K | |
| 2024incomplete | 28,601 | $760K |
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 | 88% | 15,955 | 10,954 | $2.00M |
| 99199 | Unlisted special service, procedure or report | 7.6% | 32,282 | 12,723 | $173K |
| 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 | 2.0% | 1,510 | 1,119 | $46K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.6% | 1,507 | 1,187 | $37K |
| 80305 | <1% | 800 | 553 | $7K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 130 | 49 | $5K |
| D0140 | Limited oral evaluation - problem focused | <1% | 201 | 128 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 70 | 70 | $3K |
| D0330 | Panoramic radiographic image | <1% | 32 | 29 | $2K |
| G0467 | Community health center visit, returning patientFederally 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 | <1% | 46 | 30 | $963.96 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 65 | 43 | $678.40 |
| D1206 | Topical application of fluoride varnish | <1% | 37 | 37 | $587.30 |
8 more codes
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 | 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.