Physician
Mission Health Community Multispecialty Providers, LLC
Mission Health Community Multispecialty Providers, LLC was paid $23.99M by Medicaid between Feb 2019 and Dec 2024, across 168 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 18% of everything it billed.
33Billing provider infoMISSION HEALTH COMMUNITY MULTISPECIALTY PROVIDERS, LLC
ARDEN, NC 28704
ARDEN, NC 28704
33aNPI1366912586assigned 11/30/2018
33bProvider typeInternal Medicine Physician
28Total paid$23.99M
24GClaims731,507
24DCodes billed168
24AFirst – last monthFeb 2019 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in North Carolina
Rank by total paid#4 of 616
Median peer was paid$74K
This provider vs. median323×
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 | |
|---|---|---|---|
| 2019 | 82,433 | $3.88M | |
| 2020 | 60,300 | $3.20M | |
| 2021 | 93,299 | $4.22M | |
| 2022 | 141,897 | $4.36M | |
| 2023 | 175,143 | $4.53M | |
| 2024incomplete | 178,435 | $3.80M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 18% | 86,336 | 66,133 | $4.42M |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 7.6% | 18,951 | 15,649 | $1.83M |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 7.5% | 28,951 | 11,416 | $1.79M |
| 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | 7.0% | 6,134 | 1,384 | $1.69M |
| 99199 | Unlisted special service, procedure or report | 5.7% | 290,490 | 135,676 | $1.36M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.0% | 36,414 | 27,006 | $1.21M |
| 99245 | 4.5% | 6,446 | 5,250 | $1.09M | |
| 99479 | Subsequent intensive care, per day, very low birth weight infant | 4.0% | 10,775 | 2,436 | $965K |
| 99480 | Subsequent intensive care, per day, low birth weight infant | 3.5% | 9,885 | 2,487 | $841K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 3.5% | 5,911 | 5,006 | $840K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.0% | 19,495 | 7,991 | $726K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 2.7% | 18,123 | 14,907 | $640K |
156 more codes
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | 2.1% | 10,581 | $515K |
| 99204 | Doctor's office visit, new patient (more involved) | 2.0% | 4,659 | $474K |
| 99203 | Doctor's office visit, new patient (routine) | 1.8% | 7,421 | $429K |
| 90791 | Psychiatric diagnostic evaluation | 1.6% | 5,451 | $395K |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.4% | 6,145 | $329K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 1.3% | 3,644 | $304K |
| 93000 | 1.1% | 19,642 | $270K | |
| 99460 | 1.0% | 3,523 | $250K | |
| 99499 | <1% | 846 | $233K | |
| 99223 | Prolong inpt eval add15 m | <1% | 2,049 | $233K |
| 99243 | <1% | 2,747 | $202K | |
| 99284 | Emergency room visit (serious) | <1% | 3,301 | $185K |
| 99205 | Prolong outpt/office vis | <1% | 1,304 | $168K |
| 99283 | Emergency room visit (moderate) | <1% | 5,226 | $165K |
| 95720 | <1% | 1,412 | $152K | |
| 93320 | <1% | 10,346 | $146K | |
| 96131 | <1% | 747 | $129K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 1,689 | $124K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 3,753 | $116K |
| 95816 | <1% | 2,576 | $111K | |
| 97803 | <1% | 2,508 | $108K | |
| 97802 | <1% | 1,532 | $105K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 865 | $89K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 813 | $81K |
| 94010 | <1% | 4,279 | $81K | |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 5,067 | $68K |
| 96040 | <1% | 2,463 | $67K | |
| 93295 | <1% | 3,435 | $65K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 677 | $63K |
| 93296 | <1% | 6,014 | $56K | |
| 96130 | <1% | 756 | $54K | |
| 99462 | <1% | 1,802 | $50K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 1,202 | $44K |
| 87428 | <1% | 1,160 | $44K | |
| 99417 | Prolong home eval add 15m | <1% | 795 | $37K |
| 95251 | <1% | 1,238 | $34K | |
| 96112 | <1% | 377 | $34K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,816 | $32K |
| 01922 | <1% | 213 | $31K | |
| 93325 | <1% | 11,042 | $30K | |
| 96137 | <1% | 566 | $30K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 273 | $28K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 1,168 | $25K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,456 | $23K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,591 | $22K |
| 95951 | <1% | 104 | $17K | |
| 96136 | <1% | 738 | $15K | |
| 96127 | <1% | 5,104 | $15K | |
| 25600 | <1% | 88 | $14K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,545 | $14K |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | <1% | 227 | $14K |
| 99442 | <1% | 656 | $14K | |
| 71045 | Radiologic examination, chest; single view | <1% | 3,083 | $13K |
| 99418 | Prolong nursin fac eval 15m | <1% | 239 | $11K |
| 54150 | <1% | 86 | $11K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 785 | $11K |
| 99152 | <1% | 2,996 | $10K | |
| 59426 | <1% | 17 | $9K | |
| 99219 | <1% | 83 | $9K | |
| 93298 | <1% | 893 | $9K | |
| A4590 | Special casting material (e.g., fiberglass) | <1% | 599 | $8K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 241 | $8K |
| 99443 | <1% | 298 | $8K | |
| 99217 | <1% | 119 | $7K | |
| 93922 | <1% | 1,774 | $6K | |
| 93970 | <1% | 265 | $6K | |
| 59425 | <1% | 14 | $6K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 4,127 | $5K |
| 93244 | <1% | 285 | $5K | |
| 77014 | <1% | 162 | $4K | |
| 95811 | <1% | 74 | $4K | |
| 93248 | <1% | 215 | $4K | |
| 99367 | <1% | 123 | $4K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 43 | $4K |
| 72125 | Computed tomography, cervical spine; without contrast material | <1% | 229 | $4K |
| 93971 | <1% | 172 | $4K | |
| 70551 | Magnetic resonance imaging, brain; without contrast material | <1% | 130 | $4K |
| 95886 | <1% | 93 | $3K | |
| 51798 | <1% | 592 | $3K | |
| 81003 | <1% | 4,129 | $3K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 159 | $3K |
| 74230 | <1% | 264 | $3K | |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | <1% | 86 | $3K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 44 | $3K |
| 95718 | <1% | 23 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 182 | $2K |
| 99255 | <1% | 17 | $2K | |
| 90686 | <1% | 843 | $2K | |
| 94664 | <1% | 224 | $2K | |
| 95819 | <1% | 49 | $2K | |
| 94729 | <1% | 452 | $2K | |
| 76937 | <1% | 485 | $2K | |
| 70496 | <1% | 59 | $2K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 25 | $2K |
| 20610 | <1% | 142 | $2K | |
| 93016 | <1% | 153 | $2K | |
| 94727 | <1% | 349 | $2K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 272 | $2K |
| 93227 | <1% | 72 | $2K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 82 | $2K |
| 93294 | <1% | 229 | $1K | |
| 95911 | <1% | 14 | $1K | |
| 99441 | <1% | 105 | $1K | |
| 29075 | <1% | 31 | $1K | |
| 99354 | <1% | 15 | $1K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 422 | $1K |
| 72100 | <1% | 188 | $1K | |
| 95782 | <1% | 14 | $1K | |
| 70498 | <1% | 45 | $1K | |
| 99253 | <1% | 12 | $1K | |
| 81025 | <1% | 213 | $1K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 122 | $1K |
| 73030 | <1% | 188 | $1K | |
| 93018 | <1% | 155 | $1K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 349 | $992.17 |
| 99220 | <1% | 16 | $959.54 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 60 | $946.76 |
| 93272 | <1% | 46 | $913.20 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 39 | $913.10 |
| G2066 | Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results | <1% | 843 | $898.31 |
| 52000 | <1% | 18 | $883.45 | |
| 95012 | <1% | 69 | $871.49 | |
| 29065 | <1% | 26 | $739.95 | |
| 64483 | <1% | 20 | $714.05 | |
| G0425 | Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth | <1% | 67 | $707.52 |
| 72114 | <1% | 37 | $657.15 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 12 | $645.70 |
| 29705 | <1% | 17 | $577.76 | |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | <1% | 13 | $510.97 |
| 70491 | <1% | 16 | $423.56 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 208 | $415.72 |
| 90715 | <1% | 28 | $400.95 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 26 | $337.25 |
| 93880 | <1% | 46 | $312.48 | |
| 93225 | <1% | 16 | $283.50 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 102 | $233.35 |
| 74018 | <1% | 39 | $215.46 | |
| 92551 | <1% | 188 | $195.06 | |
| 73130 | <1% | 15 | $191.31 | |
| 99406 | <1% | 36 | $159.46 | |
| 81001 | <1% | 116 | $152.32 | |
| 73552 | <1% | 21 | $147.68 | |
| 93784 | <1% | 61 | $137.00 | |
| 87807 | <1% | 21 | $129.20 | |
| 77001 | <1% | 20 | $120.51 | |
| 73560 | <1% | 18 | $119.04 | |
| 94060 | <1% | 19 | $109.91 | |
| 99070 | <1% | 357 | $19.78 | |
| 99173 | <1% | 232 | $7.00 | |
| 3074F | 0% | 189 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 12 | $0.00 |
| 92587 | 0% | 38 | $0.00 | |
| 3079F | 0% | 14 | $0.00 | |
| 99000 | 0% | 13 | $0.00 | |
| 3078F | 0% | 183 | $0.00 | |
| T1015 | A visit at a community health center or clinic (one all-in rate) | 0% | 697 | $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 officialJOHNSON, TEDRICK (GROUP VICE PRESIDENT)
Parent organizationMISSION HEALTH COMMUNITY MULTISPECIALTY PROVIDERS, LLC
| Provider | Location | Paid |
|---|---|---|
| Commonwealth Specialists of Kentucky LLC | Frankfort, KY | $922K |
| Mission Health Community Multispecialty Providers, LLC | Asheville, NC | $290K |
| Heathrow Internal Medicine LLC | Lake Mary, FL | $11K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.