Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NC › ARDEN › MISSION HEALTH COMMUNITY MULTISPECIALTY PROVIDERS, LLC

MISSION HEALTH COMMUNITY MULTISPECIALTY PROVIDERS, LLC

NPI: 1366912586 · ARDEN, NC 28704 · Internal Medicine Physician · NPI assigned 11/30/2018

$23.99M
Total Medicaid Paid
731,507
Total Claims
441,658
Beneficiaries
168
Codes Billed
2019-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJOHNSON, TEDRICK (GROUP VICE PRESIDENT)
Parent OrganizationMISSION HEALTH COMMUNITY MULTISPECIALTY PROVIDERS, LLC
NPI Enumeration Date11/30/2018

Related Entities

Other providers sharing the same authorized official: JOHNSON, TEDRICK

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 178,435 $3.80M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 86,336 66,133 $4.42M
99215 Prolong outpt/office vis 18,951 15,649 $1.83M
99233 Prolong inpt eval add15 m 28,951 11,416 $1.79M
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 6,134 1,384 $1.69M
99199 Unlisted special service, procedure or report 290,490 135,676 $1.36M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 36,414 27,006 $1.21M
99245 6,446 5,250 $1.09M
99479 Subsequent intensive care, per day, very low birth weight infant 10,775 2,436 $965K
99480 Subsequent intensive care, per day, low birth weight infant 9,885 2,487 $841K
99244 Office or other outpatient consultation, moderate to high complexity 5,911 5,006 $840K
99232 Subsequent hospital care, per day, moderate complexity 19,495 7,991 $726K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 18,123 14,907 $640K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 10,581 8,398 $515K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 4,659 3,598 $474K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 7,421 5,718 $429K
90791 Psychiatric diagnostic evaluation 5,451 4,327 $395K
99238 Hospital discharge day management, 30 minutes or less 6,145 4,850 $329K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 3,644 1,346 $304K
93000 19,642 16,525 $270K
99460 3,523 2,899 $250K
99499 846 519 $233K
99223 Prolong inpt eval add15 m 2,049 1,820 $233K
99243 2,747 2,142 $202K
99284 Emergency department visit for the evaluation and management, high severity 3,301 2,426 $185K
99205 Prolong outpt/office vis 1,304 980 $168K
99283 Emergency department visit for the evaluation and management, moderate severity 5,226 3,958 $165K
95720 1,412 596 $152K
93320 10,346 8,194 $146K
96131 747 549 $129K
99239 Hospital discharge day management, more than 30 minutes 1,689 1,467 $124K
90847 Family psychotherapy with the patient present, 50 minutes 3,753 2,283 $116K
95816 2,576 2,145 $111K
97803 2,508 2,099 $108K
97802 1,532 1,276 $105K
90792 Psychiatric diagnostic evaluation with medical services 865 744 $89K
99222 Initial hospital care, per day, moderate complexity 813 611 $81K
94010 4,279 3,323 $81K
70450 Computed tomography, head or brain; without contrast material 5,067 3,649 $68K
96040 2,463 2,041 $67K
93295 3,435 2,656 $65K
95810 Polysomnography; sleep staging with 4 or more additional parameters 677 542 $63K
93296 6,014 4,566 $56K
96130 756 598 $54K
99462 1,802 1,139 $50K
90834 Psychotherapy, 45 minutes with patient 1,202 795 $44K
87428 1,160 847 $44K
99417 Prolong home eval add 15m 795 465 $37K
95251 1,238 914 $34K
96112 377 340 $34K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,816 1,977 $32K
01922 213 150 $31K
93325 11,042 8,731 $30K
96137 566 412 $30K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 273 225 $28K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1,168 943 $25K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,456 933 $23K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,591 1,781 $22K
95951 104 65 $17K
96136 738 581 $15K
96127 5,104 3,889 $15K
25600 88 65 $14K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,545 1,229 $14K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 227 180 $14K
99442 656 413 $14K
71045 Radiologic examination, chest; single view 3,083 2,574 $13K
99418 Prolong nursin fac eval 15m 239 91 $11K
54150 86 65 $11K
96110 Developmental screening, with scoring and documentation, per standardized instrument 785 434 $11K
99152 2,996 1,977 $10K
59426 17 15 $9K
99219 83 63 $9K
93298 893 638 $9K
A4590 Special casting material (e.g., fiberglass) 599 443 $8K
74177 Computed tomography, abdomen and pelvis; with contrast material 241 174 $8K
99443 298 179 $8K
99217 119 92 $7K
93922 1,774 1,476 $6K
93970 265 202 $6K
59425 14 14 $6K
36415 Collection of venous blood by venipuncture 4,127 3,155 $5K
93244 285 240 $5K
77014 162 53 $4K
95811 74 51 $4K
93248 215 184 $4K
99367 123 85 $4K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 43 39 $4K
72125 Computed tomography, cervical spine; without contrast material 229 140 $4K
93971 172 136 $4K
70551 Magnetic resonance imaging, brain; without contrast material 130 91 $4K
95886 93 74 $3K
51798 592 405 $3K
81003 4,129 2,827 $3K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 159 93 $3K
74230 264 230 $3K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 86 38 $3K
J1050 Injection, medroxyprogesterone acetate, 1 mg 44 44 $3K
95718 23 14 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 182 127 $2K
99255 17 14 $2K
90686 843 697 $2K
94664 224 174 $2K
95819 49 41 $2K
94729 452 305 $2K
76937 485 319 $2K
70496 59 41 $2K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 25 24 $2K
20610 142 89 $2K
93016 153 122 $2K
94727 349 241 $2K
71046 Radiologic examination, chest; 2 views 272 228 $2K
93227 72 68 $2K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 82 62 $2K
93294 229 166 $1K
95911 14 12 $1K
99441 105 62 $1K
29075 31 25 $1K
99354 15 12 $1K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 422 267 $1K
72100 188 152 $1K
95782 14 12 $1K
70498 45 29 $1K
99253 12 12 $1K
81025 213 199 $1K
90832 Psychotherapy, 30 minutes with patient 122 89 $1K
73030 188 117 $1K
93018 155 124 $1K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 349 259 $992.17
99220 16 13 $959.54
99231 Subsequent hospital care, per day, straightforward or low complexity 60 24 $946.76
93272 46 44 $913.20
90472 Immunization administration, each additional vaccine (list separately) 39 36 $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 843 600 $898.31
52000 18 13 $883.45
95012 69 49 $871.49
29065 26 13 $739.95
64483 20 18 $714.05
G0425 Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth 67 60 $707.52
72114 37 26 $657.15
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 12 12 $645.70
29705 17 16 $577.76
72148 Magnetic resonance imaging, lumbar spine; without contrast material 13 13 $510.97
70491 16 12 $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) 208 178 $415.72
90715 28 12 $400.95
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 26 25 $337.25
93880 46 36 $312.48
93225 16 12 $283.50
J1030 Injection, methylprednisolone acetate, 40 mg 102 75 $233.35
74018 39 28 $215.46
92551 188 163 $195.06
73130 15 12 $191.31
99406 36 26 $159.46
81001 116 86 $152.32
73552 21 12 $147.68
93784 61 56 $137.00
87807 21 12 $129.20
77001 20 14 $120.51
73560 18 12 $119.04
94060 19 12 $109.91
99070 357 274 $19.78
99173 232 201 $7.00
3074F 189 139 $0.00
G0008 Administration of influenza virus vaccine 12 12 $0.00
92587 38 13 $0.00
3079F 14 12 $0.00
99000 13 12 $0.00
3078F 183 153 $0.00
T1015 Clinic visit/encounter, all-inclusive 697 437 $0.00