Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MOUNTAIN AREA HEALTH EDUCATION CENTER, INC.

NPI: 1457541062 · FLETCHER, NC 28732 · Family Medicine Physician · NPI assigned 07/30/2007

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official HATHAWAY, WILLIAM controls 20+ related entities in our dataset. Read more

$1.55M
Total Medicaid Paid
91,649
Total Claims
64,752
Beneficiaries
29
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHATHAWAY, WILLIAM (CEO)
NPI Enumeration Date07/30/2007

Related Entities

Other providers sharing the same authorized official: HATHAWAY, WILLIAM

ProviderCityStateTotal Paid
MOUNTAIN AREA HEALTH EDUCATION CENTER, INC. ASHEVILLE NC $17.53M
MOUNTAIN AREA HEALTH EDUCATION CENTER, INC. ASHEVILLE NC $14.23M
MOUNTAIN AREA HEALTH EDUCATION CENTER, INC. CANDLER NC $7.16M
MOUNTAIN AREA HEALTH EDUCATION CENTER, INC. ASHEVILLE NC $5.47M
MOUNTAIN AREA HEALTH EDUCATION CENTER, INC. ASHEVILLE NC $1.67M
MISSION HOSPITALS INC ASHEVILLE NC $1.22M
MOUNTAIN AREA HEALTH EDUCATION CENTER, INC. ASHEVILLE NC $971K
MOUNTAIN AREA HEALTH EDUCATION CENTER, INC. ASHEVILLE NC $843K
MOUNTAIN AREA HEALTH EDUCATION CENTER, INC. ASHEVILLE NC $651K
MOUNTAIN AREA HEALTH EDUCATION CENTER, INC. ASHEVILLE NC $647K
MOUNTAIN AREA HEALTH EDUCATION CENTER, INC. FRANKLIN NC $164K
MISSION HOSPITALS INC ASHEVILLE NC $69K
MISSION HOSPITALS INC ASHEVILLE NC $25K
MISSION HOSPITAL INC ASHEVILLE NC $14K
MISSION HOSPITALS, INC ASHEVILLE NC $13K
MISSION HOSPITALS, INC ASHEVILLE NC $4K
MISSION HOSPITALS INC ASHEVILLE NC $3K
MISSION HOSPITALS, INC. ARDEN NC $2K
MISSION HOSPITAL, INC. ASHEVILLE NC $1K
MISSION HOSPITALS, INC. ASHEVILLE NC $189.21

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,276 $139K
2019 3,275 $136K
2020 2,618 $117K
2021 14,791 $204K
2022 28,454 $244K
2023 21,447 $394K
2024 16,788 $315K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 4,196 2,944 $662K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,389 4,779 $328K
99199 Unlisted special service, procedure or report 69,172 47,722 $285K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,089 4,004 $199K
99238 Hospital discharge day management, 30 minutes or less 552 433 $25K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,313 1,075 $19K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 106 85 $8K
96127 1,472 1,127 $4K
90472 Immunization administration, each additional vaccine (list separately) 132 99 $4K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 43 27 $3K
99232 Subsequent hospital care, per day, moderate complexity 32 12 $2K
90686 438 377 $2K
99443 41 32 $1K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 14 13 $1K
96110 Developmental screening, with scoring and documentation, per standardized instrument 151 93 $999.13
D0145 Oral evaluation for a patient under three years of age 33 25 $917.93
36415 Collection of venous blood by venipuncture 516 406 $847.43
96160 149 133 $411.35
D1206 Topical application of fluoride varnish 33 25 $405.26
92551 231 176 $309.61
87428 16 13 $190.77
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 13 13 $183.69
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 12 12 $169.56
96161 45 42 $159.93
83036 Hemoglobin; glycosylated (A1C) 19 13 $107.73
99173 258 203 $85.60
3008F 1,142 830 $0.00
4037F 14 13 $0.00
2014F 28 26 $0.00