The Mcdowell Hospital INC
The Mcdowell Hospital INC was paid $1.60M by Medicaid between Jan 2018 and Jan 2019, across 5 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 97% of everything it billed.
MARION, NC 28752
Next to other Family Medicine Physician providers in North Carolina
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 11,943 | $1.43M | |
| 2019 | 1,734 | $166K |
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 | 97% | 10,432 | 9,687 | $1.56M |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.5% | 1,999 | 963 | $24K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,162 | 1,127 | $15K |
| 59025 | Fetal non-stress test | <1% | 57 | 29 | $980.83 |
| 81003 | <1% | 27 | 26 | $58.72 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Angel Medical Center, INC | Franklin, NC | $608K |
| Mission Medical Associates INC | Asheville, NC | $587K |
| Angel Medical Center, INC. | Franklin, NC | $328K |
| The Mcdowell Hospital INC | Nebo, NC | $292K |
| Angel Medical Center, INC. | Franklin, NC | $246K |
| The Mcdowell Hospital INC | Marion, NC | $208K |
| The Mcdowell Hospital INC | Marion, NC | $191K |
| Transylvania Community Hospital, INC. | Brevard, NC | $163K |
| Transylvania Community Hospital, INC. | Clyde, NC | $162K |
| Blue Ridge Regional Hospital, INC | Spruce Pine, NC | $120K |
| Angel Medical Center,inc. | Franklin, NC | $89K |
| Mission Medical Associates INC | Arden, NC | $70K |
| Mission Hospitals, INC. | Asheville, NC | $68K |
| The Mcdowell Hospital INC | Morganton, NC | $59K |
| Highlands-Cashiers Hospital, INC. | Cashiers, NC | $54K |
| Transylvania Community Hospital, INC. | Brevard, NC | $47K |
| Mission Medical Associates, INC | Weaverville, NC | $47K |
| Angel Medical Center, INC | Franklin, NC | $17K |
| Mission Medical Associates INC | Franklin, NC | $12K |
| Transylvania Physician Services, INC. | Brevard, NC | $12K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.