NP / PA
MH Mission Hospital Mcdowell, LLLP
MH Mission Hospital Mcdowell, LLLP was paid $4.16M by Medicaid between Feb 2019 and Dec 2024, across 52 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 56% of everything it billed.
33Billing provider infoMH MISSION HOSPITAL MCDOWELL, LLLP
MARION, NC 28752
MARION, NC 28752
33aNPI1619443827assigned 10/16/2018
33bProvider typeNurse Practitioner
28Total paid$4.16M
24GClaims226,893
24DCodes billed52
24AFirst – last monthFeb 2019 – Dec 2024
Compared with peers
Next to other Nurse Practitioner providers in North Carolina
Rank by total paid#2 of 93
Median peer was paid$18K
This provider vs. median225×
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 | 13,809 | $84K | |
| 2020 | 13,653 | $518K | |
| 2021 | 31,454 | $958K | |
| 2022 | 55,294 | $795K | |
| 2023 | 65,176 | $935K | |
| 2024incomplete | 47,507 | $875K |
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 | 56% | 28,405 | 20,788 | $2.35M |
| 99199 | Unlisted special service, procedure or report | 14% | 126,390 | 55,408 | $574K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.6% | 5,747 | 4,348 | $356K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.6% | 4,997 | 3,958 | $315K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.9% | 1,942 | 1,527 | $120K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.7% | 11,768 | 9,204 | $113K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.7% | 7,931 | 6,043 | $112K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.0% | 4,098 | 1,762 | $43K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 462 | 353 | $33K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 4,140 | 3,350 | $27K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,731 | 2,279 | $26K |
| 90474 | <1% | 1,766 | 1,410 | $18K |
40 more codes
| D0145 | Oral evaluation for a patient under three years of age | <1% | 677 | $18K |
| D1206 | Topical application of fluoride varnish | <1% | 731 | $9K |
| 83655 | <1% | 820 | $8K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 330 | $8K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 152 | $7K |
| 96161 | <1% | 2,086 | $7K | |
| 87807 | <1% | 369 | $5K | |
| 99173 | <1% | 4,033 | $4K | |
| 92551 | <1% | 1,914 | $3K | |
| 85018 | <1% | 912 | $3K | |
| 90677 | <1% | 448 | $2K | |
| 99460 | <1% | 31 | $1K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 44 | $1K |
| 87428 | <1% | 25 | $1K | |
| 90697 | <1% | 621 | $1K | |
| 99381 | <1% | 14 | $975.36 | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 16 | $850.82 |
| 90670 | <1% | 3,776 | $563.51 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 13 | $214.70 |
| 90686 | <1% | 2,905 | $148.47 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 16 | $147.15 |
| 82247 | <1% | 43 | $145.09 | |
| 81003 | <1% | 17 | $75.84 | |
| 90633 | <1% | 1,158 | $71.39 | |
| 90661 | <1% | 12 | $67.26 | |
| 96127 | <1% | 49 | $27.47 | |
| 90710 | <1% | 972 | $24.64 | |
| 90734 | <1% | 245 | $0.02 | |
| 90715 | <1% | 75 | $0.02 | |
| 90698 | <1% | 583 | $0.01 | |
| 90680 | 0% | 1,101 | $0.00 | |
| 90723 | 0% | 962 | $0.00 | |
| 90647 | 0% | 395 | $0.00 | |
| 90688 | 0% | 71 | $0.00 | |
| 90651 | 0% | 141 | $0.00 | |
| 90696 | 0% | 58 | $0.00 | |
| 90744 | 0% | 15 | $0.00 | |
| 90681 | 0% | 600 | $0.00 | |
| 90648 | 0% | 74 | $0.00 | |
| 99238 | Hospital discharge day management, 30 minutes or less | 0% | 12 | $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 officialGOESSER, TYLER (CFO)
Parent organizationMH MISSION HOSPITAL MCDOWELL, LLLP
| Provider | Location | Paid |
|---|---|---|
| MH Blue Ridge Medical Center, LLLP | Spruce Pine, NC | $2.94M |
| MH Mission Hospital Mcdowell, LLLP | Forest City, NC | $275K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.