Medicaid Provider Spending

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

MOUNTAIN AREA HEALTH EDUCATION CENTER, INC.

NPI: 1669890562 · CANDLER, NC 28715 · Pharmacist · NPI assigned 03/29/2014

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

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

$7.16M
Total Medicaid Paid
827,125
Total Claims
510,060
Beneficiaries
31
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHATHAWAY, WILLIAM (CEO)
NPI Enumeration Date03/29/2014

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. ASHEVILLE NC $5.47M
MOUNTAIN AREA HEALTH EDUCATION CENTER, INC. ASHEVILLE NC $1.67M
MOUNTAIN AREA HEALTH EDUCATION CENTER, INC. FLETCHER NC $1.55M
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 3,615 $104K
2019 2,865 $96K
2020 2,247 $89K
2021 93,404 $851K
2022 306,909 $2.02M
2023 320,816 $2.69M
2024 97,269 $1.32M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99199 Unlisted special service, procedure or report 790,369 483,099 $4.72M
T1015 Clinic visit/encounter, all-inclusive 11,332 8,362 $1.97M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,964 7,152 $278K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,964 3,001 $108K
99238 Hospital discharge day management, 30 minutes or less 526 399 $22K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,964 1,449 $22K
96127 2,211 1,405 $7K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 101 70 $7K
90472 Immunization administration, each additional vaccine (list separately) 205 166 $6K
99232 Subsequent hospital care, per day, moderate complexity 191 51 $5K
90686 822 597 $2K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 25 17 $2K
87428 107 89 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 47 31 $1K
96160 400 324 $980.05
96110 Developmental screening, with scoring and documentation, per standardized instrument 131 85 $960.61
99460 13 13 $888.36
36415 Collection of venous blood by venipuncture 542 400 $726.52
D0145 Oral evaluation for a patient under three years of age 15 12 $456.12
D1206 Topical application of fluoride varnish 15 12 $201.36
96161 43 29 $119.68
81025 12 12 $85.80
92551 282 213 $77.06
99173 288 225 $67.28
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 86 79 $47.41
83036 Hemoglobin; glycosylated (A1C) 23 14 $30.70
3008F 3,240 2,582 $0.01
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 23 13 $0.00
2014F 154 134 $0.00
99000 18 13 $0.00
90656 12 12 $0.00