Mountain Area Health Education Center, INC.
Mountain Area Health Education Center, INC. was paid $7.16M by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 66% of everything it billed.
33Billing provider infoMOUNTAIN AREA HEALTH EDUCATION CENTER, INC.
CANDLER, NC 28715
CANDLER, NC 28715
33aNPI1669890562assigned 03/29/2014
33bProvider typePharmacist
28Total paid$7.16M
24GClaims827,125
24DCodes billed31
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pharmacist providers in North Carolina
Rank by total paid#1 of 7
Median peer was paid$2K
This provider vs. median3,849×
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.
Entity ProliferationAuthorized official HATHAWAY, WILLIAM controls 20+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 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 | |
| 2024incomplete | 97,269 | $1.32M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 66% | 790,369 | 483,099 | $4.72M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 28% | 11,332 | 8,362 | $1.97M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 3.9% | 9,964 | 7,152 | $278K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.5% | 3,964 | 3,001 | $108K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 526 | 399 | $22K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,964 | 1,449 | $22K |
| 96127 | <1% | 2,211 | 1,405 | $7K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 101 | 70 | $7K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 205 | 166 | $6K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 191 | 51 | $5K |
| 90686 | <1% | 822 | 597 | $2K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 25 | 17 | $2K |
19 more codes
| 87428 | <1% | 107 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 47 | $1K |
| 96160 | <1% | 400 | $980.05 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 131 | $960.61 |
| 99460 | <1% | 13 | $888.36 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 542 | $726.52 |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 15 | $456.12 |
| D1206 | Topical application of fluoride varnish | <1% | 15 | $201.36 |
| 96161 | <1% | 43 | $119.68 | |
| 81025 | <1% | 12 | $85.80 | |
| 92551 | <1% | 282 | $77.06 | |
| 99173 | <1% | 288 | $67.28 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 86 | $47.41 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 23 | $30.70 |
| 3008F | <1% | 3,240 | $0.01 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 23 | $0.00 |
| 2014F | 0% | 154 | $0.00 | |
| 99000 | 0% | 18 | $0.00 | |
| 90656 | 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 officialHATHAWAY, WILLIAM (CEO)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.