Medicaid Provider Spending

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

MOUNTAIN AREA HEALTH EDUCATION CENTER, INC.

NPI: 1699392498 · ASHEVILLE, NC 28803 · Internal Medicine Physician · NPI assigned 06/29/2020

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

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

$647K
Total Medicaid Paid
17,775
Total Claims
10,296
Beneficiaries
14
Codes Billed
2020-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHATHAWAY, WILLIAM (CEO)
NPI Enumeration Date06/29/2020

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
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. 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
2020 35 $42.27
2021 211 $4K
2022 517 $29K
2023 6,038 $182K
2024 10,974 $431K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 2,915 2,573 $572K
99199 Unlisted special service, procedure or report 10,348 4,218 $56K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,533 1,218 $15K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 561 487 $2K
99215 Prolong outpt/office vis 30 25 $1K
96127 738 419 $390.22
83036 Hemoglobin; glycosylated (A1C) 155 107 $358.31
36415 Collection of venous blood by venipuncture 215 171 $149.38
95251 19 12 $62.52
80305 197 177 $49.15
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12 12 $36.00
3008F 990 819 $0.00
99000 47 43 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 15 15 $0.00