Hospital
The Mcdowell Hospital INC
The Mcdowell Hospital INC was paid $278K by Medicaid between Jan 2018 and Jan 2019, across 30 billing codes. Its largest line is 99283, emergency room visit (moderate) — 29% of everything it billed.
33Billing provider infoTHE MCDOWELL HOSPITAL INC
MARION, NC 28752
MARION, NC 28752
33aNPI1699772657assigned 07/06/2005
33bProvider typeGeneral Acute Care Hospital
28Total paid$278K
24GClaims9,477
24DCodes billed30
24AFirst – last monthJan 2018 – Jan 2019
Compared with peers
Next to other General Acute Care Hospital providers in North Carolina
Rank by total paid#78 of 92
Median peer was paid$11.47M
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2018 | 8,263 | $247K | |
| 2019 | 1,214 | $32K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 29% | 801 | 781 | $81K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 27% | 511 | 487 | $74K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 18% | 183 | 163 | $49K |
| 80053 | Comprehensive metabolic panel | 4.9% | 1,098 | 1,019 | $14K |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | 3.6% | 355 | 347 | $10K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 3.5% | 353 | 345 | $10K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 3.5% | 1,362 | 1,258 | $10K |
| 87801 | Infectious agent detection by nucleic acid; amplified probe, multiple organisms | 2.3% | 132 | 126 | $6K |
| 87081 | 1.9% | 822 | 783 | $5K | |
| J3490 | Unclassified drugs | <1% | 1,913 | 1,338 | $3K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 135 | 121 | $2K |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed | <1% | 106 | 92 | $2K |
18 more codes
| 80306 | <1% | 49 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 758 | $2K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 54 | $1K |
| Q3014 | Telehealth originating site facility fee | <1% | 148 | $1K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 12 | $1K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 94 | $1K |
| 81001 | <1% | 345 | $959.85 | |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 13 | $665.70 |
| 86703 | <1% | 39 | $434.12 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 13 | $415.76 |
| 86780 | <1% | 26 | $331.97 | |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | <1% | 14 | $238.72 |
| 84484 | <1% | 31 | $237.08 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 26 | $201.40 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 20 | $182.49 |
| J2704 | Injection, propofol, 10 mg | <1% | 36 | $134.16 |
| 85027 | <1% | 16 | $74.10 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 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 officialSTEWART, CLINT (VP FINANCE / BUSINESS OPERATIONS)
| Provider | Location | Paid |
|---|---|---|
| The Mcdowell Hospital INC | Marion, NC | $1.45M |
| Blue Ridge Regional Hospital, INC | Spruce Pine, NC | $1.32M |
| Blue Ridge Regional Hospital, INC | Burnsville, NC | $403K |
| The Mcdowell Hospital INC | Old Fort, NC | $194K |
| Blue Ridge Regional Hospital, INC. | Spruce Pine, NC | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.