Transylvania Physician Services, INC.
Transylvania Physician Services, INC. was paid $8K by Medicaid between Feb 2018 and Jul 2022, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 71% of everything it billed.
BREVARD, NC 28712
Next to other Gynecology Physician providers in North Carolina
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 211 | $5K | |
| 2019 | 43 | $1K | |
| 2021 | 76 | $461.00 | |
| 2022 | 83 | $287.50 |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 71% | 118 | 92 | $5K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 31 | 24 | $1K |
| 99199 | Unlisted special service, procedure or report | 9.9% | 159 | 144 | $748.50 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.2% | 17 | 13 | $166.75 |
| 81025 | 1.4% | 26 | 25 | $105.00 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 50 | 42 | $70.20 |
| 96127 | <1% | 12 | 12 | $42.00 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| The Mcdowell Hospital INC | Marion, NC | $1.60M |
| Angel Medical Center, INC | Franklin, NC | $608K |
| Mission Medical Associates INC | Asheville, NC | $587K |
| Angel Medical Center, INC. | Franklin, NC | $328K |
| The Mcdowell Hospital INC | Nebo, NC | $292K |
| Angel Medical Center, INC. | Franklin, NC | $246K |
| The Mcdowell Hospital INC | Marion, NC | $208K |
| The Mcdowell Hospital INC | Marion, NC | $191K |
| Transylvania Community Hospital, INC. | Brevard, NC | $163K |
| Transylvania Community Hospital, INC. | Clyde, NC | $162K |
| Blue Ridge Regional Hospital, INC | Spruce Pine, NC | $120K |
| Angel Medical Center,inc. | Franklin, NC | $89K |
| Mission Medical Associates INC | Arden, NC | $70K |
| Mission Hospitals, INC. | Asheville, NC | $68K |
| The Mcdowell Hospital INC | Morganton, NC | $59K |
| Highlands-Cashiers Hospital, INC. | Cashiers, NC | $54K |
| Transylvania Community Hospital, INC. | Brevard, NC | $47K |
| Mission Medical Associates, INC | Weaverville, NC | $47K |
| Angel Medical Center, INC | Franklin, NC | $17K |
| Mission Medical Associates INC | Franklin, NC | $12K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.