Clinic
Appalachian Mountain Community Health Centers
Appalachian Mountain Community Health Centers was paid $5.69M by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 87% of everything it billed.
33Billing provider infoAPPALACHIAN MOUNTAIN COMMUNITY HEALTH CENTERS
ROBBINSVILLE, NC 28771
ROBBINSVILLE, NC 28771
33aNPI1780064832assigned 06/04/2015
33bProvider typeDental Clinic/Center
28Total paid$5.69M
24GClaims129,308
24DCodes billed31
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in North Carolina
Rank by total paid#7 of 105
Median peer was paid$224K
This provider vs. median25×
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 | 5,195 | $459K | |
| 2019 | 4,146 | $519K | |
| 2020 | 3,934 | $524K | |
| 2021 | 10,970 | $925K | |
| 2022 | 24,104 | $862K | |
| 2023 | 31,285 | $1.03M | |
| 2024incomplete | 49,674 | $1.37M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 87% | 32,936 | 23,568 | $4.97M |
| 99199 | Unlisted special service, procedure or report | 7.2% | 80,619 | 35,353 | $412K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.2% | 5,622 | 4,168 | $127K |
| 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 | 1.1% | 1,692 | 1,363 | $64K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 407 | 272 | $28K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 1,060 | 596 | $24K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,195 | 451 | $13K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 268 | 137 | $12K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 136 | 83 | $9K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 69 | 47 | $6K |
| 80305 | <1% | 492 | 262 | $5K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 281 | 250 | $4K |
19 more codes
| 85018 | <1% | 1,594 | $3K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 381 | $3K |
| 92551 | <1% | 522 | $2K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 53 | $2K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 453 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 85 | $1K |
| G0467 | Community health center visit, returning patient | <1% | 35 | $664.80 |
| 36415 | Collection of venous blood by venipuncture | <1% | 198 | $432.19 |
| 90698 | <1% | 47 | $188.00 | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 81 | $115.00 |
| 86308 | <1% | 14 | $92.12 | |
| 85027 | <1% | 23 | $90.53 | |
| 99173 | <1% | 277 | $23.00 | |
| 90461 | <1% | 79 | $15.40 | |
| 3078F | 0% | 247 | $0.00 | |
| 90670 | 0% | 49 | $0.00 | |
| 3074F | 0% | 316 | $0.00 | |
| 3079F | 0% | 50 | $0.00 | |
| 90686 | 0% | 27 | $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 officialSIMPSON, SHANTELLE (PRESIDENT & CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Appalachian Mountain Community Health Centers | Asheville, NC | $4.49M |
| Appalachian Mountain Community Health Centers | Asheville, NC | $4.15M |
| Appalachian Mountain Community Health Centers | Murphy, NC | $2.28M |
| Appalachian Mountain Community Health Centers | Sylva, NC | $1.28M |
| Appalachian Mountain Community Health Centers | Asheville, NC | $154K |
| Appalachian Mountain Community Health Centers | Robbinsville, NC | $640.20 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.