Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Behavioral

Transylvania Community Hospital, INC.

Transylvania Community Hospital, INC. was paid $6K by Medicaid between Jan 2018 and Feb 2022, across 2 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 64% of everything it billed.

33Billing provider infoTRANSYLVANIA COMMUNITY HOSPITAL, INC.
LAKE TOXAWAY, NC 28747
33aNPI1912084237assigned 11/01/2006
33bProvider typeClinical Social Worker
28Total paid$6K
24GClaims696
24DCodes billed2
24AFirst – last monthJan 2018 – Feb 2022
Compared with peers

Next to other Clinical Social Worker providers in North Carolina

Rank by total paid#227 of 291
Median peer was paid$39K
This provider vs. median0.2×

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 MILLER, RHONDA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$500$1.0K$1.5K2018201920202021202220232024
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
YearClaimsPaid
201848$2K
2021471$3K
2022177$915.00
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99199 Unlisted special service, procedure or report 64% 648 558 $4K
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 36% 48 42 $2K

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 officialMILLER, RHONDA (CHIEF REVENUE OFFICER)
Parent organizationTRANSYLVANIA COMMUNITY HOSPITAL, INC.
Same official

Other billing entities under MILLER, RHONDA

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.