Medicaid Provider Spending

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

MOUNTAIN AREA HEALTH EDUCATION CENTER, INC.

NPI: 1952356388 · ASHEVILLE, NC 28803 · Child & Adolescent Psychiatry Physician · NPI assigned 05/24/2006

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

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

$14.23M
Total Medicaid Paid
513,459
Total Claims
311,153
Beneficiaries
82
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHATHAWAY, WILLIAM (CEO)
NPI Enumeration Date05/24/2006

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. 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. ASHEVILLE NC $647K
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
2018 25,016 $714K
2019 26,804 $910K
2020 24,920 $887K
2021 54,303 $1.40M
2022 135,845 $2.48M
2023 118,743 $3.87M
2024 127,828 $3.97M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 49,086 37,970 $8.10M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 59,440 44,104 $2.37M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 47,836 36,470 $1.76M
99199 Unlisted special service, procedure or report 279,270 135,228 $1.32M
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 14,028 10,396 $152K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,892 1,345 $109K
90472 Immunization administration, each additional vaccine (list separately) 2,838 2,060 $66K
99238 Hospital discharge day management, 30 minutes or less 1,143 897 $51K
96127 15,741 10,435 $49K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 2,559 2,012 $41K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 560 409 $37K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 28 20 $16K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 38 27 $15K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 868 476 $14K
80305 3,679 2,607 $14K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 105 70 $13K
99232 Subsequent hospital care, per day, moderate complexity 278 154 $13K
90686 4,241 3,206 $13K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 244 177 $11K
36415 Collection of venous blood by venipuncture 7,822 5,925 $11K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,649 1,022 $8K
0012A 93 91 $6K
0011A 104 101 $5K
99051 184 163 $4K
D0145 Oral evaluation for a patient under three years of age 147 118 $3K
0002A 59 58 $3K
0031A 41 40 $2K
92551 2,724 2,128 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 260 190 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 306 220 $2K
99215 Prolong outpt/office vis 249 210 $2K
96160 765 596 $2K
96161 667 525 $2K
99442 51 37 $2K
0001A 58 57 $2K
D1206 Topical application of fluoride varnish 146 117 $1K
59025 Fetal non-stress test 76 59 $1K
97802 35 27 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 14 14 $1K
87428 90 75 $1K
83036 Hemoglobin; glycosylated (A1C) 117 102 $1K
0071A 23 17 $1K
99460 15 12 $1K
80061 Lipid panel 61 58 $943.06
99173 3,203 2,503 $890.27
0240U 20 15 $855.78
97803 34 25 $572.67
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 27 18 $537.20
83655 27 25 $407.68
84443 Thyroid stimulating hormone (TSH) 23 20 $358.87
90734 23 12 $357.04
80053 Comprehensive metabolic panel 44 37 $262.56
90670 425 311 $184.68
81025 33 24 $160.29
90715 22 12 $160.04
85025 Blood count; complete (CBC), automated, and automated differential WBC count 19 16 $156.33
85027 13 12 $70.92
81003 26 24 $58.20
85018 40 37 $55.26
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 25 12 $39.75
90633 35 26 $32.14
90656 43 43 $21.79
J1100 Injection, dexamethasone sodium phosphate, 1 mg 25 12 $1.60
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 117 88 $0.00
2014F 327 273 $0.00
91300 123 114 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 28 24 $0.00
90685 13 13 $0.00
99000 5,068 3,938 $0.00
3008F 3,392 2,934 $0.00
91301 215 203 $0.00
91307 20 14 $0.00
90698 52 36 $0.00
36416 47 44 $0.00
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 47 40 $0.00
99493 18 12 $0.00
4037F 78 67 $0.00
84999 96 71 $0.00
90680 12 12 $0.00
90744 12 12 $0.00
99441 19 12 $0.00
91303 38 37 $0.00