NP / PA
MH Transylvania Regional Hospital, LLLP
MH Transylvania Regional Hospital, LLLP was paid $1.59M by Medicaid between Feb 2019 and Dec 2024, across 10 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 81% of everything it billed.
33Billing provider infoMH TRANSYLVANIA REGIONAL HOSPITAL, LLLP
CLYDE, NC 28721
CLYDE, NC 28721
33aNPI1972079127assigned 10/15/2018
33bProvider typeNurse Practitioner
28Total paid$1.59M
24GClaims84,874
24DCodes billed10
24AFirst – last monthFeb 2019 – Dec 2024
Compared with peers
Next to other Nurse Practitioner providers in North Carolina
Rank by total paid#10 of 93
Median peer was paid$18K
This provider vs. median86×
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 | |
|---|---|---|---|
| 2019 | 7,070 | $181K | |
| 2020 | 5,016 | $263K | |
| 2021 | 6,255 | $333K | |
| 2022 | 18,528 | $255K | |
| 2023 | 21,518 | $275K | |
| 2024incomplete | 26,487 | $287K |
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 | 81% | 23,150 | 13,787 | $1.29M |
| 99199 | Unlisted special service, procedure or report | 17% | 58,821 | 27,205 | $266K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.1% | 1,684 | 1,138 | $18K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 635 | 222 | $6K |
| 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% | 129 | 65 | $6K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 100 | 75 | $2K |
| 87428 | <1% | 52 | 40 | $2K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 34 | 28 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 168 | 135 | $2K |
| 90686 | <1% | 101 | 85 | $809.56 |
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 officialPILON, MICHELE (CEO)
Parent organizationMH TRANSYLVANIA REGIONAL HOSPITAL, LLLP
| Provider | Location | Paid |
|---|---|---|
| MH Transylvania Regional Hospital, LLLP | Brevard, NC | $5.35M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.