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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMountain Area Health Education Center, Inc.
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    Mountain Area Health Education Center, Inc. — Billing Profile & Reimbursement Data

    NPI 1265549919 · Asheville, NC · Federally Qualified Health Center (FQHC)

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    Mountain Area Health Education Center, Inc. is a federally qualified health center (fqhc) provider located in Asheville, North Carolina. This profile covers 0 Medicare and 77 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationMountain Area Health Education Center, Inc.
    Address119 Hendersonville Rd
    CityAsheville
    StateNC
    ZIP28803
    TaxonomyFederally Qualified Health Center (FQHC)
    NPI EnumeratedAugust 25, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$17.5M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    77 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1015Clinic visit/encounter, all-inclusive48,260$180$8.4M
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…46,880$50$2.1M
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…49,900$30$1.6M
    76816The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.21,800$50$1M
    76811The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…7,390$100$701.7K
    99199Use this code to report other medicine services or procedures for which there is no specific code available.125,700$10$628.5K
    76805In this procedure, the provider performs an ultrasound of a pregnant uterus for examination of the first or a single fetus and to examine the mother after the first trimester, or more than 14 weeks…7,730$60$471.5K
    59025In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.27,050$20$459.9K
    76818The provider performs a biophysical profile test to measure the health of the baby during pregnancy. The test consists of a nonstress test and an ultrasound.6,150$50$331.9K
    76817The provider performs an ultrasound of the pregnant uterus to examine the fetus and the mother's organs using a transvaginal approach.4,500$50$224.8K

    Showing 1–10 of 77

    • More pages

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other North Carolina providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. North Carolina median

    77 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99284The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.3033306,130$130$2.7M
    99283The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.2783206,160$120$2.1M
    87801The lab analyst performs a test for multiple infectious agents using amplified nucleic acid probe technique.1040480$40$1.4M
    T1015Clinic visit/encounter, all-inclusive195302,970$100$964.2K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.3543601,830$40$819.8K
    59409In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…73050$620$410.2K
    88175The lab analyst performs the technical lab test to analyze a cervical or vaginal cytopathology specimen that a clinician collected in preservative fluid. The test uses automated thin layer…4560570$20$397.8K
    99282The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.731501,340$80$395.9K
    99199Use this code to report other medicine services or procedures for which there is no specific code available.2792,85010,910$10$330.3K
    76811The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…10601,440$110$309.4K

    Showing 1–10 of 77

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    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Mountain Area Health Education Center, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mountain Area Health Education Center, Inc.NCFederally Qualified Health Center (FQHC)$0$14.3M
    Mountain Area Health Education Center, Inc.NCFederally Qualified Health Center (FQHC)$0$7.2M
    Kyle JudkinsNCSports Medicine (Family Medicine) Physician$139.9K$0
    Nathan MullinsNCObstetrics & Gynecology Physician$17.2K$0

    Nearby Providers

    Other providers in the same ZIP code as Mountain Area Health Education Center, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Carolina Rehabilitation Specialists, Inc.NCSpeech-Language Pathologist$0$26.1M
    The Bair FoundationNCFoster Care Agency$0$17.3M
    The Arc Of North CarolinaNCCommunity/Behavioral Health Agency$0$14.6M
    Tender Loving Care Homes, Inc.NCIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$13.1M
    Asheville Pediatric AssociatesNCPediatrics Physician$0$10.9M
    Asheville Children's Medical Center, P.A.NCPediatrics Physician$0$9.4M
    Crossroads Treatment Centers Of Asheville, PCNCMulti-Specialty Clinic/Center$81.2K$6.5M
    Orthopaedic Surgery Center Of Asheville, LPNCAmbulatory Surgical Clinic/Center$5.1M$11.7K
    William BridgesNCRetina Specialist (Ophthalmology) Physician$4.1M$0
    Wnc Eye Surgery Centers IncNCAmbulatory Surgical Clinic/Center$3M$273.5K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. North Carolina Providers
    5 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. North Carolina Distribution
    Mountain Area Health Education Center, Inc. — 12 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina