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    OpenPayerNPI Medicare & MedicaidMh Mission Hospital Mcdowell, Lllp
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    Mh Mission Hospital Mcdowell, Lllp — Billing Profile & Reimbursement Data

    NPI 1609342815 · Marion, NC · Rural Health Clinic/Center

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    Mh Mission Hospital Mcdowell, Lllp is a rural health clinic/center provider located in Marion, North Carolina. This profile covers 0 Medicare and 16 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
    OrganizationMh Mission Hospital Mcdowell, Lllp
    Address472 Rankin Dr
    CityMarion
    StateNC
    ZIP28752
    TaxonomyRural Health Clinic/Center
    NPI EnumeratedOctober 16, 2018

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

    Payer SourceTotal Paid
    Medicaid$7.1M
    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1015Clinic visit/encounter, all-inclusive69,790$90$6.4M
    99199Use this code to report other medicine services or procedures for which there is no specific code available.47,700$10$238.5K
    87880The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.13,950$10$153.5K
    87804The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.13,400$10$134K
    87428The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…3,080$40$129.4K
    87426The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…2,150$30$55.9K
    59025In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.1,100$20$16.4K
    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…290$40$10.6K
    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…420$20$8.8K
    87807The lab analyst performs the technical lab test to analyze for the presence of respiratory syncytial virus (RSV) in a specimen by immunoassay using direct optical, meaning visual, observation.130$10$1.6K

    Showing 1–10 of 16

    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

    16 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1015Clinic visit/encounter, all-inclusive75302,970$100$964.2K
    99199Use this code to report other medicine services or procedures for which there is no specific code available.6662,85010,910$10$330.3K
    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…3,0044,400960$60$271.3K
    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…2,3474,130670$50$219.9K
    87428The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…25210310$50$73K
    59025In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.52170290$30$53.9K
    87426The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…66440240$30$49.7K
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.1,3491,570160$20$45K
    87804The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.36880390$10$31.2K
    J1050Injection, medroxyprogesterone acetate, 1 mg122150430$30$27.6K

    Showing 1–10 of 16

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Mh Mission Hospital Mcdowell, Lllp, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Chippenham & Johnston-willis Hospitals IncVAGeneral Acute Care Hospital$0$103.7M
    Hca Health Services Of Virginia IncVAGeneral Acute Care Hospital$0$64.5M
    Columbia/hca John Randolph, Inc.VAGeneral Acute Care Hospital$0$49.1M
    El Paso Healthcare System LtdTXGeneral Acute Care Hospital$0$38.5M
    Spotsylvania Medical Center IncVAGeneral Acute Care Hospital$0$31M
    Mission Health Community Multispecialty Providers, LLCNCInternal Medicine Physician$0$24.1M
    Columbia Medical Center Of Arlington Subsidiary LPTXGeneral Acute Care Hospital$0$21.8M
    Columbia Hospital At Medical City Dallas Subsidiary LPTXGeneral Acute Care Hospital$0$21.5M
    Lewis Gale Physicians LLCVAInternal Medicine Physician$0$20.6M
    Reston Hospital Center LLCVAGeneral Acute Care Hospital$0$14.9M

    Nearby Providers

    Other providers in the same ZIP code as Mh Mission Hospital Mcdowell, Lllp, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Companion Home Care, LLCNCCommunity/Behavioral Health Agency$0$63.6M
    North Carolina Outreach Home Care LLCNCCommunity/Behavioral Health Agency$0$16.7M
    Mountain Area Community ServicesNCPersonal Care Attendant$0$10.3M
    Strategic Interventions, LLCNCCommunity/Behavioral Health Agency$0$9.9M
    Mh Mission Hospital Mcdowell, LllpNCGeneral Acute Care Hospital$0$7.6M
    Mcdowell Assisted Living,llcNCAssisted Living Facility$0$7.1M
    Mcdowell CountyNCAmbulance$687.7K$2.1M
    James WeegarNCPhysician Assistant$284.2K$0
    Eric RoslonskiNCPain Medicine (Physical Medicine & Rehabilitation) Physician$148.7K$0
    Carl DeanNCPhysical Therapist$78K$0

    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
    0 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. North Carolina Distribution
    Mh Mission Hospital Mcdowell, Lllp — 3 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina