Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or North Carolina for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to North Carolina only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. North Carolina (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Mh Mission Hospital, Lllp (NPI 1962987677)

Key Findings

Field	Value
Entity Type	Organization
Organization	Mh Mission Hospital, Lllp
Address	509 Biltmore Ave
City	Asheville
State	NC
ZIP	28801
Taxonomy	General Acute Care Hospital
NPI Enumerated	September 27, 2018

Payer Source	Total Paid
Medicaid	$62.2M
Medicare	$0

This facility has no Medicare billing on file and is effectively a single-payer Medicaid provider, with total Medicaid revenue of $62.2M. The absence of Medicare activity means analysis should focus on Medicaid-driven volumes and service lines rather than cross‑payer comparisons for this entity.

Revenue is highly concentrated in a few procedures: the precomputed top 3 Medicaid codes by revenue account for 46.3% of this provider's total Medicaid revenue. The top three contributors are 99284 ($8.1M, 17.5%), 41899 ($7.1M, 15.3%), and 99283 ($6.2M, 13.4%), indicating a small set of codes drives nearly half of Medicaid revenue.

Service-line mix is consistent with a busy acute care hospital with a high-volume emergency department and substantial perioperative/dental activity. ED evaluation and management codes 99284, 99283, and 99285 collectively generate large revenue slices (99284 $8.1M; 99283 $6.2M; 99285 $2.7M), while dental-related codes 41899 ($7.1M) and G0330 ($2.4M) point to significant hospital-based dental procedures and dental rehabilitation under monitored anesthesia.

Competitive standing by code shows both state-level dominance in niche procedures and broad, above-average volumes in core hospital services. The provider ranks #1 of 40 in-state for 41899 (100th percentile; extreme outlier), and #1 of 10 for C1713 (100th percentile; notably above typical state volume), signaling market leadership in those specific procedure categories, while its ED codes (e.g., 99284 rank #44 of 325, 87th percentile; 99283 rank #36 of 316, 89th percentile) reflect strong but not dominant statewide ED volume.

Imaging and cardiology diagnostics are material revenue contributors and reflect robust ancillary service capacity. High‑revenue imaging codes such as 74177 ($3.3M, 7.2% of Medicaid revenue) and 70450 ($1.4M, 2.9%) plus multiple echocardiography codes (93306 $2.5M; 93303 $2.1M; 93320 $925.5K) rank in the upper state percentiles (many in the 80–94th percentiles), indicating well‑developed radiology and cardiac imaging capabilities.

There are several statistical outliers that shape the provider’s Medicaid profile and may reflect specialized programs or operational focus. In addition to 41899 being an extreme outlier (rank #1 of 40, 100th percentile), the provider is an extreme outlier for 99212 (rank #4 of 1060, 100th percentile) and 87635 (rank #4 of 487, 99th percentile), showing exceptionally high volumes for routine outpatient visits and SARS–COV–2 testing relative to peers.

Operational footprint appears mature but relatively recent: the NPI was enumerated on 2018-09-27 (~8 years ago), so observed billing patterns represent activity within roughly the last several years of operation under this enumeration. This tenure is long enough to establish consistent service lines (ED, imaging, dental/OR-based rehab) but short enough that recent programmatic expansions could explain some extreme code-level volumes.

The code-level distribution suggests revenue risk concentration around a few high-impact codes and service lines: nearly half of Medicaid revenue is driven by three codes, and several individual codes (41899, C1713, 99212, 87635) are state-level outliers. For payers and network planners, this profile signals a partner with deep ED, imaging, and hospital-based dental/anesthesia capacity but with concentrated reliance on a handful of procedures for Medicaid revenue.

Medicaid: Complete Services Breakdown

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

449 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99284	The 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.	39,110	$210	$8.1M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	6,130	$1,160	$7.1M
99283	The 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.	42,970	$150	$6.2M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	5,150	$650	$3.3M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	8,450	$320	$2.7M
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	7,630	$330	$2.5M
G0330	Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an…	980	$2,440	$2.4M
93303	The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…	6,380	$330	$2.1M
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	5,260	$260	$1.4M
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	40,060	$20	$961.4K

Showing 1–10 of 449

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.

Claims Volume vs. North Carolina Distribution

Mh Mission Hospital, Lllp — 5 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

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

449 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0330	Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an…	5	10	200	$1,440	$3.6M
99284	The 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.	44	330	6,130	$130	$2.7M
81220	The lab analyst performs the technical lab test to detect the presence of changes in the gene for cystic fibrosis transmembrane conductance regulator, also known as CFTR. The test evaluates the CFTR…	8	30	170	$260	$2.6M
A0431	Ambulance service, conventional air services, transport, one way (rotary wing)	7	10	600	$1,450	$2.3M
99283	The 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.	36	320	6,160	$120	$2.1M
81229	The lab analyst performs the technical lab test using comparative genomic hybridization (CGH) microarray, also referred to as chromosomal microarray (CMA) or molecular karyotype performed by…	6	10	680	$480	$1.9M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	95	280	2,690	$130	$1.6M
87801	The lab analyst performs a test for multiple infectious agents using amplified nucleic acid probe technique.	6	40	480	$40	$1.4M
87798	The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…	13	80	420	$30	$1.2M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	312	640	4,280	$60	$983.2K

Showing 1–10 of 449

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mh Mission Hospital, Lllp	NC	Ambulance	$1.5M	$580.9K
Carl Goins	TN	Physician Assistant	$50K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rha Health Services Nc, LLC	NC	Developmentally Disabled Services Day Training Agency	$0	$117.3M
Rha Health Services, Inc.	NC	Community/Behavioral Health Agency	$0	$30.1M
Daymark Recovery Services Inc	NC	Community/Behavioral Health Agency	$0	$17.5M
Rafael Rivera, Jr., Dds, PLLC	NC	Dentist	$0	$16.4M
Rha Behavioral Health Nc LLC	NC	Community/Behavioral Health Agency	$0	$12.6M
Leslie Wessinger	NC	General Practice Dentistry	$0	$9M
F.i.r.s.t.	NC	Community/Behavioral Health Agency	$0	$8.7M
Coram Alternate Site Services, Inc.	NC	Home Infusion Agency	$0	$8.2M
Keystone Laboratories, Inc.	NC	Clinical Medical Laboratory	$435.4K	$4.1M
Genova Diagnostics Inc	NC	Clinical Medical Laboratory	$3.8M	$33.9K

Mh Mission Hospital, Lllp — Billing Profile & Reimbursement Data

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Mh Mission Hospital, Lllp — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

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Frequently Asked Questions

References