Physician
Appalachian Center for Excellence in Healthcare INC
Appalachian Center for Excellence in Healthcare INC was paid $522K by Medicaid between Oct 2019 and Dec 2024, across 30 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoAPPALACHIAN CENTER FOR EXCELLENCE IN HEALTHCARE INC
COEBURN, VA 24230
COEBURN, VA 24230
33aNPI1003380759assigned 01/16/2019
33bProvider typePulmonary Disease Physician
28Total paid$522K
24GClaims17,832
24DCodes billed30
24AFirst – last monthOct 2019 – Dec 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in Virginia
Rank by total paid#7 of 34
Median peer was paid$31K
This provider vs. median17×
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 | 69 | $826.20 | |
| 2020 | 3,226 | $44K | |
| 2021 | 5,454 | $137K | |
| 2022 | 4,032 | $125K | |
| 2023 | 2,269 | $113K | |
| 2024incomplete | 2,782 | $102K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 37% | 4,442 | 3,628 | $196K |
| 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 | 22% | 1,673 | 1,476 | $116K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 10% | 2,023 | 1,748 | $54K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 8.0% | 710 | 528 | $42K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 4.4% | 284 | 257 | $23K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 3.5% | 552 | 424 | $18K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | 2.9% | 326 | 308 | $15K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.7% | 225 | 150 | $14K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.5% | 52 | 51 | $8K |
| 80305 | 1.4% | 655 | 520 | $7K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.3% | 202 | 184 | $7K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 446 | 396 | $5K |
18 more codes
| 99408 | <1% | 390 | $4K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,727 | $2K |
| 96127 | <1% | 759 | $2K | |
| 99000 | <1% | 1,804 | $2K | |
| 98960 | <1% | 255 | $1K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 106 | $1K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 48 | $1K |
| 99406 | <1% | 205 | $842.94 | |
| 86328 | <1% | 24 | $587.99 | |
| 90686 | <1% | 50 | $558.31 | |
| 94760 | <1% | 641 | $327.73 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 15 | $182.95 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 17 | $166.88 |
| 36410 | <1% | 19 | $130.89 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 67 | $58.50 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 26 | $57.16 |
| 83037 | <1% | 14 | $36.40 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 75 | $31.50 |
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 officialHILL, PAULA (CLINICAL DIRECTOR)