Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ARH MARY BRECKINRIDGE HEALTH SERVICES, INC.

NPI: 1073898102 · HYDEN, KY 41749 · Rural Health Clinic/Center · NPI assigned 10/20/2011

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official HARRIS, HOLLIE controls 20+ related entities in our dataset. Read more

$854K
Total Medicaid Paid
31,109
Total Claims
25,935
Beneficiaries
37
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHARRIS, HOLLIE (PRESIDENT AND CEO)
Parent OrganizationAPPALACHIAN REGIONAL HELATHCARE, INC.
NPI Enumeration Date10/20/2011

Related Entities

Other providers sharing the same authorized official: HARRIS, HOLLIE

ProviderCityStateTotal Paid
APPALACHIAN REGIONAL HEALTHCARE, INC. HAZARD KY $107.94M
APPALACHIAN REGIONAL HEALTHCARE, INC. HARLAN KY $55.19M
APPALACHIAN REGIONAL HEALTHCARE, INC. MIDDLESBORO KY $38.84M
APPALACHIAN REGIONAL HEALTHCARE, INC. WHITESBURG KY $33.42M
ARH MARY BRECKINRIDGE HEALTH SERVICES, INC. BARBOURVILLE KY $33.18M
APPALACHIAN REGIONAL HEALTHCARE, INC. MC DOWELL KY $26.86M
APPALACHIAN REGIONAL HEALTHCARE, INC. SOUTH WILLIAMSON KY $26.76M
APPALACHIAN REGIONAL HEALTHCARE, INC BECKLEY WV $18.33M
APPALACHIAN REGIONAL HEALTHCARE, INC. WEST LIBERTY KY $17.87M
ARH MARY BRECKINRIDGE HEALTH SERVICES, INC. HYDEN KY $16.24M
APPALACHIAN REGIONAL HEALTHCARE INC SOUTH WILLIAMSON KY $8.71M
APPALACHIAN REGIONAL HEALTHCARE, INC HARLAN KY $8.01M
APPALACHIAN REGIONAL HEALTHCARE, INC BECKLEY WV $6.24M
APPALACHIAN REGIONAL HEALTHCARE, INC. HINTON WV $6.20M
APPALACHIAN REGIONAL HEALTHCARE, INC HINTON WV $6.03M
APPALACHIAN REGIONAL HEALTHCARE, INC. HAZARD KY $4.28M
APPALACHIAN REGIONAL HEALTHCARE, INC. WHITESBURG KY $1.84M
APPALACHIAN REGIONAL HEALTHCARE, INC. HINTON WV $1.72M
APPALACHIAN REGIONAL HEALTHCARE, INC. SOUTH WILLIAMSON KY $1.60M
APPALACHIAN REGIONAL HEALTHCARE, INC. HARLAN KY $1.51M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,428 $188K
2019 4,293 $129K
2020 3,406 $99K
2021 3,637 $89K
2022 3,060 $82K
2023 5,188 $135K
2024 5,097 $133K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14,771 12,301 $379K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,377 8,605 $348K
99215 Prolong outpt/office vis 1,147 1,043 $56K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,839 1,589 $16K
99308 Subsequent nursing facility care, per day, straightforward 207 60 $8K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 251 224 $7K
G0511 Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month 753 697 $6K
99309 Subsequent nursing facility care, per day, low to moderate complexity 133 28 $5K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 57 55 $4K
99232 Subsequent hospital care, per day, moderate complexity 166 59 $3K
80305 313 293 $3K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 29 29 $3K
99238 Hospital discharge day management, 30 minutes or less 103 85 $3K
99222 Initial hospital care, per day, moderate complexity 55 48 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 191 151 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 27 27 $2K
99219 35 28 $1K
99442 45 43 $1K
99235 14 13 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 54 54 $565.34
90686 41 41 $563.22
0002A 12 12 $480.00
90632 13 12 $399.49
G0296 Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) 26 25 $385.65
99490 Ccm add 20min 12 12 $359.75
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 14 13 $119.34
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 12 12 $81.37
G0071 Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only 22 20 $45.35
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 20 17 $33.10
91300 103 93 $0.00
90649 17 17 $0.00
90633 57 55 $0.00
3078F 76 67 $0.00
3077F 16 14 $0.00
3079F 30 29 $0.00
3074F 53 48 $0.00
91301 18 16 $0.00