Medicaid Provider Spending

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

APPALACHIAN REGIONAL HEALTHCARE, INC.

NPI: 1134204688 · MIDDLESBORO, KY 40965 · Nurse Practitioner · NPI assigned 10/25/2006

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

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

$451K
Total Medicaid Paid
20,977
Total Claims
12,658
Beneficiaries
30
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHARRIS, HOLLIE (PRESIDENT AND CEO)
NPI Enumeration Date10/25/2006

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 2,723 $41K
2019 5,309 $97K
2020 2,724 $59K
2021 3,249 $81K
2022 2,512 $52K
2023 3,049 $72K
2024 1,411 $48K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 7,696 2,396 $135K
88305 Level IV - Surgical pathology, gross and microscopic examination 2,699 2,320 $86K
99239 Hospital discharge day management, more than 30 minutes 2,311 1,883 $75K
99222 Initial hospital care, per day, moderate complexity 956 785 $38K
99223 Prolong inpt eval add15 m 685 538 $28K
99233 Prolong inpt eval add15 m 948 313 $21K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,189 885 $16K
99220 221 170 $12K
99217 341 282 $8K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 140 91 $5K
99219 64 52 $3K
99231 Subsequent hospital care, per day, straightforward or low complexity 317 115 $3K
99238 Hospital discharge day management, 30 minutes or less 107 89 $3K
20610 303 240 $2K
77067 Screening mammography, bilateral, including computer-aided detection 109 106 $2K
81025 161 135 $2K
99225 120 57 $2K
74176 Computed tomography, abdomen and pelvis; without contrast material 39 38 $2K
77063 Screening digital breast tomosynthesis, bilateral 109 106 $2K
71045 Radiologic examination, chest; single view 1,272 993 $2K
70450 Computed tomography, head or brain; without contrast material 124 112 $1K
88304 150 137 $916.52
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 41 37 $767.28
71046 Radiologic examination, chest; 2 views 628 551 $548.08
76700 Ultrasound, abdominal, real time with image documentation; complete 135 129 $451.92
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 19 16 $376.06
99224 24 15 $316.78
71250 41 39 $182.00
76770 13 13 $32.32
72100 15 15 $27.16