Medicaid Provider Spending

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

APPALACHIAN REGIONAL HEALTHCARE, INC

NPI: 1144814757 · PRESTONSBURG, KY 41653 · Rural Health Clinic/Center · NPI assigned 02/24/2021

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

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

$556K
Total Medicaid Paid
21,901
Total Claims
17,681
Beneficiaries
27
Codes Billed
2021-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHARRIS, HOLLIE (PRESIDENT AND CEO)
NPI Enumeration Date02/24/2021

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
2021 2,305 $41K
2022 6,326 $161K
2023 7,214 $188K
2024 6,056 $166K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,285 5,324 $256K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,010 5,746 $196K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,147 1,003 $27K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,723 1,582 $23K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 166 146 $13K
95251 1,058 901 $11K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 394 322 $6K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 89 81 $5K
36415 Collection of venous blood by venipuncture 2,287 1,941 $4K
99442 128 77 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 151 131 $2K
99252 32 31 $2K
99215 Prolong outpt/office vis 22 18 $2K
0011A 50 45 $1K
90791 Psychiatric diagnostic evaluation 19 18 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 26 25 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 41 36 $466.38
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 16 13 $263.24
90656 12 12 $170.90
90686 12 12 $167.21
87807 15 15 $133.10
81002 27 26 $7.83
J1100 Injection, dexamethasone sodium phosphate, 1 mg 13 13 $6.20
3078F 41 39 $0.00
91301 97 85 $0.00
3074F 27 26 $0.00
3079F 13 13 $0.00