Medicaid Provider Spending

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

APPALACHIAN REGIONAL HEALTHCARE, INC.

NPI: 1194723726 · WHITESBURG, KY 41858 · General Acute Care Hospital · NPI assigned 07/08/2005

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

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

$33.42M
Total Medicaid Paid
638,583
Total Claims
458,699
Beneficiaries
261
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHARRIS, HOLLIE (PRESIDENT AND CEO)
NPI Enumeration Date07/08/2005

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
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
APPALACHIAN REGIONAL HEALTHCARE, INC HAZARD KY $1.17M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 100,195 $4.79M
2019 84,734 $4.75M
2020 90,450 $4.30M
2021 101,488 $4.72M
2022 90,395 $4.53M
2023 94,020 $5.33M
2024 77,301 $5.00M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 19,040 15,357 $6.97M
74176 Computed tomography, abdomen and pelvis; without contrast material 4,898 4,309 $2.97M
G0378 Hospital observation service, per hour 6,571 3,509 $1.81M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 4,477 2,952 $1.68M
99283 Emergency department visit for the evaluation and management, moderate severity 16,638 14,591 $1.68M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3,266 2,757 $1.21M
74177 Computed tomography, abdomen and pelvis; with contrast material 1,712 1,418 $1.20M
70450 Computed tomography, head or brain; without contrast material 4,404 3,618 $1.04M
72148 Magnetic resonance imaging, lumbar spine; without contrast material 1,630 1,406 $774K
80053 Comprehensive metabolic panel 36,673 25,964 $755K
96361 Intravenous infusion, hydration; each additional hour 7,335 4,650 $577K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,767 1,064 $569K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 12,268 9,379 $513K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1,203 717 $498K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 39,396 29,080 $450K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 6,828 1,629 $440K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 32,979 26,860 $427K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 7,976 4,083 $375K
71045 Radiologic examination, chest; single view 8,929 7,359 $339K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 4,880 3,410 $324K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 8,756 5,857 $309K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 8,596 7,478 $268K
99282 Emergency department visit for the evaluation and management, low to moderate severity 3,793 3,466 $259K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 7,956 6,591 $257K
84484 8,438 6,419 $249K
72125 Computed tomography, cervical spine; without contrast material 734 640 $238K
87631 2,722 2,561 $224K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 14,730 8,516 $223K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 3,812 3,526 $215K
36415 Collection of venous blood by venipuncture 82,285 36,758 $204K
84443 Thyroid stimulating hormone (TSH) 7,995 7,378 $198K
72131 567 518 $193K
87040 4,502 3,454 $188K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 2,313 1,319 $182K
71250 662 556 $160K
81001 18,970 15,533 $152K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 328 263 $149K
73562 1,764 1,586 $144K
71260 Computed tomography, thorax, diagnostic; with contrast material 503 356 $137K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 884 399 $137K
80048 Basic metabolic panel (calcium, ionized) 21,449 7,577 $129K
96375 Therapeutic injection; each additional sequential IV push 5,712 4,569 $125K
71046 Radiologic examination, chest; 2 views 3,550 2,514 $123K
81025 5,989 5,156 $123K
82607 4,075 3,776 $123K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 2,918 1,610 $119K
80061 Lipid panel 6,495 5,598 $112K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 2,976 2,170 $103K
93971 950 800 $97K
83735 11,875 9,460 $96K
83690 5,374 4,679 $92K
76705 Ultrasound, abdominal, real time with image documentation; limited 901 830 $90K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 3,478 3,284 $89K
96376 2,782 1,641 $82K
83880 2,380 1,986 $80K
74022 926 792 $80K
72141 179 140 $79K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,503 1,394 $78K
87086 Culture, bacterial; quantitative colony count, urine 4,865 4,061 $78K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 10,963 8,648 $76K
73610 1,485 1,343 $76K
G0379 Direct admission of patient for hospital observation care 1,448 972 $75K
73630 1,479 1,337 $72K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 273 255 $70K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1,449 1,224 $67K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 2,349 826 $66K
88305 Level IV - Surgical pathology, gross and microscopic examination 2,526 2,241 $66K
73030 1,488 1,284 $62K
93041 3,246 2,667 $61K
82553 2,721 2,172 $59K
73130 1,150 1,033 $57K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 2,831 2,633 $56K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 6,787 5,753 $56K
83036 Hemoglobin; glycosylated (A1C) 4,816 4,519 $54K
71275 Computed tomographic angiography, chest, with contrast material 134 109 $54K
74246 350 305 $52K
72110 697 593 $51K
93017 644 543 $50K
97530 Therapeutic activities, direct patient contact, each 15 minutes 517 200 $50K
84145 946 792 $50K
82550 3,991 3,116 $50K
49320 40 40 $45K
73110 799 707 $44K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 1,909 1,625 $43K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 81 72 $41K
82728 1,220 1,083 $36K
84703 2,267 2,034 $35K
87077 2,784 2,114 $35K
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 1,041 273 $34K
83605 3,461 2,925 $34K
85730 2,567 2,196 $33K
74018 723 631 $33K
83540 2,058 1,864 $31K
82746 784 734 $31K
82150 2,047 1,772 $31K
87186 1,725 1,516 $31K
86850 3,002 2,500 $29K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1,362 1,145 $28K
85610 4,199 3,194 $27K
99281 Emergency department visit for the evaluation and management, self-limited or minor 922 869 $27K
86901 3,175 2,640 $26K
86900 3,252 2,642 $25K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 202 173 $23K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 400 293 $22K
84439 870 807 $21K
70486 81 79 $21K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 29 24 $20K
80076 1,148 936 $19K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 277 253 $18K
83550 964 911 $18K
58558 16 15 $17K
94761 306 126 $17K
84100 1,727 1,506 $17K
93270 543 499 $16K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 639 522 $16K
88342 221 196 $16K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,340 1,196 $15K
J2785 Injection, regadenoson, 0.1 mg 81 78 $14K
J1885 Injection, ketorolac tromethamine, per 15 mg 8,287 6,670 $14K
87486 294 266 $14K
87581 273 254 $13K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 108 105 $13K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 997 913 $13K
97035 339 89 $13K
86140 2,176 1,728 $13K
77067 Screening mammography, bilateral, including computer-aided detection 406 385 $12K
85652 1,488 1,249 $12K
87070 787 520 $12K
0100U 215 184 $12K
87076 1,733 873 $11K
96367 200 169 $11K
45380 Colonoscopy, flexible; with biopsy, single or multiple 52 28 $11K
85014 1,417 1,085 $11K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 1,467 1,173 $11K
85018 1,421 1,088 $11K
97014 186 54 $10K
82803 398 319 $9K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 275 240 $9K
97162 158 151 $9K
70551 Magnetic resonance imaging, brain; without contrast material 12 12 $9K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,422 1,352 $8K
72100 164 141 $8K
73090 206 177 $8K
93925 59 53 $8K
97161 187 159 $8K
36600 475 385 $7K
72050 118 108 $7K
85378 579 508 $7K
93880 67 56 $6K
80074 126 113 $6K
82570 438 409 $6K
73080 116 99 $6K
76700 Ultrasound, abdominal, real time with image documentation; complete 35 26 $6K
84702 198 178 $6K
20610 172 120 $5K
J0696 Injection, ceftriaxone sodium, per 250 mg 1,881 1,248 $5K
82652 207 197 $5K
80069 193 158 $5K
87522 Neg quan hep c or qual rna 174 153 $5K
76536 46 40 $5K
85027 415 390 $4K
85379 226 191 $4K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 87 25 $4K
72128 12 12 $4K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 473 402 $4K
12001 66 63 $4K
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring 38 31 $4K
73502 111 95 $4K
M0239 Intravenous infusion, bamlanivimab-xxxx, includes infusion and post administration monitoring 32 30 $4K
90714 206 187 $4K
59025 Fetal non-stress test 81 53 $4K
J3490 Unclassified drugs 1,327 848 $3K
0012A 258 252 $3K
A9575 Injection, gadoterate meglumine, 0.1 ml 91 81 $3K
93225 47 40 $3K
J0690 Injection, cefazolin sodium, 500 mg 912 596 $3K
J2405 Injection, ondansetron hydrochloride, per 1 mg 2,031 1,581 $3K
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 488 235 $3K
84436 100 97 $3K
J2919 Injection, methylprednisolone sodium succinate, 5 mg 340 214 $3K
88304 148 129 $3K
87634 87 78 $2K
90715 70 63 $2K
74019 29 29 $2K
93970 13 13 $2K
J1170 Injection, hydromorphone, up to 4 mg 712 532 $2K
0001A 267 236 $2K
86038 102 99 $2K
0011A 301 286 $2K
J3010 Injection, fentanyl citrate, 0.1 mg 1,235 1,030 $2K
73590 47 42 $2K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 858 743 $2K
84550 193 167 $2K
0002A 133 125 $2K
Q3014 Telehealth originating site facility fee 343 290 $2K
81002 303 239 $2K
J2270 Injection, morphine sulfate, up to 10 mg 710 535 $2K
82248 88 72 $1K
70220 21 16 $1K
96368 34 28 $1K
93226 16 15 $1K
82977 89 77 $1K
76775 15 14 $1K
J1650 Injection, enoxaparin sodium, 10 mg 30 14 $1K
82043 56 56 $1K
J2250 Injection, midazolam hydrochloride, per 1 mg 1,266 1,072 $1K
J0561 Injection, penicillin g benzathine, 100,000 units 18 13 $1K
84481 27 27 $992.68
82140 59 37 $936.52
72070 15 13 $915.10
72040 14 14 $911.93
83615 90 61 $909.73
J0780 Injection, prochlorperazine, up to 10 mg 192 158 $906.69
76641 12 12 $856.32
86200 66 64 $808.07
80299 19 17 $776.97
72170 16 14 $725.23
80143 73 67 $721.18
83970 12 12 $714.40
84156 35 26 $541.86
A9537 Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries 26 24 $535.68
94760 51 39 $530.99
J2360 Injection, orphenadrine citrate, up to 60 mg 31 28 $487.77
84112 17 13 $462.62
82247 17 13 $425.31
J1040 Injection, methylprednisolone acetate, 80 mg 57 52 $413.78
84146 13 12 $403.18
Q0244 Injection, casirivimab and imdevimab, 1200 mg 178 152 $381.96
86803 36 35 $360.31
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 32 25 $311.22
90686 26 26 $306.88
86756 54 52 $303.47
85384 30 15 $281.88
80164 31 25 $267.09
90662 14 14 $236.64
84132 56 41 $235.62
J1940 Injection, furosemide, up to 20 mg 39 25 $205.49
99406 31 30 $203.00
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 12 12 $192.87
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 12 12 $192.87
87205 15 14 $188.56
86431 26 24 $169.99
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 12 12 $157.10
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 106 88 $154.07
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose 138 125 $151.43
99499 13 13 $150.52
J2003 Injection, lidocaine hydrochloride, 1 mg 138 126 $128.01
J1171 Injection, hydromorphone, 0.1 mg 28 19 $113.17
J1596 Injection, glycopyrrolate, 0.1 mg 27 24 $112.44
36416 33 28 $97.74
J3475 Injection, magnesium sulfate, per 500 mg 17 13 $88.16
J1644 Injection, heparin sodium, per 1000 units 26 13 $81.52
A9270 Non-covered item or service 156 58 $79.30
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous 13 13 $78.56
81003 17 14 $72.30
J2550 Injection, promethazine hcl, up to 50 mg 115 100 $66.50
80305 21 14 $56.53
J2470 Injection, pantoprazole sodium, 40 mg 21 12 $39.40
J1200 Injection, diphenhydramine hcl, up to 50 mg 12 12 $14.99
Q0245 Injection, bamlanivimab and etesevimab, 2100 mg 31 28 $0.03
Q0239 Injection, bamlanivimab-xxxx, 700 mg 39 33 $0.00