Medicaid Provider Spending

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

APPALACHIAN REGIONAL HEALTHCARE, INC

NPI: 1205400421 · HAZARD, KY 41701 · Rural Health Clinic/Center · NPI assigned 05/13/2021

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

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

$3.24M
Total Medicaid Paid
87,579
Total Claims
51,080
Beneficiaries
54
Codes Billed
2021-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHARRIS, HOLLIE (PRESIDENT AND CEO)
NPI Enumeration Date05/13/2021

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 7,346 $249K
2022 29,401 $1.05M
2023 28,213 $1.07M
2024 22,619 $875K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 17,781 5,450 $567K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14,278 12,233 $414K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,570 8,792 $409K
99231 Subsequent hospital care, per day, straightforward or low complexity 15,280 4,741 $407K
99233 Prolong inpt eval add15 m 8,019 1,825 $299K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4,919 4,503 $234K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,869 2,578 $174K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,767 1,485 $151K
45380 Colonoscopy, flexible; with biopsy, single or multiple 785 688 $88K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1,133 360 $81K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 1,333 1,074 $76K
99255 579 476 $71K
99223 Prolong inpt eval add15 m 1,135 964 $62K
99238 Hospital discharge day management, 30 minutes or less 965 845 $46K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 905 784 $30K
11719 443 363 $23K
90837 Psychotherapy, 53 minutes with patient 402 196 $17K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 757 609 $14K
93000 487 460 $9K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 48 41 $8K
20610 240 179 $6K
90834 Psychotherapy, 45 minutes with patient 263 166 $6K
99254 38 36 $5K
99242 56 54 $3K
93016 191 169 $3K
99252 58 53 $3K
99239 Hospital discharge day management, more than 30 minutes 45 41 $3K
43244 15 13 $3K
94060 134 127 $3K
93018 205 183 $2K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 491 383 $2K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 53 40 $2K
J1040 Injection, methylprednisolone acetate, 80 mg 258 211 $2K
29125 98 96 $2K
99222 Initial hospital care, per day, moderate complexity 108 90 $1K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 42 38 $1K
99406 190 157 $1K
99253 14 14 $971.75
90961 15 14 $936.95
94726 127 120 $877.98
43235 20 14 $857.97
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 44 39 $808.76
99220 14 12 $785.56
94729 117 110 $531.55
99225 21 12 $506.16
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 16 13 $464.34
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) 20 12 $290.54
94010 13 12 $89.21
Q3014 Telehealth originating site facility fee 27 25 $84.42
3075F 13 12 $0.00
3074F 61 59 $0.00
3079F 25 24 $0.00
3078F 75 70 $0.00
3077F 17 15 $0.00