Clinic
Appalachian Regional Healthcare, INC
Appalachian Regional Healthcare, INC was paid $3.24M by Medicaid between Sep 2021 and Dec 2024, across 54 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 18% of everything it billed.
33Billing provider infoAPPALACHIAN REGIONAL HEALTHCARE, INC
HAZARD, KY 41701
HAZARD, KY 41701
33aNPI1205400421assigned 05/13/2021
33bProvider typeRural Health Clinic/Center
28Total paid$3.24M
24GClaims87,579
24DCodes billed54
24AFirst – last monthSep 2021 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Kentucky
Rank by total paid#18 of 265
Median peer was paid$400K
This provider vs. median8.1×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official HARRIS, HOLLIE controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 7,346 | $249K | |
| 2022 | 29,401 | $1.05M | |
| 2023 | 28,213 | $1.07M | |
| 2024incomplete | 22,619 | $875K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 18% | 17,781 | 5,450 | $567K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 14,278 | 12,233 | $414K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 13% | 10,570 | 8,792 | $409K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 13% | 15,280 | 4,741 | $407K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 9.2% | 8,019 | 1,825 | $299K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 7.2% | 4,919 | 4,503 | $234K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 5.4% | 2,869 | 2,578 | $174K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 4.7% | 1,767 | 1,485 | $151K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 2.7% | 785 | 688 | $88K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 2.5% | 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 | 2.3% | 1,333 | 1,074 | $76K |
| 99255 | 2.2% | 579 | 476 | $71K |
42 more codes
| 99223 | Prolong inpt eval add15 m | 1.9% | 1,135 | $62K |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.4% | 965 | $46K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 905 | $30K |
| 11719 | <1% | 443 | $23K | |
| 90837 | Psychotherapy session, about an hour | <1% | 402 | $17K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 757 | $14K |
| 93000 | <1% | 487 | $9K | |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 48 | $8K |
| 20610 | <1% | 240 | $6K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 263 | $6K |
| 99254 | <1% | 38 | $5K | |
| 99242 | <1% | 56 | $3K | |
| 93016 | <1% | 191 | $3K | |
| 99252 | <1% | 58 | $3K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 45 | $3K |
| 43244 | <1% | 15 | $3K | |
| 94060 | <1% | 134 | $3K | |
| 93018 | <1% | 205 | $2K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 491 | $2K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 53 | $2K |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 258 | $2K |
| 29125 | <1% | 98 | $2K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 108 | $1K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 42 | $1K |
| 99406 | <1% | 190 | $1K | |
| 99253 | <1% | 14 | $971.75 | |
| 90961 | <1% | 15 | $936.95 | |
| 94726 | <1% | 127 | $877.98 | |
| 43235 | <1% | 20 | $857.97 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 44 | $808.76 |
| 99220 | <1% | 14 | $785.56 | |
| 94729 | <1% | 117 | $531.55 | |
| 99225 | <1% | 21 | $506.16 | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 16 | $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) | <1% | 20 | $290.54 |
| 94010 | <1% | 13 | $89.21 | |
| Q3014 | Telehealth originating site facility fee | <1% | 27 | $84.42 |
| 3075F | 0% | 13 | $0.00 | |
| 3074F | 0% | 61 | $0.00 | |
| 3079F | 0% | 25 | $0.00 | |
| 3078F | 0% | 75 | $0.00 | |
| 3077F | 0% | 17 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialHARRIS, HOLLIE (PRESIDENT AND CEO)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.