Appalachian Regional Healthcare, INC.
Appalachian Regional Healthcare, INC. was paid $410K by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is E1390, Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate — 61% of everything it billed.
MIDDLESBORO, KY 40965
Next to other Parenteral & Enteral Nutrition Supplies (DME) providers in Kentucky
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 3,851 | $71K | |
| 2019 | 3,555 | $57K | |
| 2020 | 3,485 | $58K | |
| 2021 | 4,408 | $75K | |
| 2022 | 4,526 | $79K | |
| 2023 | 2,893 | $66K | |
| 2024incomplete | 77 | $4K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 61% | 6,762 | 5,691 | $249K |
| E0570 | Nebulizer, with compressor | 11% | 1,625 | 1,343 | $44K |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | 10% | 4,360 | 3,655 | $41K |
| E0260 | Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress | 9.1% | 2,158 | 1,666 | $37K |
| K0001 | Standard wheelchair | 4.1% | 2,652 | 2,120 | $17K |
| K0195 | Elevating leg rests, pair (for use with capped rental wheelchair base) | 2.0% | 2,580 | 2,102 | $8K |
| E0601 | Continuous positive airway pressure (cpap) device | 1.1% | 165 | 109 | $5K |
| L3908 | Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf | <1% | 77 | 59 | $2K |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 1,042 | 938 | $2K |
| E0562 | Humidifier, heated, used with positive airway pressure device | <1% | 227 | 180 | $2K |
| A7038 | Filter, disposable, used with positive airway pressure device | <1% | 659 | 552 | $1K |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 426 | 392 | $411.98 |
3 more codes
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.