Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › KY › Harlan › NPI 1306842521
Hospital

Appalachian Regional Healthcare, INC.

Appalachian Regional Healthcare, INC. was paid $55.19M by Medicaid between Jan 2018 and Dec 2024, across 301 billing codes. Its largest line is 99284, emergency room visit (serious) — 18% of everything it billed.

33Billing provider infoAPPALACHIAN REGIONAL HEALTHCARE, INC.
HARLAN, KY 40831
33aNPI1306842521assigned 06/22/2005
28Total paid$55.19M
24GClaims968,194
24DCodes billed301
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Kentucky

Rank by total paid#12 of 36
Median peer was paid$36.08M
This provider vs. median1.5×

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

$0$500K$1.0M2018201920202021202220232024
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
YearClaimsPaid
2018174,358$9.65M
2019140,440$7.84M
2020132,826$6.32M
2021142,902$6.83M
2022139,734$7.78M
2023128,647$8.23M
2024incomplete109,287$8.56M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 18% 24,198 19,890 $10.19M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 8.9% 10,456 7,290 $4.93M
74176 Computed tomography, abdomen and pelvis; without contrast material 8.6% 7,176 6,029 $4.74M
G0378 Hospital observation service, per hour 8.4% 12,369 7,136 $4.66M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 3.4% 18,651 15,598 $1.89M
70450 Computed tomography, head or brain; without contrast material 2.5% 4,939 4,107 $1.37M
80053 Comprehensive metabolic panel 2.2% 52,773 38,315 $1.22M
74177 Computed tomography, abdomen and pelvis; with contrast material 1.9% 1,309 1,079 $1.05M
96361 Intravenous infusion, hydration; each additional hour 1.9% 13,670 6,182 $1.04M
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1.5% 68,994 51,225 $853K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1.5% 15,289 3,771 $830K
71045 Radiologic examination, chest; single view 1.3% 16,355 12,585 $740K
289 more codes
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1.3% 1,741 $734K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1.3% 18,417 $701K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1.2% 1,248 $670K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.2% 1,888 $637K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1.1% 11,362 $623K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1.1% 8,357 $600K
83735 1.1% 8,928 $598K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 1.1% 10,671 $583K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 14,022 $535K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 7,587 $534K
36415 Collection of venous blood by venipuncture <1% 153,206 $486K
84443 Thyroid stimulating hormone (TSH) <1% 16,103 $461K
80061 Lipid panel <1% 13,362 $459K
80048 Basic metabolic panel (calcium, ionized) <1% 23,140 $447K
71250 <1% 1,343 $414K
84484 <1% 13,243 $408K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 10,954 $400K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 17,545 $384K
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 <1% 9,951 $365K
87040 <1% 8,160 $363K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 4,893 $349K
72125 Computed tomography, cervical spine; without contrast material <1% 829 $337K
71046 Radiologic examination, chest; 2 views <1% 6,100 $326K
81025 <1% 11,173 $317K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 6,331 $299K
82607 <1% 8,143 $296K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 5,471 $296K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 4,765 $267K
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 <1% 8,964 $265K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 6,936 $263K
72131 <1% 643 $259K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 3,072 $231K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 3,450 $226K
81001 <1% 23,453 $207K
74022 <1% 1,595 $203K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 1,942 $202K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 1,625 $202K
96375 Therapeutic injection; each additional sequential IV push <1% 8,290 $194K
96376 <1% 5,332 $184K
83690 <1% 6,973 $177K
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% 5,806 $176K
87631 <1% 2,188 $172K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 299 $158K
87086 Culture, bacterial; quantitative colony count, urine <1% 8,360 $150K
83036 Hemoglobin; glycosylated (A1C) <1% 11,709 $146K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 3,183 $144K
82150 <1% 3,398 $138K
97597 <1% 2,893 $130K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 17,237 $129K
80076 <1% 4,315 $123K
73630 <1% 1,804 $121K
82728 <1% 3,025 $120K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 4,318 $120K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 6,046 $117K
72100 <1% 1,712 $112K
74018 <1% 1,828 $111K
87186 <1% 3,806 $102K
73030 <1% 1,837 $100K
85730 <1% 3,085 $97K
73610 <1% 1,573 $96K
96367 <1% 2,892 $89K
76830 Ultrasound, transvaginal <1% 421 $87K
70486 <1% 270 $86K
G0379 Direct admission of patient for hospital observation care <1% 1,824 $85K
83880 <1% 2,432 $82K
77067 Screening mammography, bilateral, including computer-aided detection <1% 1,844 $80K
83970 <1% 1,250 $80K
82570 <1% 2,666 $80K
84439 <1% 2,620 $79K
93041 <1% 4,176 $77K
85610 <1% 5,300 $75K
87070 <1% 3,360 $74K
80074 <1% 1,285 $74K
82550 <1% 5,291 $72K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 386 $66K
83540 <1% 2,928 $62K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 2,673 $61K
87077 <1% 4,390 $60K
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 <1% 7,395 $60K
82553 <1% 2,424 $59K
73130 <1% 958 $59K
83605 <1% 5,234 $55K
86140 <1% 3,439 $54K
82803 <1% 1,714 $51K
80069 <1% 2,654 $51K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 228 $50K
97162 <1% 1,058 $49K
84702 <1% 1,424 $45K
86038 <1% 1,283 $45K
73110 <1% 635 $42K
73560 <1% 759 $41K
85652 <1% 3,670 $40K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 2,048 $40K
71271 <1% 91 $38K
96368 <1% 747 $38K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 1,728 $38K
73562 <1% 493 $37K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 192 $35K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 161 $33K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 963 $31K
84156 <1% 2,184 $31K
85027 <1% 2,926 $31K
76536 <1% 196 $31K
87076 <1% 2,948 $30K
97161 <1% 832 $28K
72110 <1% 330 $28K
99213 Doctor's office visit, returning patient (routine) <1% 270 $25K
84703 <1% 1,171 $25K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 1,203 $24K
93017 <1% 148 $24K
87522 Neg quan hep c or qual rna <1% 769 $23K
87507 <1% 103 $23K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 2,565 $23K
83550 <1% 1,193 $23K
93971 <1% 183 $23K
84550 <1% 1,876 $22K
83655 <1% 828 $22K
73090 <1% 380 $22K
73590 <1% 347 $21K
97014 <1% 439 $21K
94060 <1% 372 $19K
78454 <1% 99 $19K
73502 <1% 375 $18K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 1,124 $18K
72040 <1% 271 $17K
47562 <1% 12 $17K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 1,200 $17K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 550 $16K
82043 <1% 1,322 $16K
86431 <1% 646 $16K
36600 <1% 1,699 $15K
87634 <1% 413 $15K
86850 <1% 1,036 $14K
73620 <1% 240 $14K
81003 <1% 1,801 $14K
84153 <1% 553 $14K
86901 <1% 1,252 $14K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 1,247 $12K
J1956 Injection, levofloxacin, 250 mg <1% 1,760 $12K
82542 <1% 163 $12K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 115 $12K
86200 <1% 632 $11K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 6,648 $11K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 42 $11K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis <1% 119 $11K
86900 <1% 1,267 $11K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg <1% 286 $11K
90715 <1% 331 $11K
12001 <1% 137 $10K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 37 $10K
88304 <1% 501 $9K
82103 <1% 263 $9K
76000 <1% 153 $9K
0012A <1% 679 $9K
84100 <1% 754 $9K
76641 <1% 68 $9K
76770 <1% 101 $8K
81002 <1% 1,145 $8K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 13 $8K
87590 <1% 491 $8K
80171 <1% 138 $8K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 1,951 $8K
85378 <1% 613 $8K
70551 Magnetic resonance imaging, brain; without contrast material <1% 18 $7K
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) <1% 122 $7K
94618 <1% 136 $7K
J2270 Injection, morphine sulfate, up to 10 mg <1% 3,070 $7K
0097U <1% 107 $6K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring <1% 43 $6K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 58 $6K
72050 <1% 65 $5K
0011A <1% 698 $5K
J0690 Injection, cefazolin sodium, 500 mg <1% 792 $5K
93226 <1% 41 $5K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 978 $5K
73120 <1% 92 $4K
73600 <1% 84 $4K
87480 <1% 388 $4K
J3490 Unclassified drugs <1% 942 $4K
78227 <1% 13 $4K
93225 <1% 66 $4K
88142 <1% 152 $4K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 1,456 $4K
94729 <1% 125 $4K
73564 <1% 56 $4K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 3,103 $3K
94727 <1% 126 $3K
87510 <1% 301 $3K
97035 <1% 156 $3K
J2919 Injection, methylprednisolone sodium succinate, 5 mg <1% 306 $3K
0100U <1% 60 $3K
84481 <1% 53 $3K
80081 <1% 12 $3K
97166 <1% 77 $3K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose <1% 26 $3K
92523 <1% 31 $3K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 218 $3K
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg <1% 320 $3K
72128 <1% 14 $3K
90714 <1% 121 $3K
86803 <1% 99 $3K
73100 <1% 48 $3K
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 1,354 $2K
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring <1% 19 $2K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 32 $2K
83001 <1% 45 $2K
87660 <1% 301 $2K
12002 <1% 28 $2K
84436 <1% 67 $2K
95831 <1% 95 $2K
73140 <1% 25 $2K
73070 <1% 34 $2K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 1,069 $2K
84145 <1% 32 $2K
36430 <1% 15 $2K
82140 <1% 68 $1K
99499 <1% 46 $1K
J2805 Injection, sincalide, 5 micrograms <1% 13 $1K
G0476 Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test <1% 52 $1K
G0103 Prostate cancer screening; prostate specific antigen test (psa) <1% 244 $1K
J3370 Injection, vancomycin hcl, 500 mg <1% 46 $1K
36416 <1% 384 $1K
84146 <1% 26 $1K
86787 <1% 18 $1K
82746 <1% 30 $1K
59025 Fetal non-stress test <1% 20 $998.93
82565 <1% 84 $996.46
84134 <1% 48 $983.82
74019 <1% 14 $974.50
M0239 Intravenous infusion, bamlanivimab-xxxx, includes infusion and post administration monitoring <1% 13 $933.72
82652 <1% 34 $901.93
77063 Screening digital breast tomosynthesis, bilateral <1% 52 $884.51
87807 <1% 175 $864.02
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 71 $855.91
A9537 Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries <1% 25 $779.24
87075 <1% 32 $763.16
83002 <1% 19 $739.07
85007 <1% 70 $734.45
87338 <1% 14 $701.96
80143 <1% 77 $675.09
0064A <1% 102 $663.76
86706 <1% 28 $622.79
J2175 Injection, meperidine hydrochloride, per 100 mg <1% 152 $620.70
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose <1% 277 $589.58
84112 <1% 19 $582.33
76775 <1% 14 $579.03
80164 <1% 39 $561.42
94761 <1% 25 $557.55
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 422 $554.43
J1650 Injection, enoxaparin sodium, 10 mg <1% 14 $546.17
82105 <1% 13 $540.26
80185 <1% 23 $536.20
A9575 Injection, gadoterate meglumine, 0.1 ml <1% 18 $532.74
82274 <1% 57 $513.37
87340 <1% 24 $504.64
82104 <1% 70 $460.45
83516 <1% 15 $447.92
82670 <1% 14 $402.60
84520 <1% 26 $400.92
86703 <1% 31 $374.05
86804 <1% 13 $364.76
84403 <1% 25 $359.36
J1170 Injection, hydromorphone, up to 4 mg <1% 124 $312.62
86592 <1% 28 $306.94
87205 <1% 29 $304.61
0002A <1% 17 $294.20
85379 <1% 14 $277.54
84270 <1% 12 $276.95
J0736 Injection, clindamycin phosphate, 300 mg <1% 29 $249.05
J2470 Injection, pantoprazole sodium, 40 mg <1% 75 $239.82
J2550 Injection, promethazine hcl, up to 50 mg <1% 325 $207.10
J0330 Injection, succinylcholine chloride, up to 20 mg <1% 27 $190.39
0001A <1% 13 $185.64
82947 <1% 17 $173.58
84402 <1% 12 $162.78
85018 <1% 13 $144.64
85014 <1% 12 $139.28
J7510 Prednisolone oral, per 5 mg <1% 93 $136.53
84560 <1% 16 $129.50
J2003 Injection, lidocaine hydrochloride, 1 mg <1% 79 $108.00
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 119 $104.10
86430 <1% 15 $95.20
A9270 Non-covered item or service <1% 1,571 $88.20
J3475 Injection, magnesium sulfate, per 500 mg <1% 16 $50.63
J1644 Injection, heparin sodium, per 1000 units <1% 40 $29.52
J2060 Injection, lorazepam, 2 mg <1% 15 $19.09
Q0244 Injection, casirivimab and imdevimab, 1200 mg <1% 41 $0.07
Q0245 Injection, bamlanivimab and etesevimab, 2100 mg <1% 19 $0.01
Q0239 Injection, bamlanivimab-xxxx, 700 mg 0% 13 $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)
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