Medicaid Provider Spending

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

APPALACHIAN REGIONAL HEALTHCARE, INC.

NPI: 1306842521 · HARLAN, KY 40831 · General Acute Care Hospital · NPI assigned 06/22/2005

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

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

$55.19M
Total Medicaid Paid
968,194
Total Claims
672,537
Beneficiaries
301
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHARRIS, HOLLIE (PRESIDENT AND CEO)
NPI Enumeration Date06/22/2005

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. 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
APPALACHIAN REGIONAL HEALTHCARE, INC HAZARD KY $1.17M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 174,358 $9.65M
2019 140,440 $7.84M
2020 132,826 $6.32M
2021 142,902 $6.83M
2022 139,734 $7.78M
2023 128,647 $8.23M
2024 109,287 $8.56M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 24,198 19,890 $10.19M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 10,456 7,290 $4.93M
74176 Computed tomography, abdomen and pelvis; without contrast material 7,176 6,029 $4.74M
G0378 Hospital observation service, per hour 12,369 7,136 $4.66M
99283 Emergency department visit for the evaluation and management, moderate severity 18,651 15,598 $1.89M
70450 Computed tomography, head or brain; without contrast material 4,939 4,107 $1.37M
80053 Comprehensive metabolic panel 52,773 38,315 $1.22M
74177 Computed tomography, abdomen and pelvis; with contrast material 1,309 1,079 $1.05M
96361 Intravenous infusion, hydration; each additional hour 13,670 6,182 $1.04M
85025 Blood count; complete (CBC), automated, and automated differential WBC count 68,994 51,225 $853K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 15,289 3,771 $830K
71045 Radiologic examination, chest; single view 16,355 12,585 $740K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,741 1,036 $734K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 18,417 13,101 $701K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1,248 814 $670K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,888 1,642 $637K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 11,362 6,143 $623K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 8,357 4,190 $600K
83735 8,928 7,642 $598K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 10,671 3,781 $583K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 14,022 11,951 $535K
97530 Therapeutic activities, direct patient contact, each 15 minutes 7,587 2,447 $534K
36415 Collection of venous blood by venipuncture 153,206 64,913 $486K
84443 Thyroid stimulating hormone (TSH) 16,103 15,113 $461K
80061 Lipid panel 13,362 12,434 $459K
80048 Basic metabolic panel (calcium, ionized) 23,140 17,051 $447K
71250 1,343 1,104 $414K
84484 13,243 9,567 $408K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 10,954 6,531 $400K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 17,545 11,194 $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 9,951 7,016 $365K
87040 8,160 6,135 $363K
99282 Emergency department visit for the evaluation and management, low to moderate severity 4,893 4,287 $349K
72125 Computed tomography, cervical spine; without contrast material 829 747 $337K
71046 Radiologic examination, chest; 2 views 6,100 5,167 $326K
81025 11,173 9,206 $317K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 6,331 5,707 $299K
82607 8,143 7,661 $296K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 5,471 1,708 $296K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 4,765 2,796 $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 8,964 8,075 $265K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 6,936 6,534 $263K
72131 643 564 $259K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 3,072 2,250 $231K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 3,450 1,953 $226K
81001 23,453 19,900 $207K
74022 1,595 1,443 $203K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,942 1,672 $202K
76705 Ultrasound, abdominal, real time with image documentation; limited 1,625 1,509 $202K
96375 Therapeutic injection; each additional sequential IV push 8,290 6,031 $194K
96376 5,332 2,846 $184K
83690 6,973 5,933 $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 5,806 1,323 $176K
87631 2,188 2,062 $172K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 299 272 $158K
87086 Culture, bacterial; quantitative colony count, urine 8,360 7,052 $150K
83036 Hemoglobin; glycosylated (A1C) 11,709 11,128 $146K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 3,183 2,902 $144K
82150 3,398 2,856 $138K
97597 2,893 1,137 $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 17,237 12,436 $129K
80076 4,315 3,758 $123K
73630 1,804 1,644 $121K
82728 3,025 2,796 $120K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 4,318 1,950 $120K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 6,046 5,602 $117K
72100 1,712 1,479 $112K
74018 1,828 1,414 $111K
87186 3,806 3,272 $102K
73030 1,837 1,532 $100K
85730 3,085 2,628 $97K
73610 1,573 1,351 $96K
96367 2,892 1,594 $89K
76830 Ultrasound, transvaginal 421 396 $87K
70486 270 235 $86K
G0379 Direct admission of patient for hospital observation care 1,824 1,285 $85K
83880 2,432 2,076 $82K
77067 Screening mammography, bilateral, including computer-aided detection 1,844 1,790 $80K
83970 1,250 1,166 $80K
82570 2,666 2,371 $80K
84439 2,620 2,486 $79K
93041 4,176 3,547 $77K
85610 5,300 4,169 $75K
87070 3,360 2,598 $74K
80074 1,285 1,165 $74K
82550 5,291 4,244 $72K
76700 Ultrasound, abdominal, real time with image documentation; complete 386 310 $66K
83540 2,928 2,725 $62K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 2,673 2,325 $61K
87077 4,390 3,178 $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 7,395 6,508 $60K
82553 2,424 1,706 $59K
73130 958 868 $59K
83605 5,234 4,196 $55K
86140 3,439 2,752 $54K
82803 1,714 1,376 $51K
80069 2,654 1,605 $51K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 228 143 $50K
97162 1,058 910 $49K
84702 1,424 1,197 $45K
86038 1,283 1,193 $45K
73110 635 559 $42K
73560 759 648 $41K
85652 3,670 3,039 $40K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 2,048 1,639 $40K
71271 91 83 $38K
96368 747 520 $38K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,728 1,614 $38K
73562 493 462 $37K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 192 92 $35K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 161 146 $33K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 963 885 $31K
84156 2,184 1,958 $31K
85027 2,926 2,762 $31K
76536 196 184 $31K
87076 2,948 1,800 $30K
97161 832 625 $28K
72110 330 274 $28K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 270 215 $25K
84703 1,171 1,094 $25K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,203 1,144 $24K
93017 148 135 $24K
87522 Neg quan hep c or qual rna 769 695 $23K
87507 103 94 $23K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 2,565 1,461 $23K
83550 1,193 1,106 $23K
93971 183 170 $23K
84550 1,876 1,689 $22K
83655 828 791 $22K
73090 380 327 $22K
73590 347 313 $21K
97014 439 125 $21K
94060 372 208 $19K
78454 99 50 $19K
73502 375 335 $18K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 1,124 1,060 $18K
72040 271 233 $17K
47562 12 12 $17K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,200 1,133 $17K
99281 Emergency department visit for the evaluation and management, self-limited or minor 550 494 $16K
82043 1,322 1,196 $16K
86431 646 621 $16K
36600 1,699 1,360 $15K
87634 413 390 $15K
86850 1,036 877 $14K
73620 240 213 $14K
81003 1,801 1,626 $14K
84153 553 511 $14K
86901 1,252 1,058 $14K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,247 1,119 $12K
J1956 Injection, levofloxacin, 250 mg 1,760 1,001 $12K
82542 163 154 $12K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 115 50 $12K
86200 632 594 $11K
J1885 Injection, ketorolac tromethamine, per 15 mg 6,648 4,804 $11K
71260 Computed tomography, thorax, diagnostic; with contrast material 42 26 $11K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 119 13 $11K
86900 1,267 1,060 $11K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 286 258 $11K
90715 331 315 $11K
12001 137 132 $10K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 37 17 $10K
88304 501 453 $9K
82103 263 178 $9K
76000 153 110 $9K
0012A 679 662 $9K
84100 754 639 $9K
76641 68 66 $9K
76770 101 79 $8K
81002 1,145 980 $8K
45380 Colonoscopy, flexible; with biopsy, single or multiple 13 12 $8K
87590 491 460 $8K
80171 138 128 $8K
J0696 Injection, ceftriaxone sodium, per 250 mg 1,951 1,308 $8K
85378 613 562 $8K
70551 Magnetic resonance imaging, brain; without contrast material 18 12 $7K
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 122 63 $7K
94618 136 123 $7K
J2270 Injection, morphine sulfate, up to 10 mg 3,070 2,000 $7K
0097U 107 82 $6K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 43 42 $6K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 58 56 $6K
72050 65 57 $5K
0011A 698 672 $5K
J0690 Injection, cefazolin sodium, 500 mg 792 618 $5K
93226 41 38 $5K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 978 910 $5K
73120 92 83 $4K
73600 84 72 $4K
87480 388 327 $4K
J3490 Unclassified drugs 942 748 $4K
78227 13 12 $4K
93225 66 53 $4K
88142 152 149 $4K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,456 1,261 $4K
94729 125 106 $4K
73564 56 53 $4K
J2405 Injection, ondansetron hydrochloride, per 1 mg 3,103 2,354 $3K
94727 126 107 $3K
87510 301 292 $3K
97035 156 44 $3K
J2919 Injection, methylprednisolone sodium succinate, 5 mg 306 181 $3K
0100U 60 59 $3K
84481 53 50 $3K
80081 12 12 $3K
97166 77 54 $3K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 26 25 $3K
92523 31 30 $3K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 218 205 $3K
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 320 137 $3K
72128 14 12 $3K
90714 121 118 $3K
86803 99 94 $3K
73100 48 41 $3K
J2250 Injection, midazolam hydrochloride, per 1 mg 1,354 1,148 $2K
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring 19 14 $2K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 32 12 $2K
83001 45 43 $2K
87660 301 292 $2K
12002 28 26 $2K
84436 67 67 $2K
95831 95 30 $2K
73140 25 25 $2K
73070 34 29 $2K
J3010 Injection, fentanyl citrate, 0.1 mg 1,069 907 $2K
84145 32 30 $2K
36430 15 12 $2K
82140 68 51 $1K
99499 46 44 $1K
J2805 Injection, sincalide, 5 micrograms 13 12 $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 52 45 $1K
G0103 Prostate cancer screening; prostate specific antigen test (psa) 244 64 $1K
J3370 Injection, vancomycin hcl, 500 mg 46 12 $1K
36416 384 342 $1K
84146 26 25 $1K
86787 18 14 $1K
82746 30 26 $1K
59025 Fetal non-stress test 20 13 $998.93
82565 84 70 $996.46
84134 48 40 $983.82
74019 14 12 $974.50
M0239 Intravenous infusion, bamlanivimab-xxxx, includes infusion and post administration monitoring 13 12 $933.72
82652 34 32 $901.93
77063 Screening digital breast tomosynthesis, bilateral 52 44 $884.51
87807 175 160 $864.02
J0131 Injection, acetaminophen, not otherwise specified,10 mg 71 43 $855.91
A9537 Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries 25 24 $779.24
87075 32 24 $763.16
83002 19 17 $739.07
85007 70 66 $734.45
87338 14 14 $701.96
80143 77 70 $675.09
0064A 102 86 $663.76
86706 28 24 $622.79
J2175 Injection, meperidine hydrochloride, per 100 mg 152 122 $620.70
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose 277 265 $589.58
84112 19 16 $582.33
76775 14 12 $579.03
80164 39 39 $561.42
94761 25 12 $557.55
J2765 Injection, metoclopramide hcl, up to 10 mg 422 268 $554.43
J1650 Injection, enoxaparin sodium, 10 mg 14 12 $546.17
82105 13 12 $540.26
80185 23 12 $536.20
A9575 Injection, gadoterate meglumine, 0.1 ml 18 12 $532.74
82274 57 56 $513.37
87340 24 24 $504.64
82104 70 67 $460.45
83516 15 13 $447.92
82670 14 12 $402.60
84520 26 24 $400.92
86703 31 25 $374.05
86804 13 12 $364.76
84403 25 25 $359.36
J1170 Injection, hydromorphone, up to 4 mg 124 109 $312.62
86592 28 28 $306.94
87205 29 29 $304.61
0002A 17 17 $294.20
85379 14 13 $277.54
84270 12 12 $276.95
J0736 Injection, clindamycin phosphate, 300 mg 29 15 $249.05
J2470 Injection, pantoprazole sodium, 40 mg 75 48 $239.82
J2550 Injection, promethazine hcl, up to 50 mg 325 242 $207.10
J0330 Injection, succinylcholine chloride, up to 20 mg 27 24 $190.39
0001A 13 13 $185.64
82947 17 12 $173.58
84402 12 12 $162.78
85018 13 13 $144.64
85014 12 12 $139.28
J7510 Prednisolone oral, per 5 mg 93 78 $136.53
84560 16 12 $129.50
J2003 Injection, lidocaine hydrochloride, 1 mg 79 73 $108.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 119 101 $104.10
86430 15 14 $95.20
A9270 Non-covered item or service 1,571 227 $88.20
J3475 Injection, magnesium sulfate, per 500 mg 16 13 $50.63
J1644 Injection, heparin sodium, per 1000 units 40 12 $29.52
J2060 Injection, lorazepam, 2 mg 15 13 $19.09
Q0244 Injection, casirivimab and imdevimab, 1200 mg 41 41 $0.07
Q0245 Injection, bamlanivimab and etesevimab, 2100 mg 19 14 $0.01
Q0239 Injection, bamlanivimab-xxxx, 700 mg 13 12 $0.00