Appalachian Regional Medical Associates
Appalachian Regional Medical Associates was paid $91K by Medicaid between Feb 2018 and Dec 2024, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.
BOONE, NC 28607
Next to other Obstetrics & Gynecology Physician providers in North Carolina
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 | 161 | $8K | |
| 2019 | 954 | $5K | |
| 2020 | 1,740 | $11K | |
| 2021 | 1,690 | $16K | |
| 2022 | 1,396 | $18K | |
| 2023 | 1,006 | $17K | |
| 2024incomplete | 1,315 | $16K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 56% | 5,107 | 3,916 | $51K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 25% | 304 | 246 | $23K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 8.6% | 73 | 67 | $8K |
| 81003 | 3.3% | 2,256 | 1,914 | $3K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 3.3% | 40 | 39 | $3K |
| 59025 | Fetal non-stress test | 2.3% | 79 | 53 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 269 | 213 | $558.04 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 42 | 38 | $493.82 |
| 81025 | <1% | 35 | 25 | $215.12 | |
| 82950 | <1% | 12 | 12 | $70.32 | |
| 96127 | <1% | 12 | 12 | $50.29 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 33 | 25 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.