Medicaid Provider Spending

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

APPALACHIAN REGIONAL MEDICAL ASSOCIATES

NPI: 1316184807 · BOONE, NC 28607 · Obstetrics & Gynecology Physician · NPI assigned 01/21/2009

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

Authorized official LONG, MARY controls 20+ related entities in our dataset. Read more

$91K
Total Medicaid Paid
8,262
Total Claims
6,560
Beneficiaries
12
Codes Billed
2018-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLONG, MARY (SR. VP MEDICAL STAFF RELATIONS)
Parent OrganizationAPPALACHIAN REGIONAL MEDICAL ASSOCIATES
NPI Enumeration Date01/21/2009

Related Entities

Other providers sharing the same authorized official: LONG, MARY

ProviderCityStateTotal Paid
WATAUGA MEDICAL CENTER INC BOONE NC $1.44M
CHARLES A CANNON JR MEMORIAL HOSPITAL INC. LINVILLE NC $752K
APPALACHIAN REGIONAL MEDICAL ASSOCIATES, INC. LINVILLE NC $705K
CHARLES A. CANNON, JR. MEMORIAL HOSPITAL, INC LINVILLE NC $277K
APPALACHIAN REGIONAL MEDICAL ASSOCIATES, INC. BOONE NC $246K
APPALACHIAN REGIONAL MEDICAL ASSOCIATES INC BOONE NC $177K
APPALACHIAN REGIONAL MEDICAL ASSOCIATES BANNER ELK NC $128K
APPALACHIAN REGIONAL BEHAVIORAL HEALTHCARE INC LINVILLE NC $114K
APPALACHIAN REGIONAL MEDICAL ASSOCIATES, INC BOONE NC $112K
WATAUGA MEDICAL CENTER INC BOONE NC $108K
WATAUGA MEDICAL CENTER INC BOONE NC $78K
APPALACHIAN REGIONAL MEDICAL ASSOCIATES, INC. BOONE NC $64K
WATAUGA MEDICAL CENTER INC BOONE NC $46K
APPALACHIAN REGIONAL MEDICAL ASSOCIATES, INC. BOONE NC $43K
CHARLES A CANNON JR MEMORIAL HOSPITAL INC LINVILLE NC $33K
ABERDEEN EYE CLINIC P A ABERDEEN MS $28K
WATAUGA MEDICAL CENTER, INC. BOONE NC $19K
WATAUGA MEDICAL CENTER, INC. BOONE NC $19K
APPALACHIAN REGIONAL MEDICAL ASSOCIATES INC BOONE NC $18K
APPALACHIAN REGIONAL MEDICAL ASSOCIATES INC BLOWING ROCK NC $18K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 161 $8K
2019 954 $5K
2020 1,740 $11K
2021 1,690 $16K
2022 1,396 $18K
2023 1,006 $17K
2024 1,315 $16K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,107 3,916 $51K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 304 246 $23K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 73 67 $8K
81003 2,256 1,914 $3K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 40 39 $3K
59025 Fetal non-stress test 79 53 $2K
36415 Collection of venous blood by venipuncture 269 213 $558.04
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 42 38 $493.82
81025 35 25 $215.12
82950 12 12 $70.32
96127 12 12 $50.29
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 33 25 $0.00