Clinic
Appalachian Regional Healthcare, INC.
Appalachian Regional Healthcare, INC. was paid $1.84M by Medicaid between Jan 2018 and Dec 2024, across 60 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoAPPALACHIAN REGIONAL HEALTHCARE, INC.
WHITESBURG, KY 41858
WHITESBURG, KY 41858
33aNPI1336355601assigned 05/15/2007
33bProvider typeRural Health Clinic/Center
28Total paid$1.84M
24GClaims62,566
24DCodes billed60
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Kentucky
Rank by total paid#31 of 265
Median peer was paid$400K
This provider vs. median4.6×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 14,801 | $413K | |
| 2019 | 10,201 | $314K | |
| 2020 | 6,205 | $199K | |
| 2021 | 5,704 | $163K | |
| 2022 | 5,882 | $165K | |
| 2023 | 10,589 | $308K | |
| 2024incomplete | 9,184 | $274K |
Box 24 · Service lines
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 | 38% | 24,583 | 19,261 | $699K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 30% | 13,082 | 10,325 | $549K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.6% | 1,172 | 884 | $66K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 3.6% | 1,554 | 1,467 | $66K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.4% | 2,776 | 2,149 | $62K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.7% | 778 | 703 | $50K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.7% | 848 | 769 | $49K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.2% | 2,611 | 2,382 | $41K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.8% | 423 | 367 | $33K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.6% | 2,178 | 1,209 | $29K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.4% | 379 | 352 | $25K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 470 | 338 | $18K |
48 more codes
| 90791 | Psychiatric diagnostic evaluation | <1% | 274 | $16K |
| 90461 | <1% | 1,582 | $15K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,192 | $14K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 1,478 | $11K |
| 99460 | <1% | 315 | $11K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 870 | $10K |
| 99462 | <1% | 440 | $8K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 309 | $8K |
| 93016 | <1% | 432 | $8K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 180 | $7K |
| 93018 | <1% | 431 | $6K | |
| 99254 | <1% | 55 | $6K | |
| 99243 | <1% | 56 | $4K | |
| 93244 | <1% | 258 | $4K | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 219 | $4K |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 376 | $3K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 57 | $2K |
| 90686 | <1% | 303 | $2K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 91 | $2K |
| 0001A | <1% | 36 | $1K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 13 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 137 | $1K |
| 90670 | <1% | 532 | $940.88 | |
| 90633 | <1% | 802 | $812.61 | |
| 0002A | <1% | 20 | $800.80 | |
| 90632 | <1% | 15 | $618.60 | |
| 99443 | <1% | 14 | $445.76 | |
| 93227 | <1% | 14 | $324.37 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 29 | $277.20 |
| 99442 | <1% | 13 | $238.37 | |
| 90681 | <1% | 85 | $213.14 | |
| 90734 | <1% | 79 | $206.00 | |
| 90723 | <1% | 112 | $141.44 | |
| J2920 | Injection, methylprednisolone sodium succinate, up to 40 mg | <1% | 44 | $96.51 |
| 90648 | <1% | 99 | $78.63 | |
| 90710 | <1% | 167 | $64.00 | |
| 90696 | <1% | 46 | $48.00 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 32 | $45.98 |
| 3074F | <1% | 110 | $25.00 | |
| 3079F | <1% | 34 | $25.00 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 36 | $17.82 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 18 | $12.30 |
| 81002 | <1% | 13 | $3.48 | |
| 90647 | 0% | 70 | $0.00 | |
| 91300 | 0% | 77 | $0.00 | |
| 3078F | 0% | 91 | $0.00 | |
| 90715 | 0% | 32 | $0.00 | |
| 3077F | 0% | 24 | $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)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.