Appalachian Regional Healthcare, INC.
Appalachian Regional Healthcare, INC. was paid $527K by Medicaid between Jan 2018 and Aug 2024, across 6 billing codes. Its largest line is G0299, Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes — 68% of everything it billed.
WHITESBURG, KY 41858
Next to other Developmentally Disabled Services Day Training Agency providers in Kentucky
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 | 988 | $72K | |
| 2019 | 1,207 | $89K | |
| 2020 | 1,334 | $99K | |
| 2021 | 1,338 | $104K | |
| 2022 | 901 | $57K | |
| 2023 | 937 | $63K | |
| 2024incomplete | 525 | $42K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G0299 | Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes | 68% | 5,425 | 1,349 | $361K |
| T1016 | Case management, each 15 minutes | 30% | 1,584 | 1,510 | $160K |
| T4541 | Incontinence product, disposable underpad, large, each | <1% | 144 | 131 | $5K |
| G0300 | Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes | <1% | 26 | 12 | $1K |
| A6260 | Wound cleansers, any type, any size | <1% | 21 | 12 | $146.12 |
| Q5001 | Hospice or home health care provided in patient's home/residence | <1% | 30 | 26 | $0.03 |
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.