Medicaid Provider Spending

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

APPALACHIAN REGIONAL HEALTHCARE, INC.

NPI: 1356367270 · WEST LIBERTY, KY 41472 · Critical Access Hospital · NPI assigned 07/14/2006

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

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

$17.87M
Total Medicaid Paid
364,673
Total Claims
249,723
Beneficiaries
152
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHARRIS, HOLLIE (PRESIDENT AND CEO)
NPI Enumeration Date07/14/2006

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. HARLAN KY $55.19M
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
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 58,421 $2.86M
2019 51,535 $2.49M
2020 47,846 $2.43M
2021 58,642 $2.71M
2022 56,676 $2.59M
2023 50,271 $2.49M
2024 41,282 $2.30M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 8,796 7,137 $4.19M
74176 Computed tomography, abdomen and pelvis; without contrast material 2,249 1,938 $1.53M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 2,739 2,070 $1.51M
99283 Emergency department visit for the evaluation and management, moderate severity 12,761 11,263 $1.30M
80053 Comprehensive metabolic panel 27,144 18,745 $666K
36415 Collection of venous blood by venipuncture 78,598 27,274 $463K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 664 428 $406K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 8,317 5,986 $404K
70450 Computed tomography, head or brain; without contrast material 1,396 1,116 $363K
87631 3,546 3,254 $357K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 24,130 19,047 $311K
99282 Emergency department visit for the evaluation and management, low to moderate severity 4,131 3,717 $296K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 6,920 3,423 $291K
G0378 Hospital observation service, per hour 1,002 464 $271K
96361 Intravenous infusion, hydration; each additional hour 4,185 2,976 $254K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 4,500 2,182 $246K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 3,661 3,407 $231K
71045 Radiologic examination, chest; single view 4,661 3,910 $205K
84484 4,953 3,758 $202K
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 3,793 3,348 $198K
74177 Computed tomography, abdomen and pelvis; with contrast material 227 194 $189K
71046 Radiologic examination, chest; 2 views 3,544 2,787 $185K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 4,541 4,000 $183K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 3,189 860 $164K
84443 Thyroid stimulating hormone (TSH) 8,513 7,751 $159K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 3,584 1,329 $155K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 4,965 3,116 $148K
87040 2,771 1,997 $145K
82607 5,379 5,048 $129K
80061 Lipid panel 6,659 6,247 $127K
81001 10,197 8,468 $116K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,710 1,015 $115K
84145 1,618 1,276 $115K
97530 Therapeutic activities, direct patient contact, each 15 minutes 2,459 916 $95K
96375 Therapeutic injection; each additional sequential IV push 3,609 2,854 $89K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 3,081 2,915 $86K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,340 1,247 $83K
87086 Culture, bacterial; quantitative colony count, urine 4,368 3,576 $83K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 2,715 2,483 $76K
83735 8,476 7,136 $72K
83605 2,544 2,066 $70K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 6,058 4,536 $69K
82553 2,218 1,927 $66K
81025 1,825 1,672 $65K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 675 552 $60K
76705 Ultrasound, abdominal, real time with image documentation; limited 457 383 $59K
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 1,208 731 $57K
83690 2,656 2,261 $53K
83036 Hemoglobin; glycosylated (A1C) 4,667 4,418 $50K
73630 645 583 $50K
72110 436 361 $50K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 116 90 $49K
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 2,989 2,644 $48K
93041 2,173 1,818 $46K
73030 604 470 $45K
82550 2,807 2,419 $42K
83880 1,115 895 $42K
80048 Basic metabolic panel (calcium, ionized) 2,589 1,764 $41K
73610 488 430 $38K
73564 417 333 $37K
96376 1,247 773 $34K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 747 367 $31K
87186 1,450 1,244 $31K
73130 332 289 $25K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 437 361 $24K
84703 1,091 999 $23K
82652 781 641 $23K
74018 303 270 $22K
82746 757 731 $22K
82803 508 359 $21K
80074 275 257 $20K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1,287 1,092 $19K
84439 1,094 1,051 $18K
84100 2,183 2,023 $17K
87077 1,883 967 $17K
82150 951 825 $15K
71250 38 26 $13K
85610 1,837 1,345 $13K
87076 1,837 859 $13K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 291 270 $12K
85730 688 610 $11K
G0103 Prostate cancer screening; prostate specific antigen test (psa) 1,302 384 $11K
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring 51 46 $10K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 826 651 $10K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 1,207 857 $10K
94760 735 478 $10K
99281 Emergency department visit for the evaluation and management, self-limited or minor 264 244 $9K
77067 Screening mammography, bilateral, including computer-aided detection 170 166 $9K
82043 880 819 $8K
85378 357 317 $8K
83540 625 607 $7K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 43 39 $7K
73110 90 81 $7K
36600 517 362 $7K
85652 813 707 $7K
84481 174 168 $6K
87634 144 135 $6K
82728 297 273 $6K
86140 427 373 $5K
85379 171 153 $5K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 154 137 $4K
83550 308 299 $4K
74022 31 26 $4K
J1885 Injection, ketorolac tromethamine, per 15 mg 2,133 1,769 $4K
82570 441 413 $4K
84550 353 343 $3K
84207 104 103 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 394 371 $3K
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 93 14 $2K
73502 37 26 $2K
97161 53 50 $2K
81002 132 106 $2K
0002A 195 185 $2K
96367 33 24 $1K
87522 Neg quan hep c or qual rna 40 30 $1K
J0696 Injection, ceftriaxone sodium, per 250 mg 487 362 $1K
72100 13 13 $1K
97165 28 27 $1K
80076 53 51 $1K
J2919 Injection, methylprednisolone sodium succinate, 5 mg 104 81 $1K
93225 29 26 $1K
87070 60 39 $1K
J2270 Injection, morphine sulfate, up to 10 mg 558 393 $1K
73562 19 13 $1K
0001A 198 191 $1K
86038 69 69 $971.05
97014 64 13 $953.15
J2405 Injection, ondansetron hydrochloride, per 1 mg 750 596 $704.20
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 37 36 $685.77
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 26 13 $666.87
86308 43 41 $666.10
84436 64 59 $655.72
86803 46 46 $610.20
J3475 Injection, magnesium sulfate, per 500 mg 74 52 $458.96
84702 14 12 $375.10
86200 25 25 $363.17
J2360 Injection, orphenadrine citrate, up to 60 mg 41 39 $326.22
J0780 Injection, prochlorperazine, up to 10 mg 29 27 $317.47
86431 33 33 $241.13
84479 28 26 $212.31
86756 13 12 $196.88
0012A 25 23 $139.09
J1956 Injection, levofloxacin, 250 mg 16 12 $95.11
80143 12 12 $85.65
0011A 19 19 $85.45
99406 18 14 $65.68
J2550 Injection, promethazine hcl, up to 50 mg 78 67 $62.50
J1100 Injection, dexamethasone sodium phosphate, 1 mg 17 17 $5.01
J1200 Injection, diphenhydramine hcl, up to 50 mg 14 12 $2.02
A9270 Non-covered item or service 100 54 $0.97
Q0245 Injection, bamlanivimab and etesevimab, 2100 mg 57 49 $0.04
Q0244 Injection, casirivimab and imdevimab, 1200 mg 23 23 $0.02