Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Appalachian Regional Healthcare, INC.

Appalachian Regional Healthcare, INC. was paid $1.13M by Medicaid between Jun 2019 and Nov 2024, across 21 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 72% of everything it billed.

33Billing provider infoAPPALACHIAN REGIONAL HEALTHCARE, INC.
BELFRY, KY 41514
33aNPI1366900896assigned 03/04/2019
28Total paid$1.13M
24GClaims30,127
24DCodes billed21
24AFirst – last monthJun 2019 – Nov 2024
Compared with peers

Next to other Rural Health Clinic/Center providers in Kentucky

Rank by total paid#52 of 265
Median peer was paid$400K
This provider vs. median2.8×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
20194,392$143K
20207,085$274K
20217,171$265K
20225,391$203K
20233,934$138K
2024incomplete2,154$103K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 72% 8,577 6,781 $812K
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 16% 7,412 6,462 $181K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8.7% 5,533 4,438 $98K
99490 Ccm add 20min <1% 471 444 $11K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 1,953 1,271 $9K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 105 95 $4K
36415 Collection of venous blood by venipuncture <1% 2,655 2,321 $3K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 338 289 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 376 296 $1K
90686 <1% 179 162 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 241 211 $1K
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% 142 140 $691.08
9 more codes
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 67 $493.15
81002 <1% 1,708 $417.96
99239 Hospital discharge day management, more than 30 minutes <1% 16 $395.41
81025 <1% 274 $51.66
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 29 $22.38
G0071 Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only <1% 12 $7.15
99203 Doctor's office visit, new patient (routine) 0% 12 $0.00
3077F 0% 12 $0.00
3079F 0% 15 $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)
Same official

Other billing entities under HARRIS, HOLLIE

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.