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.
BELFRY, KY 41514
Next to other Rural Health Clinic/Center 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 | |
|---|---|---|---|
| 2019 | 4,392 | $143K | |
| 2020 | 7,085 | $274K | |
| 2021 | 7,171 | $265K | |
| 2022 | 5,391 | $203K | |
| 2023 | 3,934 | $138K | |
| 2024incomplete | 2,154 | $103K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.