Appalachian Regional Healthcare, INC.
Appalachian Regional Healthcare, INC. was paid $490K by Medicaid between Oct 2021 and Nov 2024, across 25 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 17% of everything it billed.
HAZARD, KY 41701
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 | |
|---|---|---|---|
| 2021 | 429 | $20K | |
| 2022 | 3,211 | $127K | |
| 2023 | 4,059 | $190K | |
| 2024incomplete | 2,927 | $153K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 17% | 1,389 | 1,269 | $85K |
| 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 | 17% | 993 | 900 | $81K |
| 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 | 15% | 1,813 | 1,568 | $74K |
| 95910 | 13% | 540 | 482 | $62K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 1,747 | 1,605 | $54K |
| 95886 | 11% | 905 | 824 | $52K | |
| 93000 | 4.2% | 1,400 | 1,301 | $21K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 3.3% | 514 | 478 | $16K |
| 95909 | 2.6% | 135 | 127 | $13K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 2.3% | 276 | 248 | $11K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.0% | 192 | 38 | $5K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 151 | 36 | $4K |
13 more codes
| 17000 | <1% | 127 | $3K | |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 72 | $2K |
| 17003 | <1% | 64 | $1K | |
| 17110 | <1% | 45 | $1K | |
| 99223 | Prolong inpt eval add15 m | <1% | 15 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 51 | $1K |
| 93244 | <1% | 25 | $444.63 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 14 | $443.54 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 68 | $364.05 |
| 93018 | <1% | 18 | $262.73 | |
| 93288 | <1% | 30 | $242.58 | |
| 3074F | 0% | 16 | $0.00 | |
| 3078F | 0% | 26 | $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.