Appalachian Regional Healthcare, INC.
Appalachian Regional Healthcare, INC. was paid $92K by Medicaid between Jan 2018 and Oct 2022, across 13 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 83% of everything it billed.
WHITESBURG, KY 41858
Next to other Emergency Medicine Physician 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 | 696 | $20K | |
| 2019 | 590 | $16K | |
| 2020 | 551 | $18K | |
| 2021 | 443 | $15K | |
| 2022 | 1,534 | $22K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 83% | 2,476 | 2,155 | $76K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | 6.7% | 118 | 111 | $6K |
| 71045 | Radiologic examination, chest; single view | 4.5% | 947 | 766 | $4K |
| 70450 | Computed tomography, head or brain; without contrast material | 2.2% | 77 | 75 | $2K |
| 88342 | 1.1% | 38 | 37 | $992.15 | |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | <1% | 15 | 13 | $609.68 |
| 70551 | Magnetic resonance imaging, brain; without contrast material | <1% | 12 | 12 | $565.26 |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 17 | 15 | $359.73 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 60 | 52 | $339.39 |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 15 | 14 | $291.78 |
| 74022 | <1% | 14 | 14 | $125.24 | |
| 73110 | <1% | 13 | 13 | $84.13 |
1 more codes
| 73090 | <1% | 12 | $68.95 |
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.