Medicaid Provider Spending

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

ARH TUG VALLEY HEALTH SERVICES, INC.

NPI: 1437813441 · PAINTSVILLE, KY 41240 · General Acute Care Hospital · NPI assigned 10/26/2021

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

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

$10.44M
Total Medicaid Paid
268,790
Total Claims
194,861
Beneficiaries
189
Codes Billed
2021-12
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHARRIS, HOLLIE (PRESIDENT AND CEO)
Parent OrganizationAPPALACHIAN REGIONAL HELATHCARE, INC.
NPI Enumeration Date10/26/2021

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
APPALACHIAN REGIONAL HEALTHCARE, INC. WEST LIBERTY KY $17.87M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 187 $0.00
2022 93,342 $2.91M
2023 92,765 $3.61M
2024 82,496 $3.92M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 10,279 6,613 $2.31M
99283 Emergency department visit for the evaluation and management, moderate severity 10,771 7,476 $1.04M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 4,368 1,914 $966K
74176 Computed tomography, abdomen and pelvis; without contrast material 3,309 2,496 $791K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 1,446 336 $427K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 6,745 2,810 $375K
70450 Computed tomography, head or brain; without contrast material 2,467 1,691 $295K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 3,765 2,455 $283K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 3,848 1,943 $252K
71045 Radiologic examination, chest; single view 6,067 3,867 $224K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 915 443 $210K
80053 Comprehensive metabolic panel 21,669 15,004 $145K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 999 442 $132K
74177 Computed tomography, abdomen and pelvis; with contrast material 313 279 $128K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1,738 1,476 $119K
72125 Computed tomography, cervical spine; without contrast material 818 693 $115K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2,997 780 $113K
96361 Intravenous infusion, hydration; each additional hour 3,290 1,447 $110K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 4,737 4,119 $106K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 2,772 2,083 $100K
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 2,040 1,509 $100K
36415 Collection of venous blood by venipuncture 22,039 11,367 $98K
71250 727 564 $93K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 299 119 $90K
96375 Therapeutic injection; each additional sequential IV push 2,435 2,047 $85K
72131 710 532 $83K
84443 Thyroid stimulating hormone (TSH) 6,636 5,819 $82K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 264 244 $79K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 5,669 4,441 $78K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 3,111 2,630 $77K
71046 Radiologic examination, chest; 2 views 1,765 1,320 $77K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 18,481 14,824 $70K
80061 Lipid panel 6,155 5,205 $69K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 837 658 $51K
72128 283 253 $48K
82607 3,915 3,448 $45K
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 1,110 784 $39K
97161 573 470 $35K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 5,390 3,621 $34K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 557 248 $34K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 737 228 $33K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,036 671 $30K
G0378 Hospital observation service, per hour 407 301 $29K
77067 Screening mammography, bilateral, including computer-aided detection 531 457 $29K
83036 Hemoglobin; glycosylated (A1C) 3,925 3,471 $28K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 56 40 $28K
84484 4,307 3,445 $27K
76705 Ultrasound, abdominal, real time with image documentation; limited 328 280 $26K
72100 615 515 $26K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 887 591 $26K
82652 809 740 $25K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,453 2,114 $22K
83880 1,365 1,098 $21K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,626 1,525 $20K
84681 1,308 1,111 $20K
87040 2,679 2,312 $15K
87631 123 121 $15K
87086 Culture, bacterial; quantitative colony count, urine 3,325 2,703 $15K
71275 Computed tomographic angiography, chest, with contrast material 39 39 $15K
73030 585 483 $15K
82746 1,066 635 $14K
73630 595 519 $14K
99281 Emergency department visit for the evaluation and management, self-limited or minor 387 342 $14K
83735 3,992 3,081 $13K
73610 461 415 $11K
84403 576 503 $11K
83525 1,310 1,105 $11K
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 576 470 $11K
84439 1,566 1,362 $11K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 17 12 $10K
73130 399 336 $9K
80074 213 163 $8K
87070 1,712 1,276 $8K
84550 2,360 2,081 $8K
83690 2,948 2,537 $8K
81001 5,396 4,796 $7K
83605 1,743 1,518 $7K
73562 227 196 $6K
80048 Basic metabolic panel (calcium, ionized) 1,430 1,125 $6K
82728 508 438 $6K
86140 1,592 1,329 $5K
83540 1,126 1,011 $5K
83550 898 801 $5K
82150 1,711 1,502 $5K
80143 597 539 $5K
V2632 Posterior chamber intraocular lens 175 162 $5K
82803 562 457 $5K
87186 1,042 912 $4K
84703 1,479 1,234 $4K
83527 392 380 $4K
87077 1,343 1,018 $4K
81025 1,511 1,374 $4K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 328 239 $4K
93017 55 52 $4K
95913 14 14 $4K
82043 892 771 $4K
73590 188 155 $4K
86038 380 358 $4K
84402 165 160 $3K
87430 694 519 $3K
G0103 Prostate cancer screening; prostate specific antigen test (psa) 379 182 $3K
73090 182 162 $3K
36600 665 464 $3K
84270 165 161 $3K
72110 71 42 $3K
74022 52 51 $3K
86200 273 264 $3K
85610 1,775 1,405 $3K
85730 1,522 1,206 $3K
96376 378 306 $3K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 764 542 $3K
82550 733 643 $2K
97597 19 12 $2K
77063 Screening digital breast tomosynthesis, bilateral 110 107 $2K
20610 17 13 $2K
96367 50 39 $2K
85651 721 546 $2K
85378 620 546 $2K
85652 865 800 $2K
82570 373 368 $2K
81003 2,287 1,702 $2K
74018 42 38 $2K
76536 17 16 $2K
92523 13 12 $1K
72072 25 24 $1K
87075 420 357 $1K
97035 110 27 $1K
J1885 Injection, ketorolac tromethamine, per 15 mg 2,469 2,178 $1K
84145 158 152 $1K
87076 286 169 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 177 163 $1K
73110 61 57 $1K
86431 267 245 $1K
80299 155 126 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 139 129 $1K
96368 56 50 $1K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 422 374 $980.11
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 316 256 $907.63
90715 74 69 $895.81
87807 225 201 $867.42
72040 27 27 $841.00
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose 97 90 $810.27
85027 185 170 $806.17
86738 169 137 $764.48
84153 38 38 $651.26
93246 27 25 $648.83
93041 152 112 $580.26
93242 34 33 $542.05
87081 323 238 $483.48
95885 44 37 $464.80
84480 46 40 $421.59
J0131 Injection, acetaminophen, not otherwise specified,10 mg 113 109 $391.75
82962 418 247 $372.09
73120 12 12 $371.82
90714 50 49 $343.33
J2919 Injection, methylprednisolone sodium succinate, 5 mg 116 97 $333.87
J3010 Injection, fentanyl citrate, 0.1 mg 536 431 $323.67
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 194 162 $279.29
C1889 Implantable/insertable device, not otherwise classified 236 215 $278.22
82140 48 43 $264.88
73080 22 13 $223.68
80320 224 176 $207.60
12001 12 12 $197.09
94760 134 91 $179.96
86308 90 89 $175.90
80076 32 25 $173.49
80324 51 40 $147.39
84702 21 12 $141.00
84146 12 12 $138.57
86376 12 12 $136.79
83695 12 12 $131.57
84466 21 12 $124.06
94664 38 25 $121.60
84436 12 12 $69.68
80361 28 23 $65.86
J2470 Injection, pantoprazole sodium, 40 mg 69 66 $54.60
J2405 Injection, ondansetron hydrochloride, per 1 mg 245 219 $42.66
87420 14 14 $41.73
J0780 Injection, prochlorperazine, up to 10 mg 60 58 $40.77
84100 13 12 $35.06
J1100 Injection, dexamethasone sodium phosphate, 1 mg 173 164 $31.56
J0696 Injection, ceftriaxone sodium, per 250 mg 143 127 $31.35
J2003 Injection, lidocaine hydrochloride, 1 mg 57 54 $28.71
82009 13 12 $22.01
J3475 Injection, magnesium sulfate, per 500 mg 13 13 $11.48
J3490 Unclassified drugs 92 64 $6.84
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 195 170 $0.01
A9270 Non-covered item or service 569 181 $0.00
J2704 Injection, propofol, 10 mg 19 13 $0.00