Medicaid Provider Spending

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

APPALACHIAN REGIONAL HEALTHCARE, INC.

NPI: 1447370960 · HAZARD, KY 41701 · Acute Care Nurse Practitioner · NPI assigned 03/29/2007

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

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

$870K
Total Medicaid Paid
32,541
Total Claims
25,683
Beneficiaries
38
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHARRIS, HOLLIE (PRESIDENT AND CEO)
NPI Enumeration Date03/29/2007

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
2018 5,500 $126K
2019 6,386 $167K
2020 4,647 $129K
2021 5,910 $151K
2022 2,520 $78K
2023 3,534 $110K
2024 4,044 $109K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13,503 11,494 $332K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,440 8,165 $322K
99232 Subsequent hospital care, per day, moderate complexity 2,975 1,336 $64K
99222 Initial hospital care, per day, moderate complexity 699 601 $37K
99231 Subsequent hospital care, per day, straightforward or low complexity 1,779 685 $29K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 503 466 $20K
99308 Subsequent nursing facility care, per day, straightforward 1,601 1,179 $18K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 168 146 $10K
99233 Prolong inpt eval add15 m 265 160 $8K
99349 266 233 $8K
99350 Prolong home eval add 15m 114 105 $5K
99254 43 36 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 138 119 $2K
99309 Subsequent nursing facility care, per day, low to moderate complexity 175 155 $2K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 32 32 $2K
99239 Hospital discharge day management, more than 30 minutes 73 68 $2K
99238 Hospital discharge day management, 30 minutes or less 60 50 $1K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 15 15 $996.05
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 15 15 $861.15
99219 32 27 $616.92
90460 Immunization administration through 18 years of age via any route, first or only component 52 51 $536.35
99217 14 12 $443.28
G0407 Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth 42 25 $367.33
99305 24 24 $366.29
99406 58 48 $327.83
99442 13 12 $249.16
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 13 13 $183.30
99490 Ccm add 20min 12 12 $136.50
94010 17 16 $131.80
G0426 Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth 12 12 $111.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 193 190 $74.40
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 13 12 $64.46
90686 16 16 $19.41
3077F 29 27 $0.00
3078F 26 23 $0.00
90633 41 40 $0.00
3074F 31 28 $0.00
3079F 39 35 $0.00