NP / PA
Appalachian Regional Healthcare, INC.
Appalachian Regional Healthcare, INC. was paid $870K by Medicaid between Jan 2018 and Dec 2024, across 38 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoAPPALACHIAN REGIONAL HEALTHCARE, INC.
HAZARD, KY 41701
HAZARD, KY 41701
33aNPI1447370960assigned 03/29/2007
33bProvider typeAcute Care Nurse Practitioner
28Total paid$870K
24GClaims32,541
24DCodes billed38
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Acute Care Nurse Practitioner providers in Kentucky
Rank by total paid#2 of 9
Median peer was paid$31K
This provider vs. median28×
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.
Entity ProliferationAuthorized official HARRIS, HOLLIE controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 4,044 | $109K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 38% | 13,503 | 11,494 | $332K |
| 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 | 37% | 9,440 | 8,165 | $322K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 7.4% | 2,975 | 1,336 | $64K |
| 99222 | Initial hospital care, per day, moderate complexity | 4.2% | 699 | 601 | $37K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 3.4% | 1,779 | 685 | $29K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.3% | 503 | 466 | $20K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 2.1% | 1,601 | 1,179 | $18K |
| 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 | 1.1% | 168 | 146 | $10K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 265 | 160 | $8K |
| 99349 | <1% | 266 | 233 | $8K | |
| 99350 | Prolong home eval add 15m | <1% | 114 | 105 | $5K |
| 99254 | <1% | 43 | 36 | $3K |
26 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 138 | $2K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 175 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 32 | $2K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 73 | $2K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 60 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 15 | $996.05 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 15 | $861.15 |
| 99219 | <1% | 32 | $616.92 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 52 | $536.35 |
| 99217 | <1% | 14 | $443.28 | |
| G0407 | Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth | <1% | 42 | $367.33 |
| 99305 | <1% | 24 | $366.29 | |
| 99406 | <1% | 58 | $327.83 | |
| 99442 | <1% | 13 | $249.16 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 13 | $183.30 |
| 99490 | Ccm add 20min | <1% | 12 | $136.50 |
| 94010 | <1% | 17 | $131.80 | |
| G0426 | Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth | <1% | 12 | $111.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 193 | $74.40 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 13 | $64.46 |
| 90686 | <1% | 16 | $19.41 | |
| 3077F | 0% | 29 | $0.00 | |
| 3078F | 0% | 26 | $0.00 | |
| 90633 | 0% | 41 | $0.00 | |
| 3074F | 0% | 31 | $0.00 | |
| 3079F | 0% | 39 | $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.
From NPPES
Who's on the registration
Authorized officialHARRIS, HOLLIE (PRESIDENT AND CEO)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.