Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Appalachian Regional Medical Associates, INC.

Appalachian Regional Medical Associates, INC. was paid $14K by Medicaid between Jan 2018 and Nov 2024, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.

33Billing provider infoAPPALACHIAN REGIONAL MEDICAL ASSOCIATES, INC.
BOONE, NC 28607
33aNPI1457729634assigned 09/04/2015
33bProvider typeUrology Physician
28Total paid$14K
24GClaims3,283
24DCodes billed5
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Urology Physician providers in North Carolina

Rank by total paid#36 of 69
Median peer was paid$15K
This provider vs. median1.0×

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 LONG, MARY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$500$1.0K$1.5K2018201920202021202220232024
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
YearClaimsPaid
2018660$3K
2019259$2K
2020347$394.44
2021621$3K
2022930$3K
2023235$472.22
2024incomplete231$3K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 37% 269 239 $5K
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 25% 110 102 $4K
99199 Unlisted special service, procedure or report 21% 888 857 $3K
81003 11% 1,308 1,026 $2K
81001 6.0% 708 575 $849.05

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 officialLONG, MARY (SR VP MEDICAL STAFF RELATIONS)
Same official

Other billing entities under LONG, MARY

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.