Physician
Appalachian Regional Healthcare, INC
Appalachian Regional Healthcare, INC was paid $6.24M by Medicaid between Jan 2018 and Dec 2024, across 71 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 28% of everything it billed.
33Billing provider infoAPPALACHIAN REGIONAL HEALTHCARE, INC
BECKLEY, WV 25801
BECKLEY, WV 25801
33aNPI1477510162assigned 04/27/2006
33bProvider typeHematology & Oncology Physician
28Total paid$6.24M
24GClaims152,618
24DCodes billed71
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Hematology & Oncology Physician providers in West Virginia
Rank by total paid#1 of 9
Median peer was paid$98K
This provider vs. median64×
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 | 21,955 | $822K | |
| 2019 | 16,804 | $508K | |
| 2020 | 31,872 | $1.15M | |
| 2021 | 25,544 | $946K | |
| 2022 | 23,846 | $1.06M | |
| 2023 | 17,600 | $936K | |
| 2024incomplete | 14,997 | $817K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 28% | 34,489 | 27,563 | $1.74M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 18% | 44,159 | 10,584 | $1.10M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 23,189 | 19,301 | $903K |
| 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 | 7.2% | 4,799 | 4,322 | $450K |
| 99222 | Initial hospital care, per day, moderate complexity | 5.9% | 6,083 | 4,639 | $367K |
| 99223 | Prolong inpt eval add15 m | 4.0% | 3,006 | 2,196 | $247K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.5% | 3,482 | 3,229 | $220K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 3.2% | 10,459 | 3,190 | $199K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.8% | 4,155 | 1,295 | $175K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 1.7% | 1,411 | 1,147 | $105K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.5% | 1,020 | 784 | $96K |
| 93458 | 1.4% | 468 | 356 | $89K |
59 more codes
| 99239 | Hospital discharge day management, more than 30 minutes | 1.4% | 1,707 | $86K |
| 99221 | <1% | 1,251 | $59K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 665 | $57K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 1,347 | $52K |
| 90837 | Psychotherapy session, about an hour | <1% | 510 | $41K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 873 | $35K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 140 | $18K |
| 92557 | <1% | 660 | $17K | |
| 99219 | <1% | 246 | $16K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 1,974 | $14K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 209 | $14K |
| 92567 | <1% | 1,076 | $14K | |
| 69210 | <1% | 356 | $11K | |
| 95911 | <1% | 67 | $9K | |
| 95886 | <1% | 138 | $9K | |
| 99225 | <1% | 196 | $9K | |
| 93000 | <1% | 339 | $8K | |
| 99217 | <1% | 184 | $8K | |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 36 | $7K |
| 93018 | <1% | 195 | $7K | |
| 93016 | <1% | 178 | $5K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 200 | $5K |
| 20552 | <1% | 126 | $5K | |
| 99220 | <1% | 34 | $4K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 430 | $4K |
| 90686 | <1% | 207 | $4K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 375 | $4K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 32 | $4K |
| 36415 | Collection of venous blood by venipuncture | <1% | 613 | $4K |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 75 | $3K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 44 | $3K |
| 99205 | Prolong outpt/office vis | <1% | 14 | $2K |
| 94060 | <1% | 107 | $2K | |
| 99386 | <1% | 13 | $1K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 93 | $1K |
| 93798 | <1% | 43 | $1K | |
| 99406 | <1% | 128 | $1K | |
| 90836 | <1% | 32 | $1K | |
| 90656 | <1% | 44 | $846.03 | |
| 94729 | <1% | 88 | $835.85 | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 19 | $775.52 |
| G0008 | Administration of influenza virus vaccine | <1% | 20 | $677.38 |
| 99442 | <1% | 128 | $511.75 | |
| 94200 | <1% | 18 | $483.68 | |
| 93248 | <1% | 15 | $275.88 | |
| 20610 | <1% | 34 | $228.05 | |
| 94150 | <1% | 17 | $219.22 | |
| 92587 | <1% | 13 | $162.44 | |
| 76937 | <1% | 18 | $110.92 | |
| 94726 | <1% | 65 | $96.97 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 35 | $43.00 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 44 | $4.86 |
| 3078F | 0% | 77 | $0.00 | |
| 3077F | 0% | 50 | $0.00 | |
| 91300 | 0% | 13 | $0.00 | |
| 3079F | 0% | 90 | $0.00 | |
| 3074F | 0% | 102 | $0.00 | |
| 3075F | 0% | 58 | $0.00 | |
| 3080F | 0% | 37 | $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.