Medicaid Provider Spending

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

APPALACHIAN REGIONAL HEALTHCARE, INC

NPI: 1477510162 · BECKLEY, WV 25801 · Hematology & Oncology Physician · NPI assigned 04/27/2006

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

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

$6.24M
Total Medicaid Paid
152,618
Total Claims
91,538
Beneficiaries
71
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHARRIS, HOLLIE (PRESIDENT AND CEO)
NPI Enumeration Date04/27/2006

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. 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
APPALACHIAN REGIONAL HEALTHCARE, INC HAZARD KY $1.17M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 14,997 $817K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 34,489 27,563 $1.74M
99232 Subsequent hospital care, per day, moderate complexity 44,159 10,584 $1.10M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 23,189 19,301 $903K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 4,799 4,322 $450K
99222 Initial hospital care, per day, moderate complexity 6,083 4,639 $367K
99223 Prolong inpt eval add15 m 3,006 2,196 $247K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3,482 3,229 $220K
99231 Subsequent hospital care, per day, straightforward or low complexity 10,459 3,190 $199K
99233 Prolong inpt eval add15 m 4,155 1,295 $175K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,411 1,147 $105K
99215 Prolong outpt/office vis 1,020 784 $96K
93458 468 356 $89K
99239 Hospital discharge day management, more than 30 minutes 1,707 1,398 $86K
99221 1,251 994 $59K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 665 193 $57K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,347 1,174 $52K
90837 Psychotherapy, 53 minutes with patient 510 339 $41K
99238 Hospital discharge day management, 30 minutes or less 873 794 $35K
45380 Colonoscopy, flexible; with biopsy, single or multiple 140 112 $18K
92557 660 632 $17K
99219 246 224 $16K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1,974 1,467 $14K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 209 186 $14K
92567 1,076 1,032 $14K
69210 356 293 $11K
95911 67 62 $9K
95886 138 123 $9K
99225 196 90 $9K
93000 339 312 $8K
99217 184 168 $8K
42820 Tonsillectomy and adenoidectomy; younger than age 12 36 32 $7K
93018 195 173 $7K
93016 178 156 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 200 175 $5K
20552 126 104 $5K
99220 34 31 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 430 356 $4K
90686 207 180 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 375 334 $4K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 32 24 $4K
36415 Collection of venous blood by venipuncture 613 557 $4K
J1030 Injection, methylprednisolone acetate, 40 mg 75 64 $3K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 44 40 $3K
99205 Prolong outpt/office vis 14 14 $2K
94060 107 63 $2K
99386 13 12 $1K
99308 Subsequent nursing facility care, per day, straightforward 93 79 $1K
93798 43 13 $1K
99406 128 107 $1K
90836 32 28 $1K
90656 44 41 $846.03
94729 88 49 $835.85
90834 Psychotherapy, 45 minutes with patient 19 13 $775.52
G0008 Administration of influenza virus vaccine 20 18 $677.38
99442 128 94 $511.75
94200 18 13 $483.68
93248 15 15 $275.88
20610 34 24 $228.05
94150 17 13 $219.22
92587 13 13 $162.44
76937 18 13 $110.92
94726 65 50 $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 35 17 $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) 44 33 $4.86
3078F 77 73 $0.00
3077F 50 44 $0.00
91300 13 13 $0.00
3079F 90 81 $0.00
3074F 102 94 $0.00
3075F 58 52 $0.00
3080F 37 34 $0.00