Medicaid Provider Spending

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

APPALACHIAN REGIONAL HEALTHCARE INC

NPI: 1487762399 · SOUTH WILLIAMSON, KY 41503 · Rural Health Clinic/Center · NPI assigned 08/29/2006

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

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

$8.71M
Total Medicaid Paid
226,037
Total Claims
194,456
Beneficiaries
51
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHARRIS, HOLLIE (PRESIDENT AND CEO)
NPI Enumeration Date08/29/2006

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 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
APPALACHIAN REGIONAL HEALTHCARE, INC HAZARD KY $1.17M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 33,589 $1.53M
2019 22,340 $898K
2020 25,495 $864K
2021 31,402 $1.12M
2022 40,501 $1.48M
2023 38,511 $1.43M
2024 34,199 $1.40M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 56,589 45,544 $5.61M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 67,525 55,344 $1.44M
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 8,101 7,226 $309K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,764 8,575 $260K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 22,433 19,994 $225K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4,480 4,250 $150K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,888 3,625 $105K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,581 2,464 $103K
90460 Immunization administration through 18 years of age via any route, first or only component 7,875 7,435 $102K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,002 2,872 $96K
85018 5,579 5,346 $46K
92551 3,543 3,358 $39K
81002 2,997 2,856 $31K
J0696 Injection, ceftriaxone sodium, per 250 mg 2,697 2,261 $31K
90461 5,093 4,853 $21K
90680 1,825 1,724 $14K
90710 1,401 1,330 $14K
90723 2,464 2,337 $13K
90633 1,705 1,624 $13K
90647 2,291 2,175 $12K
90620 903 867 $11K
90698 266 253 $10K
90734 1,063 1,018 $8K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,095 1,597 $7K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 101 89 $7K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 217 197 $6K
90651 738 702 $6K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 583 534 $5K
90715 621 589 $4K
90670 951 917 $2K
90696 342 329 $2K
99490 Ccm add 20min 76 72 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 95 95 $2K
G0511 Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month 278 233 $1K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 36 36 $1K
90686 801 774 $1K
90733 327 298 $764.85
99217 13 12 $715.72
99238 Hospital discharge day management, 30 minutes or less 16 13 $682.24
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 76 71 $632.56
99441 150 144 $475.15
90677 72 69 $283.72
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 14 13 $256.10
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 42 36 $182.93
90685 24 24 $23.23
J1100 Injection, dexamethasone sodium phosphate, 1 mg 82 62 $17.79
90700 138 138 $0.00
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 17 17 $0.00
91300 17 16 $0.00
90656 35 34 $0.00
91307 15 14 $0.00