Clinic
Appalachian Regional Healthcare INC
Appalachian Regional Healthcare INC was paid $8.71M by Medicaid between Jan 2018 and Dec 2024, across 51 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 64% of everything it billed.
33Billing provider infoAPPALACHIAN REGIONAL HEALTHCARE INC
SOUTH WILLIAMSON, KY 41503
SOUTH WILLIAMSON, KY 41503
33aNPI1487762399assigned 08/29/2006
33bProvider typeRural Health Clinic/Center
28Total paid$8.71M
24GClaims226,037
24DCodes billed51
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Kentucky
Rank by total paid#3 of 265
Median peer was paid$400K
This provider vs. median22×
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 | 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 | |
| 2024incomplete | 34,199 | $1.40M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 64% | 56,589 | 45,544 | $5.61M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 67,525 | 55,344 | $1.44M |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 3.5% | 8,101 | 7,226 | $309K |
| 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 | 3.0% | 9,764 | 8,575 | $260K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.6% | 22,433 | 19,994 | $225K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.7% | 4,480 | 4,250 | $150K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.2% | 3,888 | 3,625 | $105K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.2% | 2,581 | 2,464 | $103K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.2% | 7,875 | 7,435 | $102K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.1% | 3,002 | 2,872 | $96K |
| 85018 | <1% | 5,579 | 5,346 | $46K | |
| 92551 | <1% | 3,543 | 3,358 | $39K |
39 more codes
| 81002 | <1% | 2,997 | $31K | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 2,697 | $31K |
| 90461 | <1% | 5,093 | $21K | |
| 90680 | <1% | 1,825 | $14K | |
| 90710 | <1% | 1,401 | $14K | |
| 90723 | <1% | 2,464 | $13K | |
| 90633 | <1% | 1,705 | $13K | |
| 90647 | <1% | 2,291 | $12K | |
| 90620 | <1% | 903 | $11K | |
| 90698 | <1% | 266 | $10K | |
| 90734 | <1% | 1,063 | $8K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,095 | $7K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 101 | $7K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 217 | $6K |
| 90651 | <1% | 738 | $6K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 583 | $5K |
| 90715 | <1% | 621 | $4K | |
| 90670 | <1% | 951 | $2K | |
| 90696 | <1% | 342 | $2K | |
| 99490 | Ccm add 20min | <1% | 76 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 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 | <1% | 278 | $1K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 36 | $1K |
| 90686 | <1% | 801 | $1K | |
| 90733 | <1% | 327 | $764.85 | |
| 99217 | <1% | 13 | $715.72 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 16 | $682.24 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 76 | $632.56 |
| 99441 | <1% | 150 | $475.15 | |
| 90677 | <1% | 72 | $283.72 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 14 | $256.10 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 42 | $182.93 |
| 90685 | <1% | 24 | $23.23 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 82 | $17.79 |
| 90700 | 0% | 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 | 0% | 17 | $0.00 |
| 91300 | 0% | 17 | $0.00 | |
| 90656 | 0% | 35 | $0.00 | |
| 91307 | 0% | 15 | $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.