Medicaid Provider Spending

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

APPALACHIAN REGIONAL HEALTHCARE, INC

NPI: 1528553757 · MIDDLESBORO, KY 40965 · Rural Health Clinic/Center · NPI assigned 06/29/2018

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

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

$993K
Total Medicaid Paid
40,848
Total Claims
33,231
Beneficiaries
37
Codes Billed
2018-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHARRIS, HOLLIE (PRESIDENT AND CEO)
NPI Enumeration Date06/29/2018

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 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,040 $26K
2019 3,325 $77K
2020 4,218 $111K
2021 7,813 $184K
2022 8,744 $212K
2023 8,514 $199K
2024 7,194 $184K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17,407 12,572 $565K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,693 1,509 $95K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,630 1,296 $70K
90460 Immunization administration through 18 years of age via any route, first or only component 2,059 1,956 $62K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 909 871 $62K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,344 1,177 $34K
81025 4,469 3,930 $30K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 566 521 $29K
36415 Collection of venous blood by venipuncture 4,982 4,083 $14K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 748 630 $10K
J1050 Injection, medroxyprogesterone acetate, 1 mg 88 84 $10K
96110 Developmental screening, with scoring and documentation, per standardized instrument 110 106 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 153 139 $2K
99383 17 15 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 240 110 $987.20
90670 769 740 $895.02
90715 25 25 $666.66
92551 57 56 $638.85
99238 Hospital discharge day management, 30 minutes or less 12 12 $591.05
90461 1,501 1,445 $569.90
99460 19 12 $551.88
90677 270 261 $515.64
90686 274 262 $402.34
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 98 85 $398.70
76819 Fetal biophysical profile; without non-stress testing 49 28 $334.18
90680 513 499 $225.61
90723 158 155 $141.45
90648 139 133 $78.63
87807 16 15 $52.92
90633 208 195 $23.64
90656 16 16 $22.35
90647 152 147 $0.01
90707 25 24 $0.00
90716 14 14 $0.00
90697 59 55 $0.00
3074F 13 12 $0.00
99000 46 41 $0.00