Clinic
Appalachian Regional Healthcare, INC
Appalachian Regional Healthcare, INC was paid $993K by Medicaid between Aug 2018 and Dec 2024, across 37 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 57% of everything it billed.
33Billing provider infoAPPALACHIAN REGIONAL HEALTHCARE, INC
MIDDLESBORO, KY 40965
MIDDLESBORO, KY 40965
33aNPI1528553757assigned 06/29/2018
33bProvider typeRural Health Clinic/Center
28Total paid$993K
24GClaims40,848
24DCodes billed37
24AFirst – last monthAug 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Kentucky
Rank by total paid#62 of 265
Median peer was paid$400K
This provider vs. median2.5×
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 | 1,040 | $26K | |
| 2019 | 3,325 | $77K | |
| 2020 | 4,218 | $111K | |
| 2021 | 7,813 | $184K | |
| 2022 | 8,744 | $212K | |
| 2023 | 8,514 | $199K | |
| 2024incomplete | 7,194 | $184K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 57% | 17,407 | 12,572 | $565K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.6% | 1,693 | 1,509 | $95K |
| 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 | 7.0% | 1,630 | 1,296 | $70K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.3% | 2,059 | 1,956 | $62K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.2% | 909 | 871 | $62K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.4% | 1,344 | 1,177 | $34K |
| 81025 | 3.0% | 4,469 | 3,930 | $30K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.9% | 566 | 521 | $29K |
| 36415 | Collection of venous blood by venipuncture | 1.4% | 4,982 | 4,083 | $14K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 748 | 630 | $10K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 88 | 84 | $10K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 110 | 106 | $4K |
25 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 153 | $2K |
| 99383 | <1% | 17 | $1K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 240 | $987.20 |
| 90670 | <1% | 769 | $895.02 | |
| 90715 | <1% | 25 | $666.66 | |
| 92551 | <1% | 57 | $638.85 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 12 | $591.05 |
| 90461 | <1% | 1,501 | $569.90 | |
| 99460 | <1% | 19 | $551.88 | |
| 90677 | <1% | 270 | $515.64 | |
| 90686 | <1% | 274 | $402.34 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 98 | $398.70 |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 49 | $334.18 |
| 90680 | <1% | 513 | $225.61 | |
| 90723 | <1% | 158 | $141.45 | |
| 90648 | <1% | 139 | $78.63 | |
| 87807 | <1% | 16 | $52.92 | |
| 90633 | <1% | 208 | $23.64 | |
| 90656 | <1% | 16 | $22.35 | |
| 90647 | <1% | 152 | $0.01 | |
| 90707 | 0% | 25 | $0.00 | |
| 90716 | 0% | 14 | $0.00 | |
| 90697 | 0% | 59 | $0.00 | |
| 3074F | 0% | 13 | $0.00 | |
| 99000 | 0% | 46 | $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.