Clinic
Appalachian District Health Dept
Appalachian District Health Dept was paid $1.12M by Medicaid between Jan 2018 and Dec 2024, across 37 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 57% of everything it billed.
33Billing provider infoAPPALACHIAN DISTRICT HEALTH DEPT
SPARTA, NC 28675
SPARTA, NC 28675
33aNPI1538270814assigned 08/31/2006
33bProvider typeState or Local Public Health Clinic/Center
28Total paid$1.12M
24GClaims144,112
24DCodes billed37
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other State or Local Public Health Clinic/Center providers in North Carolina
Rank by total paid#9 of 20
Median peer was paid$1.06M
This provider vs. median1.1×
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.
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 | 1,996 | $58K | |
| 2019 | 1,907 | $61K | |
| 2020 | 2,264 | $38K | |
| 2021 | 19,484 | $165K | |
| 2022 | 33,440 | $231K | |
| 2023 | 40,160 | $266K | |
| 2024incomplete | 44,861 | $306K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 57% | 122,296 | 100,819 | $639K |
| 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 | 17% | 2,835 | 2,132 | $190K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 3,025 | 2,283 | $170K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 2.8% | 1,579 | 1,086 | $32K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 1.7% | 1,319 | 886 | $19K |
| 96127 | 1.6% | 3,905 | 2,838 | $18K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.6% | 1,679 | 1,183 | $17K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 58 | 42 | $7K |
| 99442 | <1% | 247 | 164 | $6K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 256 | 196 | $5K |
| 99441 | <1% | 195 | 150 | $4K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,233 | 1,682 | $4K |
25 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 76 | $3K |
| 96160 | <1% | 620 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 59 | $1K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 13 | $990.00 |
| 0071A | <1% | 55 | $910.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 75 | $858.75 |
| 92551 | <1% | 245 | $755.04 | |
| 0072A | <1% | 29 | $715.00 | |
| 0002A | <1% | 32 | $715.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 73 | $558.70 |
| 0001A | <1% | 22 | $520.00 | |
| 99173 | <1% | 289 | $242.24 | |
| 90688 | <1% | 114 | $158.73 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 19 | $55.09 |
| 90686 | <1% | 71 | $19.56 | |
| 91307 | 0% | 103 | $0.00 | |
| 99000 | 0% | 2,300 | $0.00 | |
| 90619 | 0% | 59 | $0.00 | |
| 36416 | 0% | 15 | $0.00 | |
| 00CV0 | 0% | 14 | $0.00 | |
| 91300 | 0% | 85 | $0.00 | |
| 90685 | 0% | 16 | $0.00 | |
| 00IM0 | 0% | 69 | $0.00 | |
| 00CH0 | 0% | 14 | $0.00 | |
| 90734 | 0% | 18 | $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 officialDOUGHERTY, DANIELLE (CREDENTIALER)
| Provider | Location | Paid |
|---|---|---|
| Appalachian District Health Department | Jefferson, NC | $1.13M |
| Appalachian District Health Dept | Jefferson, NC | $1.06M |
| Appalachian District Health Dept | Boone, NC | $406K |
| Appalachian District Health Department | Warrensville, NC | $99K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.