Behavioral
Appalachian Regional Healthcare, INC.
Appalachian Regional Healthcare, INC. was paid $4.28M by Medicaid between Jan 2018 and Nov 2024, across 84 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 22% of everything it billed.
33Billing provider infoAPPALACHIAN REGIONAL HEALTHCARE, INC.
HAZARD, KY 41701
HAZARD, KY 41701
33aNPI1558431346assigned 11/08/2006
33bProvider typeProfessional Counselor
28Total paid$4.28M
24GClaims147,568
24DCodes billed84
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Professional Counselor providers in Kentucky
Rank by total paid#23 of 255
Median peer was paid$129K
This provider vs. median33×
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 | 27,427 | $657K | |
| 2019 | 27,096 | $745K | |
| 2020 | 35,058 | $1.03M | |
| 2021 | 28,726 | $905K | |
| 2022 | 10,806 | $316K | |
| 2023 | 10,880 | $363K | |
| 2024incomplete | 7,575 | $267K |
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 | 22% | 38,941 | 32,246 | $933K |
| 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 | 20% | 24,735 | 20,917 | $846K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 12% | 31,314 | 9,829 | $530K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 8.2% | 12,611 | 3,506 | $350K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 5.4% | 3,441 | 3,073 | $233K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.8% | 3,874 | 3,456 | $163K |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 3.4% | 2,194 | 1,792 | $147K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 3.4% | 1,492 | 703 | $146K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 3.3% | 1,340 | 1,249 | $142K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 2.0% | 925 | 794 | $84K |
| 99245 | 1.9% | 572 | 542 | $80K | |
| 99223 | Prolong inpt eval add15 m | 1.5% | 1,263 | 1,049 | $63K |
72 more codes
| 99255 | 1.4% | 468 | $59K | |
| 99490 | Ccm add 20min | 1.1% | 3,889 | $47K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 263 | $37K |
| 95816 | <1% | 1,301 | $35K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 3,787 | $34K |
| 99253 | <1% | 510 | $33K | |
| 77427 | <1% | 465 | $33K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,585 | $31K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 416 | $27K |
| 99205 | Prolong outpt/office vis | <1% | 242 | $20K |
| 47563 | <1% | 47 | $19K | |
| 90961 | <1% | 404 | $18K | |
| 99254 | <1% | 188 | $17K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 586 | $17K |
| 99221 | <1% | 619 | $15K | |
| 99243 | <1% | 189 | $13K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 260 | $12K |
| 95886 | <1% | 440 | $12K | |
| 95910 | <1% | 151 | $7K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 471 | $7K |
| G6002 | Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy | <1% | 625 | $7K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 66 | $6K |
| 90935 | Hemodialysis procedure with single evaluation by a physician | <1% | 151 | $5K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 379 | $5K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 28 | $4K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 60 | $4K |
| 95909 | <1% | 74 | $4K | |
| 95811 | <1% | 40 | $3K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 106 | $3K |
| 20610 | <1% | 117 | $3K | |
| 43235 | <1% | 54 | $3K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 3,110 | $3K |
| 99220 | <1% | 48 | $2K | |
| 99252 | <1% | 49 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 30 | $2K |
| 99201 | <1% | 80 | $2K | |
| 90461 | <1% | 119 | $2K | |
| 99225 | <1% | 117 | $1K | |
| 90962 | <1% | 45 | $1K | |
| 77263 | <1% | 13 | $1K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 61 | $1K |
| 99442 | <1% | 85 | $1K | |
| 99226 | <1% | 26 | $1K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 14 | $846.23 |
| 99217 | <1% | 37 | $801.60 | |
| 99441 | <1% | 88 | $556.59 | |
| 99350 | Prolong home eval add 15m | <1% | 152 | $540.68 |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 30 | $457.45 |
| 99349 | <1% | 232 | $448.37 | |
| 94010 | <1% | 30 | $302.96 | |
| 93000 | <1% | 33 | $302.35 | |
| 99406 | <1% | 40 | $294.10 | |
| 51701 | <1% | 15 | $250.88 | |
| G0407 | Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth | <1% | 52 | $236.10 |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 18 | $197.20 |
| G0408 | Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth | <1% | 22 | $152.28 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 41 | $124.80 |
| 11719 | <1% | 75 | $120.74 | |
| 90686 | <1% | 185 | $59.15 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 67 | $34.54 |
| 36415 | Collection of venous blood by venipuncture | <1% | 13 | $0.60 |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 139 | $0.53 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 243 | $0.00 |
| 3075F | 0% | 14 | $0.00 | |
| 3074F | 0% | 108 | $0.00 | |
| 3079F | 0% | 55 | $0.00 | |
| 90656 | 0% | 15 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 19 | $0.00 |
| 99305 | 0% | 16 | $0.00 | |
| 3077F | 0% | 56 | $0.00 | |
| 90633 | 0% | 175 | $0.00 | |
| 3078F | 0% | 118 | $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.