Medicaid Provider Spending

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

APPALACHIAN REGIONAL HEALTHCARE, INC.

NPI: 1558431346 · HAZARD, KY 41701 · Professional Counselor · NPI assigned 11/08/2006

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

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

$4.28M
Total Medicaid Paid
147,568
Total Claims
98,065
Beneficiaries
84
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHARRIS, HOLLIE (PRESIDENT AND CEO)
NPI Enumeration Date11/08/2006

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. 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
APPALACHIAN REGIONAL HEALTHCARE, INC HAZARD KY $1.17M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 7,575 $267K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 38,941 32,246 $933K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 24,735 20,917 $846K
99232 Subsequent hospital care, per day, moderate complexity 31,314 9,829 $530K
99233 Prolong inpt eval add15 m 12,611 3,506 $350K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3,441 3,073 $233K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 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 2,194 1,792 $147K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1,492 703 $146K
99244 Office or other outpatient consultation, moderate to high complexity 1,340 1,249 $142K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 925 794 $84K
99245 572 542 $80K
99223 Prolong inpt eval add15 m 1,263 1,049 $63K
99255 468 413 $59K
99490 Ccm add 20min 3,889 3,627 $47K
45380 Colonoscopy, flexible; with biopsy, single or multiple 263 228 $37K
95816 1,301 1,105 $35K
99231 Subsequent hospital care, per day, straightforward or low complexity 3,787 1,463 $34K
99253 510 468 $33K
77427 465 208 $33K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,585 1,980 $31K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 416 402 $27K
99205 Prolong outpt/office vis 242 207 $20K
47563 47 37 $19K
90961 404 281 $18K
99254 188 165 $17K
99222 Initial hospital care, per day, moderate complexity 586 501 $17K
99221 619 511 $15K
99243 189 174 $13K
99215 Prolong outpt/office vis 260 187 $12K
95886 440 406 $12K
95910 151 137 $7K
99238 Hospital discharge day management, 30 minutes or less 471 322 $7K
G6002 Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy 625 67 $7K
95810 Polysomnography; sleep staging with 4 or more additional parameters 66 55 $6K
90935 Hemodialysis procedure with single evaluation by a physician 151 77 $5K
90460 Immunization administration through 18 years of age via any route, first or only component 379 365 $5K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 28 26 $4K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 60 59 $4K
95909 74 69 $4K
95811 40 37 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 106 94 $3K
20610 117 79 $3K
43235 54 37 $3K
99308 Subsequent nursing facility care, per day, straightforward 3,110 2,705 $3K
99220 48 41 $2K
99252 49 39 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 30 28 $2K
99201 80 75 $2K
90461 119 116 $2K
99225 117 51 $1K
90962 45 32 $1K
77263 13 13 $1K
99239 Hospital discharge day management, more than 30 minutes 61 53 $1K
99442 85 76 $1K
99226 26 15 $1K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 14 14 $846.23
99217 37 26 $801.60
99441 88 64 $556.59
99350 Prolong home eval add 15m 152 150 $540.68
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 30 15 $457.45
99349 232 227 $448.37
94010 30 27 $302.96
93000 33 29 $302.35
99406 40 39 $294.10
51701 15 14 $250.88
G0407 Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth 52 26 $236.10
90832 Psychotherapy, 30 minutes with patient 18 14 $197.20
G0408 Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth 22 13 $152.28
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 41 40 $124.80
11719 75 61 $120.74
90686 185 179 $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) 67 63 $34.54
36415 Collection of venous blood by venipuncture 13 12 $0.60
99309 Subsequent nursing facility care, per day, low to moderate complexity 139 122 $0.53
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 243 190 $0.00
3075F 14 14 $0.00
3074F 108 103 $0.00
3079F 55 51 $0.00
90656 15 15 $0.00
G0008 Administration of influenza virus vaccine 19 19 $0.00
99305 16 16 $0.00
3077F 56 53 $0.00
90633 175 170 $0.00
3078F 118 112 $0.00