NP / PA
Appalachian Health Care, INC
Appalachian Health Care, INC was paid $387K by Medicaid between Aug 2022 and Dec 2024, across 38 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 78% of everything it billed.
33Billing provider infoAPPALACHIAN HEALTH CARE, INC
JOHNSON CITY, TN 37604
JOHNSON CITY, TN 37604
33aNPI1558728931assigned 01/15/2016
33bProvider typeFamily Nurse Practitioner
28Total paid$387K
24GClaims34,233
24DCodes billed38
24AFirst – last monthAug 2022 – Dec 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Tennessee
Rank by total paid#45 of 687
Median peer was paid$15K
This provider vs. median26×
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 | |
|---|---|---|---|
| 2022 | 4,101 | $55K | |
| 2023 | 15,303 | $193K | |
| 2024incomplete | 14,829 | $138K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 78% | 12,513 | 7,397 | $302K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 1,952 | 1,218 | $43K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 4.2% | 2,055 | 1,203 | $16K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 2.2% | 364 | 231 | $8K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.4% | 375 | 273 | $6K |
| 87501 | <1% | 167 | 108 | $4K | |
| 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 | <1% | 45 | 29 | $3K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 138 | 57 | $802.62 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 63 | 55 | $760.64 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 326 | 148 | $508.54 |
| 90686 | <1% | 110 | 49 | $444.24 | |
| 99406 | <1% | 87 | 76 | $367.88 |
26 more codes
| 81002 | <1% | 309 | $363.90 | |
| 3079F | <1% | 1,554 | $250.00 | |
| 3078F | <1% | 2,719 | $212.33 | |
| 87081 | <1% | 74 | $195.29 | |
| 99497 | <1% | 275 | $181.47 | |
| 3077F | <1% | 841 | $172.34 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 407 | $160.33 |
| 3074F | <1% | 2,759 | $160.00 | |
| 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% | 52 | $122.43 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 931 | $121.66 |
| 3075F | <1% | 943 | $120.00 | |
| 94010 | <1% | 21 | $114.08 | |
| 3080F | <1% | 306 | $91.53 | |
| G0008 | Administration of influenza virus vaccine | <1% | 37 | $57.71 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 13 | $45.09 |
| 99490 | Ccm add 20min | <1% | 76 | $37.34 |
| 93000 | <1% | 16 | $30.52 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 19 | $30.50 |
| 3008F | 0% | 3,209 | $0.00 | |
| 1125F | 0% | 237 | $0.00 | |
| 3044F | 0% | 160 | $0.00 | |
| 1170F | 0% | 299 | $0.00 | |
| 1126F | 0% | 15 | $0.00 | |
| 1160F | 0% | 351 | $0.00 | |
| 1159F | 0% | 336 | $0.00 | |
| 99397 | 0% | 79 | $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 officialCLEVER, WILLIAM (FAMILY NURSE PRACTIONER)