Clinic
Appalachian Regional Healthcare, INC
Appalachian Regional Healthcare, INC was paid $387K by Medicaid between Jun 2020 and Nov 2024, across 21 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 65% of everything it billed.
33Billing provider infoAPPALACHIAN REGIONAL HEALTHCARE, INC
SALYERSVILLE, KY 41465
SALYERSVILLE, KY 41465
33aNPI1568098838assigned 03/19/2020
33bProvider typeRural Health Clinic/Center
28Total paid$387K
24GClaims15,735
24DCodes billed21
24AFirst – last monthJun 2020 – Nov 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Kentucky
Rank by total paid#140 of 265
Median peer was paid$400K
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2020 | 778 | $26K | |
| 2021 | 2,177 | $57K | |
| 2022 | 2,989 | $72K | |
| 2023 | 5,984 | $134K | |
| 2024incomplete | 3,807 | $98K |
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 | 65% | 6,841 | 5,647 | $253K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 3,863 | 3,170 | $97K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 3.0% | 963 | 738 | $12K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 3.0% | 176 | 163 | $12K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 202 | 170 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 198 | 184 | $3K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,452 | 1,257 | $2K |
| 90686 | <1% | 120 | 108 | $2K | |
| 99497 | <1% | 60 | 56 | $1K | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 498 | 437 | $447.85 |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 41 | 29 | $361.17 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 59 | 54 | $336.09 |
9 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 56 | $325.22 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 69 | $229.20 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 403 | $224.63 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 212 | $33.15 |
| 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% | 139 | $21.52 |
| 3078F | 0% | 133 | $0.00 | |
| 3079F | 0% | 40 | $0.00 | |
| 3074F | 0% | 171 | $0.00 | |
| 3044F | 0% | 39 | $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.