Medicaid Provider Spending

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

APPALACHIAN REGIONAL HEALTHCARE, INC

NPI: 1568098838 · SALYERSVILLE, KY 41465 · Rural Health Clinic/Center · NPI assigned 03/19/2020

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

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

$387K
Total Medicaid Paid
15,735
Total Claims
13,091
Beneficiaries
21
Codes Billed
2020-06
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHARRIS, HOLLIE (PRESIDENT AND CEO)
NPI Enumeration Date03/19/2020

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. HAZARD KY $4.28M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 778 $26K
2021 2,177 $57K
2022 2,989 $72K
2023 5,984 $134K
2024 3,807 $98K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,841 5,647 $253K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,863 3,170 $97K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 963 738 $12K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 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 202 170 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 198 184 $3K
36415 Collection of venous blood by venipuncture 1,452 1,257 $2K
90686 120 108 $2K
99497 60 56 $1K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 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 41 29 $361.17
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 59 54 $336.09
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 56 51 $325.22
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 69 48 $229.20
J1885 Injection, ketorolac tromethamine, per 15 mg 403 345 $224.63
J1100 Injection, dexamethasone sodium phosphate, 1 mg 212 181 $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) 139 111 $21.52
3078F 133 121 $0.00
3079F 40 34 $0.00
3074F 171 152 $0.00
3044F 39 35 $0.00