Medicaid Provider Spending

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

APPALACHIAN REGIONAL HEALTHCARE, INC.

NPI: 1649209263 · MC DOWELL, KY 41647 · Emergency Medicine Physician · NPI assigned 07/03/2006

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

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

$26.86M
Total Medicaid Paid
498,261
Total Claims
369,546
Beneficiaries
191
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHARRIS, HOLLIE (PRESIDENT AND CEO)
NPI Enumeration Date07/03/2006

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. 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
APPALACHIAN REGIONAL HEALTHCARE, INC HAZARD KY $1.17M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 76,959 $4.50M
2019 66,966 $3.49M
2020 63,681 $2.97M
2021 77,371 $3.86M
2022 77,725 $3.88M
2023 74,304 $4.24M
2024 61,255 $3.91M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 10,305 8,590 $4.87M
74176 Computed tomography, abdomen and pelvis; without contrast material 3,063 2,707 $2.17M
99283 Emergency department visit for the evaluation and management, moderate severity 16,013 14,093 $1.80M
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 25,797 16,211 $1.79M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 3,249 2,338 $1.72M
G0378 Hospital observation service, per hour 3,012 1,444 $1.36M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 22,274 17,689 $1.14M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 7,442 1,957 $789K
80053 Comprehensive metabolic panel 31,123 21,633 $743K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1,022 694 $618K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 31,151 23,792 $615K
70450 Computed tomography, head or brain; without contrast material 1,996 1,735 $605K
99282 Emergency department visit for the evaluation and management, low to moderate severity 5,233 4,752 $388K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 29,202 23,234 $379K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 14,448 7,316 $361K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 6,038 3,869 $338K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 6,079 5,565 $330K
36415 Collection of venous blood by venipuncture 59,137 27,379 $328K
96361 Intravenous infusion, hydration; each additional hour 2,543 1,690 $311K
87631 2,964 2,749 $302K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 5,020 4,603 $287K
71045 Radiologic examination, chest; single view 5,809 4,950 $278K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 6,132 3,135 $272K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 2,491 1,306 $215K
80061 Lipid panel 10,595 9,643 $205K
84484 5,656 4,408 $202K
84443 Thyroid stimulating hormone (TSH) 12,010 10,985 $197K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 3,195 1,733 $194K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 6,888 6,156 $192K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 2,808 1,014 $182K
71046 Radiologic examination, chest; 2 views 2,951 2,350 $177K
87040 2,578 1,885 $142K
82607 6,409 5,886 $141K
80048 Basic metabolic panel (calcium, ionized) 5,625 4,307 $119K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 3,890 3,634 $113K
81001 12,333 10,632 $113K
83036 Hemoglobin; glycosylated (A1C) 9,995 9,194 $107K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 8,492 6,810 $103K
83880 2,389 1,871 $101K
87086 Culture, bacterial; quantitative colony count, urine 4,829 4,106 $98K
97530 Therapeutic activities, direct patient contact, each 15 minutes 1,053 393 $98K
80074 1,378 1,238 $98K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,604 1,369 $92K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 5,212 4,777 $87K
72100 954 829 $84K
96375 Therapeutic injection; each additional sequential IV push 3,099 2,519 $79K
83690 3,079 2,683 $61K
81025 2,035 1,807 $60K
83735 6,985 6,088 $59K
72125 Computed tomography, cervical spine; without contrast material 105 93 $54K
83605 1,744 1,385 $51K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 228 205 $51K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 756 417 $49K
82746 1,973 1,785 $49K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,323 2,965 $45K
76705 Ultrasound, abdominal, real time with image documentation; limited 309 269 $45K
72131 101 90 $45K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,733 2,263 $42K
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring 164 154 $41K
87186 1,803 1,582 $41K
96376 1,077 575 $39K
82728 1,824 1,661 $38K
73630 481 432 $38K
77067 Screening mammography, bilateral, including computer-aided detection 704 663 $38K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 1,042 947 $37K
82150 2,374 2,100 $36K
82553 1,312 1,114 $36K
82550 2,234 1,871 $34K
83540 2,916 2,693 $32K
71250 90 80 $31K
82043 3,121 2,863 $31K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1,575 1,401 $30K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 83 75 $29K
83550 2,181 2,033 $29K
73564 339 276 $29K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 854 738 $29K
84439 1,790 1,701 $28K
73030 432 364 $26K
87077 1,287 958 $26K
97162 376 345 $25K
82652 815 728 $25K
73610 283 254 $24K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 2,475 1,917 $24K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 249 201 $23K
93041 878 749 $19K
73562 263 222 $19K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 31 25 $19K
0100U 144 136 $18K
83525 1,074 1,008 $18K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 225 79 $18K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 624 543 $17K
87522 Neg quan hep c or qual rna 412 368 $17K
87076 1,181 838 $17K
74177 Computed tomography, abdomen and pelvis; with contrast material 15 14 $13K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 775 700 $13K
85378 623 505 $13K
85610 1,339 1,101 $12K
84703 493 466 $11K
74022 84 72 $11K
85730 647 526 $10K
82803 135 111 $10K
86038 719 661 $10K
82570 1,096 1,054 $10K
G0103 Prostate cancer screening; prostate specific antigen test (psa) 1,202 356 $10K
86200 637 591 $9K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 105 62 $8K
87070 336 272 $8K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 182 134 $8K
74018 106 102 $8K
73130 104 98 $8K
84481 231 209 $7K
84100 825 784 $7K
J1885 Injection, ketorolac tromethamine, per 15 mg 3,225 2,679 $7K
36600 183 135 $6K
85652 758 669 $6K
99406 607 551 $6K
72040 70 65 $5K
0002A 425 406 $5K
84145 70 60 $5K
90686 249 215 $5K
0001A 495 466 $5K
73110 55 51 $4K
86140 259 195 $4K
J2919 Injection, methylprednisolone sodium succinate, 5 mg 300 241 $4K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 131 127 $4K
G0297 Low dose ct scan (ldct) for lung cancer screening 12 12 $4K
87581 83 75 $4K
87486 83 75 $4K
80076 230 200 $3K
M0247 Intravenous infusion, sotrovimab, includes infusion and post administration monitoring 13 13 $3K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 104 100 $3K
J0696 Injection, ceftriaxone sodium, per 250 mg 1,178 760 $3K
97533 52 24 $3K
84550 302 284 $2K
84436 122 119 $2K
84403 106 92 $2K
99281 Emergency department visit for the evaluation and management, self-limited or minor 57 56 $2K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 78 74 $2K
81002 363 279 $2K
92523 13 13 $2K
73080 17 16 $2K
84480 63 63 $2K
83615 81 55 $2K
86431 210 194 $1K
J1030 Injection, methylprednisolone acetate, 40 mg 71 69 $1K
84153 53 51 $1K
J2405 Injection, ondansetron hydrochloride, per 1 mg 694 578 $1K
87590 53 53 $1K
85384 55 35 $1K
86677 46 41 $1K
80069 203 115 $983.87
90674 48 43 $967.81
73502 14 12 $958.07
90715 13 13 $811.09
84270 43 39 $800.67
J1170 Injection, hydromorphone, up to 4 mg 124 91 $696.66
86696 39 35 $679.07
86702 62 60 $595.42
90656 29 26 $595.31
J2270 Injection, morphine sulfate, up to 10 mg 198 166 $563.72
86756 24 22 $528.29
87634 19 16 $432.18
84146 25 24 $427.38
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 24 24 $426.89
86701 62 60 $412.61
87807 33 32 $407.89
0012A 54 46 $400.19
86695 39 35 $378.01
85379 34 28 $368.95
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 18 15 $308.22
84402 15 13 $302.40
99497 15 13 $295.86
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 13 13 $285.52
0011A 45 38 $269.29
88142 12 12 $252.60
0003A 23 22 $252.12
86803 19 18 $228.93
J0780 Injection, prochlorperazine, up to 10 mg 37 31 $210.96
J3475 Injection, magnesium sulfate, per 500 mg 15 12 $171.61
82140 57 16 $157.13
Q2037 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) 13 12 $138.40
80143 15 13 $125.61
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 24 14 $108.35
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 14 12 $95.08
82248 18 13 $60.79
J2550 Injection, promethazine hcl, up to 50 mg 14 12 $14.35
A9270 Non-covered item or service 186 59 $11.62
Q0244 Injection, casirivimab and imdevimab, 1200 mg 225 201 $0.22
Q0245 Injection, bamlanivimab and etesevimab, 2100 mg 181 172 $0.09
Q0247 Injection, sotrovimab, 500 mg 13 13 $0.03
Q0222 Injection, bebtelovimab, 175 mg 12 12 $0.00