Medicaid Provider Spending

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

ARH MARY BRECKINRIDGE HEALTH SERVICES, INC.

NPI: 1649554007 · HYDEN, KY 41749 · Medicare Defined Swing Bed Hospital Unit · NPI assigned 10/04/2011

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

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

$16.24M
Total Medicaid Paid
314,456
Total Claims
195,788
Beneficiaries
137
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHARRIS, HOLLIE (PRESIDENT AND CEO)
Parent OrganizationAPPALACHIAN REGIONAL HELATHCARE, INC.
NPI Enumeration Date10/04/2011

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
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 53,234 $2.23M
2019 45,083 $2.41M
2020 43,038 $1.94M
2021 51,916 $2.40M
2022 44,306 $2.24M
2023 40,958 $2.55M
2024 35,921 $2.47M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 9,751 7,412 $4.30M
74176 Computed tomography, abdomen and pelvis; without contrast material 2,170 1,867 $1.54M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 2,931 1,837 $1.30M
99283 Emergency department visit for the evaluation and management, moderate severity 9,298 8,029 $1.12M
70450 Computed tomography, head or brain; without contrast material 1,435 1,229 $539K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 6,222 1,768 $520K
36415 Collection of venous blood by venipuncture 80,986 22,731 $512K
80053 Comprehensive metabolic panel 21,600 14,196 $478K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 5,761 4,220 $279K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 5,007 1,865 $277K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 3,910 3,553 $268K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 21,351 16,506 $261K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 5,791 2,358 $241K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2,745 2,452 $230K
96361 Intravenous infusion, hydration; each additional hour 3,800 1,771 $217K
87631 1,937 1,740 $205K
71045 Radiologic examination, chest; single view 4,304 3,554 $199K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 6,315 3,328 $183K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 253 209 $172K
84484 4,674 3,722 $168K
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 2,621 2,325 $151K
84443 Thyroid stimulating hormone (TSH) 6,490 5,895 $137K
71046 Radiologic examination, chest; 2 views 2,579 1,955 $129K
80061 Lipid panel 5,085 4,634 $129K
87040 1,929 1,482 $120K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 2,687 2,166 $119K
G0378 Hospital observation service, per hour 260 159 $118K
96375 Therapeutic injection; each additional sequential IV push 2,794 2,162 $114K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 2,245 623 $112K
83735 4,490 3,954 $111K
80048 Basic metabolic panel (calcium, ionized) 9,024 4,849 $105K
83690 2,890 2,503 $99K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,633 1,411 $93K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 3,074 2,704 $92K
82150 1,425 1,285 $90K
76705 Ultrasound, abdominal, real time with image documentation; limited 648 504 $82K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 5,545 4,037 $80K
83880 1,929 1,520 $75K
82607 3,570 3,328 $74K
81001 7,309 6,042 $70K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 3,018 2,807 $65K
87086 Culture, bacterial; quantitative colony count, urine 2,856 2,383 $53K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,001 584 $53K
83605 1,245 1,025 $52K
72100 728 510 $44K
93041 1,962 1,585 $42K
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 2,163 1,947 $41K
83036 Hemoglobin; glycosylated (A1C) 4,045 3,796 $41K
81025 1,046 943 $36K
87070 1,439 1,076 $34K
87186 1,304 1,141 $32K
84703 1,247 1,150 $32K
74177 Computed tomography, abdomen and pelvis; with contrast material 26 26 $32K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 143 118 $30K
85730 608 519 $26K
97530 Therapeutic activities, direct patient contact, each 15 minutes 350 120 $24K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 191 152 $22K
D7140 Extraction, erupted tooth or exposed root 59 57 $20K
85610 1,351 986 $20K
97162 340 310 $18K
74018 260 216 $18K
84145 205 154 $17K
73610 192 166 $15K
73030 265 190 $15K
D2930 Prefabricated stainless steel crown - primary tooth 42 41 $15K
73630 211 193 $14K
82553 563 477 $14K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 177 102 $13K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 435 377 $13K
80074 216 202 $13K
87076 1,227 733 $13K
82550 956 790 $12K
87077 1,277 766 $12K
72125 Computed tomography, cervical spine; without contrast material 14 14 $12K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 679 538 $12K
96376 321 209 $11K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 162 118 $10K
73130 149 131 $10K
84439 615 568 $10K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 1,077 773 $10K
74022 43 42 $9K
82728 362 328 $8K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 186 50 $8K
0002A 522 513 $8K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 601 465 $7K
87581 143 118 $7K
85652 1,046 913 $7K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 162 143 $7K
87486 143 118 $7K
0001A 621 596 $6K
99281 Emergency department visit for the evaluation and management, self-limited or minor 116 107 $5K
J1885 Injection, ketorolac tromethamine, per 15 mg 2,647 2,165 $5K
73562 75 64 $5K
81002 587 471 $5K
87522 Neg quan hep c or qual rna 100 93 $5K
77067 Screening mammography, bilateral, including computer-aided detection 113 106 $4K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 23 23 $4K
0100U 64 59 $4K
83970 62 58 $4K
82803 62 50 $4K
83540 302 287 $4K
84550 514 466 $3K
82746 120 106 $3K
83550 197 189 $3K
82043 286 269 $2K
G0103 Prostate cancer screening; prostate specific antigen test (psa) 304 90 $2K
36600 83 63 $2K
72040 43 30 $2K
87449 40 35 $2K
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 44 38 $2K
87634 28 27 $2K
J2405 Injection, ondansetron hydrochloride, per 1 mg 482 390 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 283 265 $1K
97166 14 13 $1K
J0696 Injection, ceftriaxone sodium, per 250 mg 310 198 $1K
82570 87 74 $978.63
80305 54 42 $846.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 56 53 $796.06
J1100 Injection, dexamethasone sodium phosphate, 1 mg 315 275 $725.36
0011A 51 51 $566.77
86038 28 25 $540.92
85378 35 24 $534.70
73110 15 12 $534.54
J2919 Injection, methylprednisolone sodium succinate, 5 mg 43 41 $499.09
84100 51 48 $497.55
0012A 36 36 $456.92
84481 17 14 $265.58
86703 22 15 $246.08
36416 47 45 $202.62
J0131 Injection, acetaminophen, not otherwise specified,10 mg 14 13 $201.61
J3010 Injection, fentanyl citrate, 0.1 mg 118 104 $153.73
86200 14 12 $153.13
80076 15 14 $126.62
J2270 Injection, morphine sulfate, up to 10 mg 17 13 $22.18
J1200 Injection, diphenhydramine hcl, up to 50 mg 14 14 $4.67
Q0244 Injection, casirivimab and imdevimab, 1200 mg 29 25 $2.56
A9270 Non-covered item or service 17 12 $0.00