Medicaid Provider Spending

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

APPALACHIAN REGIONAL HEALTHCARE, INC

NPI: 1669506523 · HARLAN, KY 40831 · Rural Health Clinic/Center · NPI assigned 03/15/2007

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

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

$8.01M
Total Medicaid Paid
236,698
Total Claims
176,153
Beneficiaries
124
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHARRIS, HOLLIE (PRESIDENT AND CEO)
NPI Enumeration Date03/15/2007

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 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 47,203 $1.46M
2019 35,125 $1.19M
2020 29,299 $1.18M
2021 30,442 $1.00M
2022 31,725 $981K
2023 33,473 $1.15M
2024 29,431 $1.04M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 80,462 63,901 $2.90M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 39,052 31,456 $1.62M
99231 Subsequent hospital care, per day, straightforward or low complexity 23,299 4,821 $642K
99232 Subsequent hospital care, per day, moderate complexity 12,535 4,528 $444K
99238 Hospital discharge day management, 30 minutes or less 4,380 3,692 $195K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,158 2,898 $193K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,699 2,610 $173K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5,873 5,115 $163K
99223 Prolong inpt eval add15 m 1,692 1,474 $159K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,112 967 $125K
90460 Immunization administration through 18 years of age via any route, first or only component 6,621 6,399 $121K
99222 Initial hospital care, per day, moderate complexity 1,784 1,537 $108K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,531 1,456 $96K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2,230 2,086 $91K
99239 Hospital discharge day management, more than 30 minutes 1,716 1,502 $87K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,295 1,048 $82K
99233 Prolong inpt eval add15 m 1,737 536 $72K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 4,070 1,934 $63K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,141 1,012 $62K
90792 Psychiatric diagnostic evaluation with medical services 613 570 $60K
99215 Prolong outpt/office vis 962 769 $55K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 663 638 $48K
99308 Subsequent nursing facility care, per day, straightforward 1,388 1,127 $37K
90461 4,645 4,520 $36K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,573 2,443 $34K
99221 806 670 $32K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 567 539 $26K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 268 265 $26K
99244 Office or other outpatient consultation, moderate to high complexity 210 204 $26K
93000 1,191 1,130 $22K
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 1,544 1,192 $12K
80305 858 813 $10K
36415 Collection of venous blood by venipuncture 2,586 2,310 $10K
99201 333 318 $9K
94060 394 366 $9K
90670 2,548 2,471 $8K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 450 376 $8K
99254 78 70 $7K
99217 182 163 $7K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 552 535 $7K
99406 1,012 846 $7K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 147 144 $7K
90791 Psychiatric diagnostic evaluation 70 66 $6K
93016 264 250 $6K
47562 12 12 $6K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 68 14 $6K
99243 75 67 $5K
99490 Ccm add 20min 163 159 $5K
45380 Colonoscopy, flexible; with biopsy, single or multiple 29 26 $5K
93018 277 263 $4K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 497 393 $4K
90686 964 941 $4K
99407 669 577 $4K
0002A 95 93 $4K
0001A 83 83 $3K
99205 Prolong outpt/office vis 27 26 $3K
99220 31 27 $3K
90632 63 59 $2K
99460 68 52 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 165 135 $2K
90723 1,024 982 $2K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 13 13 $2K
G0296 Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) 81 57 $2K
90380 44 44 $2K
99462 91 49 $2K
90681 855 833 $2K
51798 214 192 $2K
97597 50 29 $2K
90656 570 564 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 25 25 $2K
90633 1,620 1,585 $1K
90651 293 290 $1K
0071A 31 31 $1K
90677 92 91 $1K
90734 234 226 $1K
Q3014 Telehealth originating site facility fee 633 589 $1K
90961 14 12 $1K
99226 21 13 $998.47
90473 65 65 $980.61
52000 13 13 $776.07
90648 904 865 $768.31
99442 14 13 $733.04
99441 35 34 $675.96
0072A 16 15 $640.00
90649 12 12 $565.52
81002 971 895 $558.13
92551 65 60 $544.68
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 112 70 $536.66
99253 13 12 $523.25
99225 13 12 $440.60
90697 336 335 $398.31
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 14 12 $361.35
99218 14 13 $347.16
G0071 Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only 77 68 $270.94
90655 166 161 $260.94
90710 270 266 $256.01
96381 43 43 $239.70
99381 16 13 $235.74
J0696 Injection, ceftriaxone sodium, per 250 mg 48 29 $232.06
99382 15 14 $179.80
81003 564 518 $171.74
90696 168 164 $144.01
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 40 30 $117.94
90715 259 250 $106.93
90733 118 113 $106.50
90707 40 40 $87.31
90716 33 31 $83.00
90698 291 281 $70.73
90647 313 311 $68.31
36416 99 90 $58.59
90672 13 13 $55.58
90660 60 60 $43.40
90714 14 14 $27.82
J1100 Injection, dexamethasone sodium phosphate, 1 mg 13 12 $24.20
3075F 27 25 $0.00
3079F 140 131 $0.00
3074F 126 113 $0.00
90680 85 84 $0.00
91307 76 67 $0.00
90620 19 19 $0.00
91300 233 217 $0.00
3078F 142 126 $0.00
90700 12 12 $0.00
3077F 99 93 $0.00