Clinic
Appalachian Regional Healthcare, INC
Appalachian Regional Healthcare, INC was paid $8.01M by Medicaid between Jan 2018 and Dec 2024, across 124 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
33Billing provider infoAPPALACHIAN REGIONAL HEALTHCARE, INC
HARLAN, KY 40831
HARLAN, KY 40831
33aNPI1669506523assigned 03/15/2007
33bProvider typeRural Health Clinic/Center
28Total paid$8.01M
24GClaims236,698
24DCodes billed124
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Kentucky
Rank by total paid#5 of 265
Median peer was paid$400K
This provider vs. median20×
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 | |
|---|---|---|---|
| 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 | |
| 2024incomplete | 29,431 | $1.04M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 36% | 80,462 | 63,901 | $2.90M |
| 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 | 20% | 39,052 | 31,456 | $1.62M |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 8.0% | 23,299 | 4,821 | $642K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 5.5% | 12,535 | 4,528 | $444K |
| 99238 | Hospital discharge day management, 30 minutes or less | 2.4% | 4,380 | 3,692 | $195K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.4% | 3,158 | 2,898 | $193K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.2% | 2,699 | 2,610 | $173K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.0% | 5,873 | 5,115 | $163K |
| 99223 | Prolong inpt eval add15 m | 2.0% | 1,692 | 1,474 | $159K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 1.6% | 1,112 | 967 | $125K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.5% | 6,621 | 6,399 | $121K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.4% | 1,784 | 1,537 | $108K |
112 more codes
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.2% | 1,531 | $96K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.1% | 2,230 | $91K |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.1% | 1,716 | $87K |
| 99204 | Doctor's office visit, new patient (more involved) | 1.0% | 1,295 | $82K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 1,737 | $72K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 4,070 | $63K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,141 | $62K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 613 | $60K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 962 | $55K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 663 | $48K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 1,388 | $37K |
| 90461 | <1% | 4,645 | $36K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,573 | $34K |
| 99221 | <1% | 806 | $32K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 567 | $26K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 268 | $26K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 210 | $26K |
| 93000 | <1% | 1,191 | $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% | 1,544 | $12K |
| 80305 | <1% | 858 | $10K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,586 | $10K |
| 99201 | <1% | 333 | $9K | |
| 94060 | <1% | 394 | $9K | |
| 90670 | <1% | 2,548 | $8K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 450 | $8K |
| 99254 | <1% | 78 | $7K | |
| 99217 | <1% | 182 | $7K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 552 | $7K |
| 99406 | <1% | 1,012 | $7K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 147 | $7K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 70 | $6K |
| 93016 | <1% | 264 | $6K | |
| 47562 | <1% | 12 | $6K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 68 | $6K |
| 99243 | <1% | 75 | $5K | |
| 99490 | Ccm add 20min | <1% | 163 | $5K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 29 | $5K |
| 93018 | <1% | 277 | $4K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 497 | $4K |
| 90686 | <1% | 964 | $4K | |
| 99407 | <1% | 669 | $4K | |
| 0002A | <1% | 95 | $4K | |
| 0001A | <1% | 83 | $3K | |
| 99205 | Prolong outpt/office vis | <1% | 27 | $3K |
| 99220 | <1% | 31 | $3K | |
| 90632 | <1% | 63 | $2K | |
| 99460 | <1% | 68 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 165 | $2K |
| 90723 | <1% | 1,024 | $2K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 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) | <1% | 81 | $2K |
| 90380 | <1% | 44 | $2K | |
| 99462 | <1% | 91 | $2K | |
| 90681 | <1% | 855 | $2K | |
| 51798 | <1% | 214 | $2K | |
| 97597 | <1% | 50 | $2K | |
| 90656 | <1% | 570 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 25 | $2K |
| 90633 | <1% | 1,620 | $1K | |
| 90651 | <1% | 293 | $1K | |
| 0071A | <1% | 31 | $1K | |
| 90677 | <1% | 92 | $1K | |
| 90734 | <1% | 234 | $1K | |
| Q3014 | Telehealth originating site facility fee | <1% | 633 | $1K |
| 90961 | <1% | 14 | $1K | |
| 99226 | <1% | 21 | $998.47 | |
| 90473 | <1% | 65 | $980.61 | |
| 52000 | <1% | 13 | $776.07 | |
| 90648 | <1% | 904 | $768.31 | |
| 99442 | <1% | 14 | $733.04 | |
| 99441 | <1% | 35 | $675.96 | |
| 0072A | <1% | 16 | $640.00 | |
| 90649 | <1% | 12 | $565.52 | |
| 81002 | <1% | 971 | $558.13 | |
| 92551 | <1% | 65 | $544.68 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 112 | $536.66 |
| 99253 | <1% | 13 | $523.25 | |
| 99225 | <1% | 13 | $440.60 | |
| 90697 | <1% | 336 | $398.31 | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 14 | $361.35 |
| 99218 | <1% | 14 | $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 | <1% | 77 | $270.94 |
| 90655 | <1% | 166 | $260.94 | |
| 90710 | <1% | 270 | $256.01 | |
| 96381 | <1% | 43 | $239.70 | |
| 99381 | <1% | 16 | $235.74 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 48 | $232.06 |
| 99382 | <1% | 15 | $179.80 | |
| 81003 | <1% | 564 | $171.74 | |
| 90696 | <1% | 168 | $144.01 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 40 | $117.94 |
| 90715 | <1% | 259 | $106.93 | |
| 90733 | <1% | 118 | $106.50 | |
| 90707 | <1% | 40 | $87.31 | |
| 90716 | <1% | 33 | $83.00 | |
| 90698 | <1% | 291 | $70.73 | |
| 90647 | <1% | 313 | $68.31 | |
| 36416 | <1% | 99 | $58.59 | |
| 90672 | <1% | 13 | $55.58 | |
| 90660 | <1% | 60 | $43.40 | |
| 90714 | <1% | 14 | $27.82 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 13 | $24.20 |
| 3075F | 0% | 27 | $0.00 | |
| 3079F | 0% | 140 | $0.00 | |
| 3074F | 0% | 126 | $0.00 | |
| 90680 | 0% | 85 | $0.00 | |
| 91307 | 0% | 76 | $0.00 | |
| 90620 | 0% | 19 | $0.00 | |
| 91300 | 0% | 233 | $0.00 | |
| 3078F | 0% | 142 | $0.00 | |
| 90700 | 0% | 12 | $0.00 | |
| 3077F | 0% | 99 | $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.