Medicaid Provider Spending

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

APPALACHIAN REGIONAL MEDICAL ASSOCIATES, INC.

NPI: 1669533923 · BOONE, NC 28607 · Internal Medicine Physician · NPI assigned 12/12/2006

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

Authorized official LONG, MARY controls 20+ related entities in our dataset. Read more

$64K
Total Medicaid Paid
4,454
Total Claims
3,207
Beneficiaries
11
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialLONG, MARY (SR VP MEDICAL STAFF RELATIONS)
NPI Enumeration Date12/12/2006

Related Entities

Other providers sharing the same authorized official: LONG, MARY

ProviderCityStateTotal Paid
WATAUGA MEDICAL CENTER INC BOONE NC $1.44M
CHARLES A CANNON JR MEMORIAL HOSPITAL INC. LINVILLE NC $752K
APPALACHIAN REGIONAL MEDICAL ASSOCIATES, INC. LINVILLE NC $705K
CHARLES A. CANNON, JR. MEMORIAL HOSPITAL, INC LINVILLE NC $277K
APPALACHIAN REGIONAL MEDICAL ASSOCIATES, INC. BOONE NC $246K
APPALACHIAN REGIONAL MEDICAL ASSOCIATES INC BOONE NC $177K
APPALACHIAN REGIONAL MEDICAL ASSOCIATES BANNER ELK NC $128K
APPALACHIAN REGIONAL BEHAVIORAL HEALTHCARE INC LINVILLE NC $114K
APPALACHIAN REGIONAL MEDICAL ASSOCIATES, INC BOONE NC $112K
WATAUGA MEDICAL CENTER INC BOONE NC $108K
APPALACHIAN REGIONAL MEDICAL ASSOCIATES BOONE NC $91K
WATAUGA MEDICAL CENTER INC BOONE NC $78K
WATAUGA MEDICAL CENTER INC BOONE NC $46K
APPALACHIAN REGIONAL MEDICAL ASSOCIATES, INC. BOONE NC $43K
CHARLES A CANNON JR MEMORIAL HOSPITAL INC LINVILLE NC $33K
ABERDEEN EYE CLINIC P A ABERDEEN MS $28K
WATAUGA MEDICAL CENTER, INC. BOONE NC $19K
WATAUGA MEDICAL CENTER, INC. BOONE NC $19K
APPALACHIAN REGIONAL MEDICAL ASSOCIATES INC BOONE NC $18K
APPALACHIAN REGIONAL MEDICAL ASSOCIATES INC BLOWING ROCK NC $18K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,000 $1K
2019 640 $1K
2020 510 $6K
2021 891 $25K
2022 734 $16K
2023 344 $5K
2024 335 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,995 1,526 $54K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 155 122 $2K
94010 259 203 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 26 24 $2K
94618 128 97 $999.12
99309 Subsequent nursing facility care, per day, low to moderate complexity 669 332 $790.22
36415 Collection of venous blood by venipuncture 459 315 $509.73
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 32 30 $136.63
81001 251 212 $105.05
99308 Subsequent nursing facility care, per day, straightforward 239 143 $78.93
81003 241 203 $11.50