Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › KY › South Williamson › NPI 1679658199
Physician

Appalachian Regional Healthcare, INC.

Appalachian Regional Healthcare, INC. was paid $52K by Medicaid between Jan 2018 and Oct 2022, across 9 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 60% of everything it billed.

33Billing provider infoAPPALACHIAN REGIONAL HEALTHCARE, INC.
SOUTH WILLIAMSON, KY 41503
33aNPI1679658199assigned 10/25/2006
28Total paid$52K
24GClaims1,864
24DCodes billed9
24AFirst – last monthJan 2018 – Oct 2022
Compared with peers

Next to other Emergency Medicine Physician providers in Kentucky

Rank by total paid#41 of 91
Median peer was paid$34K
This provider vs. median1.5×

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

$0$2.0K$4.0K2018201920202021202220232024
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
YearClaimsPaid
2018497$16K
2019493$15K
2020501$15K
2021209$5K
2022164$169.60
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
88305 Level IV - Surgical pathology, gross and microscopic examination 60% 912 717 $31K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 18% 369 139 $9K
88312 7.7% 137 106 $4K
99238 Hospital discharge day management, 30 minutes or less 6.0% 171 135 $3K
99219 3.8% 31 26 $2K
99217 2.6% 70 50 $1K
88307 1.2% 13 12 $614.83
88304 <1% 16 14 $156.86
71045 Radiologic examination, chest; single view <1% 145 125 $21.58

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)
Same official

Other billing entities under HARRIS, HOLLIE

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.