Medicaid Provider Spending

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

APPALACHIAN REGIONAL HEALTHCARE, INC.

NPI: 1689664179 · HINTON, WV 25951 · Critical Access Hospital · NPI assigned 10/26/2005

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

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

$6.20M
Total Medicaid Paid
138,323
Total Claims
108,945
Beneficiaries
104
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHARRIS, HOLLIE (PRESIDENT AND CEO)
NPI Enumeration Date10/26/2005

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 HARLAN KY $8.01M
APPALACHIAN REGIONAL HEALTHCARE, INC BECKLEY WV $6.24M
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 32,987 $1.47M
2019 13,919 $654K
2020 29,151 $1.66M
2021 29,144 $1.22M
2022 13,157 $437K
2023 11,839 $458K
2024 8,126 $299K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 4,065 3,584 $649K
80053 Comprehensive metabolic panel 14,336 11,696 $535K
99283 Emergency department visit for the evaluation and management, moderate severity 4,834 4,280 $402K
74176 Computed tomography, abdomen and pelvis; without contrast material 758 634 $392K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 16,325 12,781 $356K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 1,767 1,457 $307K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 4,479 3,122 $213K
70450 Computed tomography, head or brain; without contrast material 777 650 $197K
84443 Thyroid stimulating hormone (TSH) 4,826 4,438 $196K
80061 Lipid panel 3,693 3,392 $191K
36415 Collection of venous blood by venipuncture 13,189 9,402 $185K
84484 3,806 2,547 $130K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 2,030 1,888 $118K
71046 Radiologic examination, chest; 2 views 2,158 1,783 $116K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2,054 587 $115K
71045 Radiologic examination, chest; single view 2,527 2,084 $93K
81001 4,236 3,528 $92K
96361 Intravenous infusion, hydration; each additional hour 1,109 647 $89K
83735 3,130 2,490 $85K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1,238 1,121 $83K
82150 1,065 837 $80K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,278 1,024 $80K
80048 Basic metabolic panel (calcium, ionized) 2,474 1,890 $78K
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 2,841 2,523 $73K
83036 Hemoglobin; glycosylated (A1C) 3,350 3,103 $72K
82553 1,927 1,329 $70K
G0378 Hospital observation service, per hour 443 172 $60K
87040 861 592 $55K
97035 1,245 378 $53K
83690 1,170 930 $51K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,864 1,493 $50K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,198 983 $49K
83880 1,346 978 $48K
87086 Culture, bacterial; quantitative colony count, urine 1,700 1,468 $47K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 123 94 $46K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 1,485 1,332 $42K
96375 Therapeutic injection; each additional sequential IV push 1,083 813 $41K
82550 1,656 1,100 $41K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 605 231 $41K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 966 823 $39K
72100 574 512 $39K
83605 907 755 $35K
85730 560 451 $30K
85610 930 704 $26K
74177 Computed tomography, abdomen and pelvis; with contrast material 28 25 $25K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 264 238 $23K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 392 127 $23K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 3,957 3,538 $21K
82607 364 326 $18K
84703 384 308 $17K
93041 870 769 $17K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 522 407 $17K
73030 229 196 $16K
99218 32 30 $16K
73564 167 146 $15K
87186 255 216 $13K
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 404 316 $13K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 19 12 $12K
84439 261 249 $11K
73630 150 131 $9K
81025 233 212 $9K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 444 364 $8K
J1885 Injection, ketorolac tromethamine, per 15 mg 567 450 $8K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 291 189 $8K
87077 169 146 $8K
97162 150 122 $8K
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 1,517 1,387 $7K
93017 19 12 $6K
97014 129 40 $5K
74018 93 78 $5K
87076 190 167 $5K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 112 75 $4K
82803 73 39 $4K
J0696 Injection, ceftriaxone sodium, per 250 mg 439 269 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 152 124 $4K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 177 166 $3K
81002 176 156 $3K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 19 12 $3K
82565 152 109 $3K
A9270 Non-covered item or service 763 338 $3K
84145 100 70 $3K
36600 90 51 $3K
73610 44 39 $2K
85378 157 135 $2K
99281 Emergency department visit for the evaluation and management, self-limited or minor 77 67 $2K
96376 79 25 $2K
J2405 Injection, ondansetron hydrochloride, per 1 mg 109 50 $2K
80051 61 38 $2K
85652 61 55 $2K
73130 31 29 $2K
82746 24 24 $2K
84520 83 57 $1K
94760 79 29 $1K
85379 17 12 $1K
87449 16 16 $1K
86038 14 13 $1K
84481 12 12 $1K
88305 Level IV - Surgical pathology, gross and microscopic examination 14 12 $915.50
84550 13 13 $806.57
87631 12 12 $754.77
87070 16 14 $732.80
86200 14 13 $495.18
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 35 32 $371.53
84153 14 12 $335.36