Medicaid Provider Spending

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

ARH TUG VALLEY HEALTH SERVICES, INC.

NPI: 1700445319 · PRESTONSBURG, KY 41653 · Family Nurse Practitioner · NPI assigned 06/07/2019

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

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

$961K
Total Medicaid Paid
39,843
Total Claims
30,433
Beneficiaries
59
Codes Billed
2020-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHARRIS, HOLLIE (PRESIDENT AND CEO)
Parent OrganizationAPPALACHIAN REGIONAL HEALTHCARE, INC.
NPI Enumeration Date06/07/2019

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 $6.20M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 10,488 $149K
2021 19,291 $511K
2022 7,817 $226K
2023 1,357 $48K
2024 890 $27K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,410 6,807 $246K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,282 5,966 $126K
20610 4,641 3,298 $115K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,743 2,430 $96K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,343 1,164 $78K
99232 Subsequent hospital care, per day, moderate complexity 2,469 958 $53K
99233 Prolong inpt eval add15 m 1,626 532 $46K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,278 1,092 $40K
99215 Prolong outpt/office vis 859 593 $36K
99238 Hospital discharge day management, 30 minutes or less 431 381 $17K
99239 Hospital discharge day management, more than 30 minutes 388 329 $16K
90961 376 268 $13K
99221 428 356 $12K
99460 184 172 $8K
99490 Ccm add 20min 382 366 $7K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 172 143 $6K
99222 Initial hospital care, per day, moderate complexity 126 107 $5K
20550 625 503 $5K
99205 Prolong outpt/office vis 74 64 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 496 414 $4K
29700 264 223 $4K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 119 94 $4K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 685 565 $4K
93018 222 176 $3K
95251 267 233 $2K
99223 Prolong inpt eval add15 m 34 30 $2K
93016 122 104 $2K
99252 39 36 $2K
90962 40 30 $1K
99462 48 31 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 63 56 $1K
29075 33 28 $545.54
99225 28 12 $473.22
99442 24 22 $345.12
93272 16 16 $319.58
J1040 Injection, methylprednisolone acetate, 80 mg 168 88 $304.46
36415 Collection of venous blood by venipuncture 65 44 $215.43
20551 16 13 $170.83
99441 27 23 $154.70
76000 31 28 $113.76
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 19 16 $46.80
90686 30 28 $38.82
G8754 Most recent diastolic blood pressure < 90 mmhg 284 231 $0.00
99024 625 483 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 166 135 $0.00
1036F 264 225 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 341 291 $0.00
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 151 125 $0.00
3074F 51 47 $0.00
3079F 21 20 $0.00
G8482 Influenza immunization administered or previously received 53 42 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 312 261 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 401 333 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 260 213 $0.00
1159F 42 38 $0.00
4004F 111 93 $0.00
1033F 33 29 $0.00
3078F 18 15 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 17 13 $0.00