Medicaid Provider Spending

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

APPALACHIAN REGIONAL HEALTHCARE, INC.

NPI: 1720112691 · CUMBERLAND, KY 40823 · Rural Health Clinic/Center · NPI assigned 03/15/2007

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

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

$569K
Total Medicaid Paid
24,223
Total Claims
18,493
Beneficiaries
17
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHARRIS, HOLLIE (PRESIDENT AND CEO)
Parent OrganizationAPPALACHIAN REGIONAL HEALTHCARE, INC.
NPI Enumeration Date03/15/2007

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
2018 6,232 $130K
2019 3,954 $95K
2020 3,766 $93K
2021 2,473 $54K
2022 2,472 $59K
2023 3,086 $76K
2024 2,240 $62K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16,092 12,549 $406K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,456 2,492 $110K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,667 792 $23K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,140 1,028 $13K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 357 314 $7K
36415 Collection of venous blood by venipuncture 1,065 912 $3K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 26 25 $2K
90686 64 62 $970.53
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 82 80 $941.43
99442 45 44 $717.31
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 66 49 $692.76
71046 Radiologic examination, chest; 2 views 18 18 $680.55
80305 37 37 $328.12
72100 16 15 $267.72
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 21 20 $99.60
81002 44 41 $21.88
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 27 15 $0.00