Appalachian Regional Healthcare, INC
Appalachian Regional Healthcare, INC was paid $6.03M by Medicaid between Jan 2018 and Dec 2024, across 29 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 93% of everything it billed.
HINTON, WV 25951
Next to other Rural Health Clinic/Center providers in West Virginia
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 8,077 | $734K | |
| 2019 | 6,534 | $581K | |
| 2020 | 10,002 | $904K | |
| 2021 | 12,226 | $1.09M | |
| 2022 | 11,068 | $1.11M | |
| 2023 | 9,919 | $916K | |
| 2024incomplete | 7,248 | $692K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 93% | 33,898 | 24,807 | $5.58M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 3.4% | 10,640 | 9,168 | $205K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.3% | 11,752 | 9,923 | $197K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 2,126 | 1,063 | $20K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 135 | 127 | $8K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 70 | 64 | $4K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 102 | 78 | $4K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 577 | 328 | $3K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 16 | 16 | $3K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 12 | 12 | $960.96 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 28 | 25 | $720.72 |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,632 | 3,158 | $12.42 |
17 more codes
| 99406 | 0% | 29 | $0.00 | |
| 99407 | 0% | 45 | $0.00 | |
| 3074F | 0% | 123 | $0.00 | |
| 90686 | 0% | 15 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 16 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 17 | $0.00 |
| 3079F | 0% | 43 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 643 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 78 | $0.00 |
| 90837 | Psychotherapy session, about an hour | 0% | 755 | $0.00 |
| 3078F | 0% | 135 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 61 | $0.00 |
| 3077F | 0% | 22 | $0.00 | |
| 99442 | 0% | 43 | $0.00 | |
| 91300 | 0% | 15 | $0.00 | |
| 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 | 0% | 34 | $0.00 |
| 99307 | 0% | 12 | $0.00 |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.