NP / PA
Appalachian Regional Healthcare, INC.
Appalachian Regional Healthcare, INC. was paid $740K by Medicaid between Jan 2018 and Dec 2024, across 50 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.
33Billing provider infoAPPALACHIAN REGIONAL HEALTHCARE, INC.
MIDDLESBORO, KY 40965
MIDDLESBORO, KY 40965
33aNPI1740382795assigned 09/01/2006
33bProvider typeNurse Practitioner
28Total paid$740K
24GClaims30,174
24DCodes billed50
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Nurse Practitioner providers in Kentucky
Rank by total paid#47 of 260
Median peer was paid$89K
This provider vs. median8.3×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 9,333 | $210K | |
| 2019 | 7,112 | $139K | |
| 2020 | 2,786 | $82K | |
| 2021 | 2,926 | $78K | |
| 2022 | 2,806 | $76K | |
| 2023 | 2,634 | $77K | |
| 2024incomplete | 2,577 | $78K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 32% | 9,413 | 7,549 | $240K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 25% | 4,306 | 3,993 | $184K |
| 20610 | 12% | 2,760 | 2,199 | $92K | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | 4.3% | 1,056 | 1,022 | $32K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | 3.8% | 451 | 430 | $28K |
| 71046 | Radiologic examination, chest; 2 views | 2.5% | 2,355 | 2,200 | $19K |
| 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 | 2.3% | 413 | 376 | $17K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 2.0% | 558 | 508 | $15K |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | 1.4% | 180 | 174 | $10K |
| 70450 | Computed tomography, head or brain; without contrast material | 1.3% | 325 | 302 | $9K |
| 71045 | Radiologic examination, chest; single view | 1.2% | 1,441 | 1,181 | $9K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 502 | 457 | $8K |
38 more codes
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 1.1% | 115 | $8K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 120 | $7K |
| 72100 | <1% | 888 | $7K | |
| 76830 | Ultrasound, transvaginal | <1% | 224 | $6K |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 282 | $6K |
| 73030 | <1% | 497 | $4K | |
| 73630 | <1% | 474 | $3K | |
| 76536 | <1% | 146 | $3K | |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 129 | $3K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 103 | $3K |
| 73130 | <1% | 382 | $3K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 104 | $2K |
| 74018 | <1% | 385 | $2K | |
| 73610 | <1% | 360 | $2K | |
| 72084 | <1% | 156 | $2K | |
| 73110 | <1% | 297 | $2K | |
| 72040 | <1% | 218 | $2K | |
| 17110 | <1% | 141 | $2K | |
| 73564 | <1% | 131 | $1K | |
| 73562 | <1% | 166 | $1K | |
| 70551 | Magnetic resonance imaging, brain; without contrast material | <1% | 24 | $1K |
| 73502 | <1% | 130 | $1K | |
| 72072 | <1% | 130 | $1K | |
| 73560 | <1% | 132 | $945.67 | |
| 71250 | <1% | 12 | $593.44 | |
| 93971 | <1% | 29 | $589.34 | |
| 76641 | <1% | 16 | $473.72 | |
| 76770 | <1% | 16 | $462.39 | |
| 81025 | <1% | 177 | $431.99 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 86 | $316.18 |
| 72050 | <1% | 14 | $141.40 | |
| 74019 | <1% | 12 | $108.52 | |
| 73080 | <1% | 15 | $103.26 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 19 | $33.26 |
| 3078F | 0% | 66 | $0.00 | |
| 3074F | 0% | 68 | $0.00 | |
| 3079F | 0% | 26 | $0.00 | |
| 1111F | 0% | 124 | $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.
From NPPES
Who's on the registration
Authorized officialHARRIS, HOLLIE (PRESIDENT AND CEO)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.