Medicaid Provider Spending

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

APPALACHIAN REGIONAL MEDICAL ASSOCIATES, INC.

NPI: 1740537653 · LINVILLE, NC 28646 · Obstetrics & Gynecology Physician · NPI assigned 08/09/2012

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

Authorized official LONG, MARY controls 20+ related entities in our dataset. Read more

$705K
Total Medicaid Paid
28,212
Total Claims
24,885
Beneficiaries
20
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLONG, MARY (SR VP MEDICAL STAFF RELATIONS)
NPI Enumeration Date08/09/2012

Related Entities

Other providers sharing the same authorized official: LONG, MARY

ProviderCityStateTotal Paid
WATAUGA MEDICAL CENTER INC BOONE NC $1.44M
CHARLES A CANNON JR MEMORIAL HOSPITAL INC. LINVILLE NC $752K
CHARLES A. CANNON, JR. MEMORIAL HOSPITAL, INC LINVILLE NC $277K
APPALACHIAN REGIONAL MEDICAL ASSOCIATES, INC. BOONE NC $246K
APPALACHIAN REGIONAL MEDICAL ASSOCIATES INC BOONE NC $177K
APPALACHIAN REGIONAL MEDICAL ASSOCIATES BANNER ELK NC $128K
APPALACHIAN REGIONAL BEHAVIORAL HEALTHCARE INC LINVILLE NC $114K
APPALACHIAN REGIONAL MEDICAL ASSOCIATES, INC BOONE NC $112K
WATAUGA MEDICAL CENTER INC BOONE NC $108K
APPALACHIAN REGIONAL MEDICAL ASSOCIATES BOONE NC $91K
WATAUGA MEDICAL CENTER INC BOONE NC $78K
APPALACHIAN REGIONAL MEDICAL ASSOCIATES, INC. BOONE NC $64K
WATAUGA MEDICAL CENTER INC BOONE NC $46K
APPALACHIAN REGIONAL MEDICAL ASSOCIATES, INC. BOONE NC $43K
CHARLES A CANNON JR MEMORIAL HOSPITAL INC LINVILLE NC $33K
ABERDEEN EYE CLINIC P A ABERDEEN MS $28K
WATAUGA MEDICAL CENTER, INC. BOONE NC $19K
WATAUGA MEDICAL CENTER, INC. BOONE NC $19K
APPALACHIAN REGIONAL MEDICAL ASSOCIATES INC BOONE NC $18K
APPALACHIAN REGIONAL MEDICAL ASSOCIATES INC BLOWING ROCK NC $18K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,688 $120K
2019 1,700 $98K
2020 1,127 $57K
2021 3,632 $99K
2022 5,938 $115K
2023 5,524 $78K
2024 7,603 $137K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,785 4,316 $314K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,285 3,452 $209K
99199 Unlisted special service, procedure or report 16,519 15,039 $85K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 493 384 $60K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 356 296 $10K
87428 140 97 $8K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 536 298 $7K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 304 298 $4K
99215 Prolong outpt/office vis 43 41 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 98 97 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 13 12 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 12 12 $915.72
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 17 12 $872.27
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 211 192 $570.24
81003 17 14 $19.39
36415 Collection of venous blood by venipuncture 14 13 $16.20
3008F 206 166 $0.00
1111F 104 96 $0.00
90688 12 12 $0.00
4004F 47 38 $0.00