Medicaid Provider Spending

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

ARH MARY BRECKINRIDGE HEALTH SERVICES, INC.

NPI: 1770029126 · BARBOURVILLE, KY 40906 · Rural Health Clinic/Center · NPI assigned 01/10/2017

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

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

$1.17M
Total Medicaid Paid
40,110
Total Claims
32,896
Beneficiaries
32
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHARRIS, HOLLIE (PRESIDENT AND CEO)
Parent OrganizationAPPALACHIAN REGIONAL HEALTHCARE, INC.
NPI Enumeration Date01/10/2017

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 1,194 $21K
2019 5,912 $188K
2020 7,127 $285K
2021 7,872 $209K
2022 5,993 $161K
2023 6,535 $163K
2024 5,477 $144K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17,964 14,516 $504K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,202 8,235 $363K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,951 1,488 $144K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 643 588 $37K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 493 424 $34K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 155 134 $20K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 781 624 $13K
36415 Collection of venous blood by venipuncture 6,016 5,284 $12K
99244 Office or other outpatient consultation, moderate to high complexity 98 95 $12K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 248 211 $8K
45380 Colonoscopy, flexible; with biopsy, single or multiple 51 44 $6K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 375 322 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 126 106 $3K
45384 12 12 $3K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 17 12 $2K
99215 Prolong outpt/office vis 28 26 $1K
99442 53 52 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 136 87 $1K
99232 Subsequent hospital care, per day, moderate complexity 41 17 $974.67
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 69 26 $862.47
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 76 69 $828.36
90686 64 58 $790.70
0001A 19 19 $670.00
0002A 14 14 $480.00
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 87 76 $347.08
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) 213 186 $121.55
G0008 Administration of influenza virus vaccine 12 12 $110.70
91300 45 42 $10.00
3078F 63 61 $0.00
3077F 15 15 $0.00
3079F 13 12 $0.00
3074F 30 29 $0.00