Appalachian Regional Healthcare, INC
Appalachian Regional Healthcare, INC was paid $1.17M by Medicaid between Jan 2018 and Nov 2024, across 48 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 27% of everything it billed.
HAZARD, KY 41701
Next to other Anesthesiology Physician providers in Kentucky
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 | 22,242 | $352K | |
| 2019 | 16,610 | $211K | |
| 2020 | 11,306 | $188K | |
| 2021 | 6,817 | $181K | |
| 2022 | 8,968 | $172K | |
| 2023 | 1,727 | $27K | |
| 2024incomplete | 2,013 | $37K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 27% | 20,265 | 5,172 | $311K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 24% | 7,448 | 6,465 | $282K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 22% | 26,237 | 6,893 | $258K |
| 99221 | 10% | 5,526 | 3,886 | $121K | |
| 99238 | Hospital discharge day management, 30 minutes or less | 4.4% | 1,824 | 1,444 | $52K |
| 88307 | 3.1% | 782 | 669 | $36K | |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | 2.2% | 505 | 477 | $25K |
| 88342 | 1.7% | 944 | 796 | $20K | |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 540 | 496 | $11K |
| 71045 | Radiologic examination, chest; single view | <1% | 2,742 | 2,028 | $11K |
| 88304 | <1% | 999 | 907 | $7K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 84 | 77 | $4K |
36 more codes
| 88108 | <1% | 276 | $4K | |
| 88341 | <1% | 92 | $4K | |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 69 | $3K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 70 | $2K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 113 | $2K |
| 99241 | <1% | 78 | $2K | |
| 70551 | Magnetic resonance imaging, brain; without contrast material | <1% | 42 | $2K |
| 71250 | <1% | 54 | $1K | |
| 99251 | <1% | 49 | $1K | |
| 72125 | Computed tomography, cervical spine; without contrast material | <1% | 30 | $958.95 |
| 74018 | <1% | 166 | $729.39 | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 25 | $726.48 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 117 | $647.43 |
| 85060 | <1% | 56 | $563.14 | |
| 76775 | <1% | 37 | $527.68 | |
| 93971 | <1% | 29 | $516.45 | |
| 74022 | <1% | 46 | $474.59 | |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | <1% | 13 | $470.45 |
| 93925 | <1% | 30 | $454.32 | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 18 | $410.16 |
| 78815 | Positron emission tomography (PET) for limited area imaging | <1% | 15 | $346.10 |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 18 | $333.96 |
| 73630 | <1% | 74 | $322.58 | |
| 73030 | <1% | 48 | $293.99 | |
| 76536 | <1% | 12 | $248.43 | |
| 93970 | <1% | 14 | $228.01 | |
| 76000 | <1% | 38 | $199.79 | |
| 72110 | <1% | 13 | $155.01 | |
| 88311 | <1% | 17 | $140.52 | |
| 73590 | <1% | 30 | $135.85 | |
| 72100 | <1% | 17 | $114.89 | |
| 73130 | <1% | 22 | $101.49 | |
| 72170 | <1% | 15 | $76.94 | |
| 73110 | <1% | 16 | $74.90 | |
| 73560 | <1% | 16 | $70.72 | |
| 73610 | <1% | 12 | $46.35 |
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.