Appalachian Regional Healthcare, INC.
Appalachian Regional Healthcare, INC. was paid $221K by Medicaid between Jan 2018 and Jun 2021, across 20 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 44% of everything it billed.
WAYLAND, KY 41666
Next to other Primary Care Clinic/Center 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 | 2,928 | $66K | |
| 2019 | 2,738 | $66K | |
| 2020 | 2,469 | $53K | |
| 2021 | 1,897 | $36K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 44% | 2,531 | 2,045 | $97K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 2,211 | 1,863 | $59K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 10% | 1,165 | 982 | $23K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.4% | 163 | 143 | $8K |
| 99490 | Ccm add 20min | 3.3% | 461 | 382 | $7K |
| 36415 | Collection of venous blood by venipuncture | 2.9% | 1,959 | 1,677 | $6K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 2.3% | 631 | 393 | $5K |
| 90632 | 1.8% | 132 | 84 | $4K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.1% | 223 | 204 | $2K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.0% | 28 | 27 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 98 | 84 | $2K |
| 90686 | <1% | 160 | 135 | $2K |
8 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 59 | $782.48 |
| 99218 | <1% | 15 | $526.44 | |
| 99217 | <1% | 18 | $432.89 | |
| 90674 | <1% | 36 | $419.20 | |
| 99347 | <1% | 26 | $391.45 | |
| 86580 | <1% | 73 | $197.69 | |
| G0008 | Administration of influenza virus vaccine | 0% | 28 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 15 | $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.