Medicaid Provider Spending

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

APPALACHIAN REGIONAL HEALTHCARE, INC.

NPI: 1861671117 · BYPRO, KY 41612 · Primary Care Clinic/Center · NPI assigned 11/02/2007

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

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

$564K
Total Medicaid Paid
21,391
Total Claims
18,130
Beneficiaries
18
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHARRIS, HOLLIE (PRESIDENT AND CEO)
NPI Enumeration Date11/02/2007

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 2,718 $77K
2019 3,142 $86K
2020 2,768 $76K
2021 3,450 $75K
2022 2,831 $63K
2023 3,415 $98K
2024 3,067 $89K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11,693 9,873 $307K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,013 4,160 $179K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,945 3,430 $62K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 173 168 $10K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 35 33 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 34 29 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 18 12 $729.15
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 44 36 $717.04
99239 Hospital discharge day management, more than 30 minutes 16 12 $644.32
99232 Subsequent hospital care, per day, moderate complexity 30 13 $523.13
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 14 13 $357.60
90686 101 92 $291.79
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 85 78 $62.40
3074F 44 41 $0.00
3079F 50 47 $0.00
3075F 19 16 $0.00
3078F 43 43 $0.00
3077F 34 34 $0.00