Appalachian Medical LLC

Appalachian Medical LLC was paid $8.05M by Medicaid between Jun 2019 and Dec 2024, across 23 billing codes. Its largest line is E0466, Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) — 67% of everything it billed.

33Billing provider infoAPPALACHIAN MEDICAL LLC
SOUTH CHARLESTON, WV 25309

33aNPI1891299681assigned 03/19/2018

33bProvider typeDurable Medical Equipment & Medical Supplies

28Total paid$8.05M

24GClaims57,097

24DCodes billed23

24AFirst – last monthJun 2019 – Dec 2024

Compared with peers

Next to other Durable Medical Equipment & Medical Supplies providers in West Virginia

Rank by total paid#2 of 144

Median peer was paid$2K

This provider vs. median4,556×

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.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2019	1,239	$327K
2020	4,009	$1.14M
2021	6,895	$1.25M
2022	12,134	$1.63M
2023	17,023	$1.84M
2024incomplete	15,797	$1.85M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	67%	15,378	13,575	$5.39M
E0465	Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)	13%	1,284	766	$1.08M
E0483	High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each	7.3%	1,510	1,261	$589K
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	6.5%	8,754	7,551	$521K
A7030	Full face mask used with positive airway pressure device, each	1.7%	3,252	2,837	$137K
E0562	Humidifier, heated, used with positive airway pressure device	<1%	4,563	4,009	$77K
E0601	Continuous positive airway pressure (cpap) device	<1%	2,008	1,751	$67K
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	<1%	4,770	4,111	$50K
E0470	Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)	<1%	877	764	$47K
A7037	Tubing used with positive airway pressure device	<1%	3,810	3,213	$34K
A7035	Headgear used with positive airway pressure device	<1%	2,843	2,474	$27K
E0570	Nebulizer, with compressor	<1%	1,464	1,217	$15K

11 more codes

A7038	Filter, disposable, used with positive airway pressure device	<1%	4,176	$8K
E1392	Portable oxygen concentrator, rental	<1%	1,682	$6K
A7039	Filter, non disposable, used with positive airway pressure device	<1%	446	$2K
A7000	Canister, disposable, used with suction pump, each	<1%	87	$653.55
A7005	Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable	<1%	52	$652.56
A7507	Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each	<1%	15	$651.21
A7526	Tracheostomy tube collar/holder, each	<1%	39	$419.73
A7031	Face mask interface, replacement for full face mask, each	<1%	16	$298.77
A7046	Water chamber for humidifier, used with positive airway pressure device, replacement, each	<1%	29	$235.40
A7002	Tubing, used with suction pump, each	<1%	29	$81.26
A4618	Breathing circuits	<1%	13	$39.16

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.

From NPPES

Who's on the registration

Authorized officialWISEMAN, MARY (MEMBER)