Medicaid Provider Spending

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

APPALACHIAN REGIONAL HEALTHCARE, INC.

NPI: 1891792495 · MIDDLESBORO, KY 40965 · General Acute Care Hospital · NPI assigned 06/28/2005

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

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

$38.84M
Total Medicaid Paid
852,786
Total Claims
612,606
Beneficiaries
313
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHARRIS, HOLLIE (PRESIDENT AND CEO)
NPI Enumeration Date06/28/2005

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. 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
APPALACHIAN REGIONAL HEALTHCARE, INC HAZARD KY $1.17M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 145,053 $5.45M
2019 121,673 $6.33M
2020 113,090 $5.04M
2021 132,278 $5.49M
2022 115,872 $5.20M
2023 114,774 $5.62M
2024 110,046 $5.71M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 17,302 14,532 $7.37M
74176 Computed tomography, abdomen and pelvis; without contrast material 3,586 3,030 $2.22M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 4,356 3,202 $2.09M
74177 Computed tomography, abdomen and pelvis; with contrast material 2,266 1,894 $1.81M
99283 Emergency department visit for the evaluation and management, moderate severity 17,034 14,840 $1.60M
G0378 Hospital observation service, per hour 4,682 2,461 $1.54M
80053 Comprehensive metabolic panel 71,723 43,921 $1.40M
70450 Computed tomography, head or brain; without contrast material 3,642 2,843 $869K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 55,090 44,391 $691K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1,617 966 $675K
96361 Intravenous infusion, hydration; each additional hour 11,400 4,845 $628K
80061 Lipid panel 17,619 16,264 $589K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,896 997 $581K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 9,406 2,169 $579K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 11,687 9,161 $524K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,456 1,280 $510K
84443 Thyroid stimulating hormone (TSH) 17,860 16,940 $486K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 5,028 3,590 $400K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 10,393 9,889 $395K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 7,935 3,641 $377K
71045 Radiologic examination, chest; single view 10,187 7,257 $376K
87631 4,516 4,216 $371K
99282 Emergency department visit for the evaluation and management, low to moderate severity 5,578 4,950 $369K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 30,073 23,075 $358K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 11,855 6,203 $353K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 8,081 6,442 $340K
36415 Collection of venous blood by venipuncture 111,287 41,044 $299K
83735 9,969 8,629 $287K
76830 Ultrasound, transvaginal 1,710 1,604 $275K
82607 9,095 8,535 $270K
82728 7,772 7,219 $260K
71046 Radiologic examination, chest; 2 views 6,266 4,718 $247K
84439 9,405 8,960 $247K
84484 8,204 6,343 $243K
97530 Therapeutic activities, direct patient contact, each 15 minutes 5,149 1,723 $241K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 4,146 3,713 $239K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 2,951 1,818 $238K
76700 Ultrasound, abdominal, real time with image documentation; complete 1,740 1,458 $226K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 217 204 $211K
81001 21,340 18,189 $205K
80074 3,524 3,200 $191K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 11,977 7,364 $187K
87040 4,124 2,878 $185K
88305 Level IV - Surgical pathology, gross and microscopic examination 2,330 1,916 $179K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 5,282 4,707 $177K
83036 Hemoglobin; glycosylated (A1C) 14,557 13,901 $176K
82150 3,694 3,246 $171K
83690 6,133 5,271 $164K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 4,237 1,431 $163K
96375 Therapeutic injection; each additional sequential IV push 5,845 4,175 $153K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 321 284 $149K
59025 Fetal non-stress test 2,793 1,139 $146K
83540 7,295 6,918 $144K
87086 Culture, bacterial; quantitative colony count, urine 9,042 7,401 $137K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 3,734 1,806 $136K
74022 1,307 1,109 $131K
80048 Basic metabolic panel (calcium, ionized) 7,018 4,851 $126K
81025 5,366 4,732 $120K
83550 6,555 6,216 $118K
82746 2,946 2,743 $112K
77067 Screening mammography, bilateral, including computer-aided detection 2,177 2,117 $110K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 1,841 1,153 $110K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 2,889 2,723 $109K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 3,717 2,086 $102K
83880 2,794 2,259 $97K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,935 1,737 $95K
72100 2,255 1,777 $94K
85730 3,075 2,646 $91K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 344 320 $88K
73630 1,757 1,512 $87K
73030 2,075 1,615 $81K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 3,828 3,607 $81K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 10,601 7,394 $78K
73610 1,580 1,231 $77K
84702 2,646 2,047 $77K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 3,450 3,200 $76K
86038 2,151 2,007 $75K
85610 5,357 4,057 $74K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 363 314 $73K
96376 1,866 1,120 $71K
73130 1,474 1,188 $70K
82553 2,732 2,177 $66K
73110 1,271 938 $65K
87186 2,381 2,063 $63K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1,697 581 $61K
83605 2,816 2,399 $60K
99281 Emergency department visit for the evaluation and management, self-limited or minor 1,685 1,558 $53K
20610 2,878 1,840 $52K
84403 1,641 1,567 $50K
82570 1,493 1,365 $49K
96367 836 441 $49K
71250 209 154 $46K
82550 3,481 2,835 $44K
87077 3,660 2,489 $43K
G0482 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed 863 682 $43K
93041 1,969 1,624 $42K
87522 Neg quan hep c or qual rna 1,179 1,098 $42K
72125 Computed tomography, cervical spine; without contrast material 146 119 $41K
74018 817 726 $41K
D7140 Extraction, erupted tooth or exposed root 81 72 $41K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,928 1,844 $40K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 249 208 $40K
83001 902 862 $40K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 3,971 3,585 $39K
83525 1,466 1,428 $37K
82803 1,114 878 $37K
73562 755 578 $36K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 464 175 $36K
85378 1,764 1,624 $35K
84703 2,028 1,811 $35K
86140 2,370 2,118 $34K
87070 1,723 1,272 $34K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 1,420 1,198 $33K
93225 700 557 $32K
73564 626 499 $32K
82043 3,085 2,684 $32K
86787 668 622 $32K
83002 709 670 $31K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,440 1,258 $30K
41899 Unlisted procedure, dentoalveolar structures 23 20 $29K
97162 759 702 $29K
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 1,146 261 $28K
86431 1,112 1,049 $27K
87581 327 304 $27K
71275 Computed tomographic angiography, chest, with contrast material 53 39 $27K
77063 Screening digital breast tomosynthesis, bilateral 3,074 2,514 $26K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1,212 988 $26K
93226 358 338 $26K
0100U 388 352 $25K
G0103 Prostate cancer screening; prostate specific antigen test (psa) 2,049 808 $24K
76536 269 220 $24K
87590 1,462 1,362 $24K
87480 2,211 1,905 $23K
86901 1,574 1,361 $23K
93017 268 244 $23K
80076 873 808 $22K
70551 Magnetic resonance imaging, brain; without contrast material 43 40 $22K
72141 44 40 $21K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 555 433 $20K
87510 1,966 1,865 $20K
87076 2,430 1,259 $19K
72084 155 134 $19K
74178 14 14 $19K
87660 1,966 1,865 $19K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 1,212 1,061 $18K
45380 Colonoscopy, flexible; with biopsy, single or multiple 40 26 $17K
87486 343 307 $17K
72040 388 297 $17K
76705 Ultrasound, abdominal, real time with image documentation; limited 162 150 $16K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 1,686 1,298 $16K
84550 1,693 1,541 $15K
G0379 Direct admission of patient for hospital observation care 223 190 $15K
73502 391 321 $15K
84270 757 713 $15K
86592 1,451 1,371 $15K
86200 784 761 $15K
84481 282 260 $14K
81420 Fetal chromosomal aneuploidy genomic sequence analysis panel 33 28 $14K
73560 364 256 $14K
86900 1,814 1,394 $14K
83516 267 228 $13K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 25 25 $13K
82565 1,045 801 $13K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 1,081 1,022 $12K
82947 802 730 $12K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 921 846 $12K
36600 1,187 831 $11K
83655 380 371 $11K
86850 1,230 1,075 $11K
J1885 Injection, ketorolac tromethamine, per 15 mg 4,691 3,912 $10K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 116 50 $10K
84402 724 691 $10K
86762 551 511 $10K
97597 212 77 $9K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 15 12 $9K
72110 176 125 $9K
81002 1,479 1,153 $8K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 460 445 $8K
82670 228 215 $8K
93971 79 70 $8K
97014 215 57 $7K
82105 284 256 $7K
76819 Fetal biophysical profile; without non-stress testing 221 101 $7K
84144 194 185 $7K
82652 262 246 $7K
80081 77 72 $7K
73221 16 14 $6K
J3490 Unclassified drugs 2,014 1,110 $6K
84436 166 155 $6K
0012A 591 586 $6K
82626 151 149 $6K
72050 86 65 $6K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 89 55 $5K
84520 491 436 $5K
90715 171 159 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 457 423 $5K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,695 1,464 $5K
86756 187 171 $5K
88142 242 221 $5K
76642 106 100 $5K
77080 106 82 $5K
82962 1,955 1,332 $5K
76775 44 40 $4K
85379 183 164 $4K
0011A 594 585 $4K
83921 74 70 $4K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 18 18 $4K
86696 153 151 $4K
71260 Computed tomography, thorax, diagnostic; with contrast material 14 12 $4K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 188 171 $4K
84146 100 95 $4K
17110 129 115 $4K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 42 41 $4K
87449 80 68 $4K
86376 234 225 $4K
86695 129 127 $4K
85027 322 308 $3K
85652 2,278 2,059 $3K
85651 358 328 $3K
78227 14 13 $3K
81003 1,087 772 $3K
87653 165 159 $3K
82247 202 151 $3K
J3010 Injection, fentanyl citrate, 0.1 mg 2,036 1,594 $3K
82977 201 192 $3K
99499 65 44 $3K
J0696 Injection, ceftriaxone sodium, per 250 mg 1,258 934 $3K
J0290 Injection, ampicillin sodium, 500 mg 219 182 $3K
73080 64 51 $3K
0001A 144 144 $2K
74019 28 26 $2K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 12 12 $2K
88185 37 31 $2K
84153 72 70 $2K
0002A 128 128 $2K
85018 223 191 $2K
85014 217 185 $2K
80299 15 14 $2K
36416 566 452 $2K
J0690 Injection, cefazolin sodium, 500 mg 483 373 $2K
84630 70 69 $2K
73090 37 36 $2K
86703 120 111 $2K
87634 42 42 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 114 94 $2K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 13 12 $2K
J2270 Injection, morphine sulfate, up to 10 mg 833 522 $1K
86235 13 12 $1K
93880 18 15 $1K
J0780 Injection, prochlorperazine, up to 10 mg 272 216 $1K
J2405 Injection, ondansetron hydrochloride, per 1 mg 1,645 1,281 $1K
J2919 Injection, methylprednisolone sodium succinate, 5 mg 133 99 $1K
51798 173 142 $1K
86706 38 37 $1K
94060 14 12 $1K
93224 29 16 $1K
87081 59 54 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 81 76 $1K
76770 15 12 $1K
J1756 Injection, iron sucrose, 1 mg 30 13 $1K
J2250 Injection, midazolam hydrochloride, per 1 mg 1,084 916 $995.67
71101 14 14 $891.98
73590 16 16 $888.75
82248 62 40 $881.68
83883 14 13 $871.75
0064A 123 106 $871.53
0097U 18 12 $865.86
12001 12 12 $861.92
86225 27 26 $817.11
82140 29 27 $774.06
J1170 Injection, hydromorphone, up to 4 mg 371 278 $766.19
96368 18 12 $754.59
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 147 93 $700.25
88304 32 27 $612.24
82103 15 12 $592.06
J0330 Injection, succinylcholine chloride, up to 20 mg 33 28 $583.13
87507 13 13 $491.40
82272 147 96 $470.97
85660 37 31 $447.15
87340 13 12 $424.07
51702 14 12 $414.27
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 48 45 $385.24
90714 13 12 $354.74
A9537 Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries 12 12 $322.56
73565 14 12 $302.02
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 17 15 $300.02
82677 12 12 $297.06
G0476 Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test 17 13 $291.14
90662 17 16 $286.97
A9270 Non-covered item or service 1,352 264 $264.33
J0131 Injection, acetaminophen, not otherwise specified,10 mg 17 12 $261.84
86803 13 12 $258.72
J2003 Injection, lidocaine hydrochloride, 1 mg 86 79 $217.91
99406 13 13 $214.76
0031A 13 13 $203.92
84156 13 12 $203.87
80143 14 12 $157.68
J3475 Injection, magnesium sulfate, per 500 mg 18 13 $149.47
80050 General health panel 13 13 $133.38
87802 16 12 $122.76
84100 15 12 $118.33
J1200 Injection, diphenhydramine hcl, up to 50 mg 105 88 $106.38
J2550 Injection, promethazine hcl, up to 50 mg 127 94 $88.88
86336 12 12 $60.47
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous 22 17 $41.99
J2765 Injection, metoclopramide hcl, up to 10 mg 37 25 $37.01
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose 29 27 $31.98
J1644 Injection, heparin sodium, per 1000 units 15 12 $15.72
J7510 Prednisolone oral, per 5 mg 17 13 $14.88
J2060 Injection, lorazepam, 2 mg 14 12 $13.58
84479 30 30 $7.18
Q0244 Injection, casirivimab and imdevimab, 1200 mg 21 13 $0.02
Q0239 Injection, bamlanivimab-xxxx, 700 mg 70 16 $0.00