Appalachian Regional Healthcare, INC.
Appalachian Regional Healthcare, INC. was paid $1.07M by Medicaid between Jan 2018 and Dec 2024, across 29 billing codes. Its largest line is E1390, Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate — 37% of everything it billed.
HAZARD, KY 41701
Next to other Durable Medical Equipment & Medical Supplies 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 | 7,816 | $207K | |
| 2019 | 7,519 | $170K | |
| 2020 | 7,940 | $146K | |
| 2021 | 10,550 | $172K | |
| 2022 | 7,459 | $133K | |
| 2023 | 6,188 | $123K | |
| 2024incomplete | 4,655 | $123K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 37% | 11,388 | 10,159 | $394K |
| E0570 | Nebulizer, with compressor | 9.5% | 3,443 | 3,079 | $102K |
| E0260 | Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress | 8.8% | 4,026 | 3,520 | $95K |
| L4361 | Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf | 8.2% | 504 | 419 | $88K |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | 7.0% | 9,738 | 8,678 | $75K |
| K0001 | Standard wheelchair | 5.5% | 6,649 | 5,741 | $59K |
| A5512 | For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each | 3.7% | 599 | 452 | $40K |
| L3908 | Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf | 3.5% | 1,071 | 759 | $37K |
| A5500 | For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe | 3.4% | 630 | 474 | $36K |
| K0195 | Elevating leg rests, pair (for use with capped rental wheelchair base) | 3.0% | 6,668 | 5,849 | $33K |
| L4386 | Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | 2.8% | 393 | 327 | $30K |
| E0143 | Walker, folding, wheeled, adjustable or fixed height | 1.9% | 857 | 746 | $21K |
17 more codes
| A5063 | Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each | 1.8% | 991 | $19K |
| E0601 | Continuous positive airway pressure (cpap) device | <1% | 481 | $9K |
| A4409 | Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each | <1% | 135 | $6K |
| E0163 | Commode chair, mobile or stationary, with fixed arms | <1% | 257 | $6K |
| L1820 | Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | <1% | 86 | $5K |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 1,754 | $4K |
| E0562 | Humidifier, heated, used with positive airway pressure device | <1% | 570 | $4K |
| A4406 | Ostomy skin barrier, pectin-based, paste, per ounce | <1% | 487 | $3K |
| A7037 | Tubing used with positive airway pressure device | <1% | 335 | $2K |
| A7030 | Full face mask used with positive airway pressure device, each | <1% | 53 | $2K |
| E1392 | Portable oxygen concentrator, rental | <1% | 88 | $2K |
| A7035 | Headgear used with positive airway pressure device | <1% | 75 | $968.75 |
| A7038 | Filter, disposable, used with positive airway pressure device | <1% | 721 | $882.83 |
| A4414 | Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each | <1% | 16 | $664.68 |
| A7039 | Filter, non disposable, used with positive airway pressure device | <1% | 51 | $181.82 |
| E0305 | Bed side rails, half length | <1% | 47 | $120.49 |
| A4371 | Ostomy skin barrier, powder, per oz | <1% | 14 | $51.03 |
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.