Medicaid Provider Spending

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

APPALACHIAN REGIONAL HEALTHCARE, INC.

NPI: 1932415882 · MIDDLESBORO, KY 40965 · Family Nurse Practitioner · NPI assigned 08/28/2010

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

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

$402K
Total Medicaid Paid
19,902
Total Claims
15,518
Beneficiaries
27
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHARRIS, HOLLIE (PRESIDENT AND CEO)
NPI Enumeration Date08/28/2010

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 10,318 $179K
2019 2,265 $52K
2020 2,245 $56K
2021 2,237 $59K
2022 1,173 $24K
2023 1,174 $20K
2024 490 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,677 6,364 $170K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,200 4,378 $165K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 3,597 2,196 $17K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 327 282 $10K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 259 199 $8K
99205 Prolong outpt/office vis 52 48 $5K
99232 Subsequent hospital care, per day, moderate complexity 347 126 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 142 119 $3K
99307 1,123 852 $3K
99223 Prolong inpt eval add15 m 49 35 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 27 25 $2K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 77 53 $2K
93227 58 52 $2K
99220 32 25 $1K
99239 Hospital discharge day management, more than 30 minutes 57 45 $1K
99308 Subsequent nursing facility care, per day, straightforward 488 404 $1K
93016 61 51 $880.89
99238 Hospital discharge day management, 30 minutes or less 35 29 $847.74
99231 Subsequent hospital care, per day, straightforward or low complexity 61 27 $809.79
93018 57 50 $690.48
99217 19 14 $521.22
99406 48 45 $266.78
36415 Collection of venous blood by venipuncture 22 19 $126.80
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 25 25 $86.07
90686 32 29 $39.51
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 17 13 $5.34
Q2036 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) 13 13 $0.00