NP / PA
Appalachian Regional Healthcare, INC.
Appalachian Regional Healthcare, INC. was paid $402K by Medicaid between Jan 2018 and Nov 2024, across 27 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
33Billing provider infoAPPALACHIAN REGIONAL HEALTHCARE, INC.
MIDDLESBORO, KY 40965
MIDDLESBORO, KY 40965
33aNPI1932415882assigned 08/28/2010
33bProvider typeFamily Nurse Practitioner
28Total paid$402K
24GClaims19,902
24DCodes billed27
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Kentucky
Rank by total paid#55 of 424
Median peer was paid$19K
This provider vs. median21×
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.
Entity ProliferationAuthorized official HARRIS, HOLLIE controls 20+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2018 | 10,318 | $179K | |
| 2019 | 2,265 | $52K | |
| 2020 | 2,245 | $56K | |
| 2021 | 2,237 | $59K | |
| 2022 | 1,173 | $24K | |
| 2023 | 1,174 | $20K | |
| 2024incomplete | 490 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 42% | 7,677 | 6,364 | $170K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 41% | 5,200 | 4,378 | $165K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 4.2% | 3,597 | 2,196 | $17K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.6% | 327 | 282 | $10K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 2.0% | 259 | 199 | $8K |
| 99205 | Prolong outpt/office vis | 1.3% | 52 | 48 | $5K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.1% | 347 | 126 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 142 | 119 | $3K |
| 99307 | <1% | 1,123 | 852 | $3K | |
| 99223 | Prolong inpt eval add15 m | <1% | 49 | 35 | $2K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 27 | 25 | $2K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 77 | 53 | $2K |
15 more codes
| 93227 | <1% | 58 | $2K | |
| 99220 | <1% | 32 | $1K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 57 | $1K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 488 | $1K |
| 93016 | <1% | 61 | $880.89 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 35 | $847.74 |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 61 | $809.79 |
| 93018 | <1% | 57 | $690.48 | |
| 99217 | <1% | 19 | $521.22 | |
| 99406 | <1% | 48 | $266.78 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 22 | $126.80 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 25 | $86.07 |
| 90686 | <1% | 32 | $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) | <1% | 17 | $5.34 |
| Q2036 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) | 0% | 13 | $0.00 |
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 officialHARRIS, HOLLIE (PRESIDENT AND CEO)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.