Medicaid Provider Spending

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

ARH MARY BRECKINRIDGE HEALTH SERVICES, INC.

NPI: 1962908277 · MIDDLESBORO, KY 40965 · Hematology & Oncology Physician · NPI assigned 04/04/2018

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

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

$1.46M
Total Medicaid Paid
56,975
Total Claims
46,511
Beneficiaries
42
Codes Billed
2018-05
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHARRIS, HOLLIE (PRESIDENT AND CEO)
Parent OrganizationAPPALACHIAN REGIONAL HELATHCARE, INC.
NPI Enumeration Date04/04/2018

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 2,999 $54K
2019 9,066 $222K
2020 10,229 $319K
2021 9,680 $226K
2022 9,050 $207K
2023 9,545 $235K
2024 6,406 $193K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 20,421 16,304 $731K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14,645 12,006 $374K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2,390 2,006 $69K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 987 775 $56K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,622 1,372 $41K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 3,308 2,431 $35K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,150 1,779 $24K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 506 424 $20K
36415 Collection of venous blood by venipuncture 6,775 5,879 $19K
93227 367 342 $13K
93307 302 258 $10K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 154 138 $10K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 98 97 $9K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 136 89 $7K
90686 408 375 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 449 410 $6K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 158 127 $5K
97597 158 72 $4K
99244 Office or other outpatient consultation, moderate to high complexity 31 31 $3K
93000 207 162 $3K
99406 305 254 $2K
93016 189 157 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 113 59 $2K
93018 197 164 $2K
99222 Initial hospital care, per day, moderate complexity 36 29 $495.51
99308 Subsequent nursing facility care, per day, straightforward 19 16 $478.80
Q3014 Telehealth originating site facility fee 81 67 $450.38
99232 Subsequent hospital care, per day, moderate complexity 32 13 $329.71
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 39 35 $326.78
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 36 32 $251.15
99307 12 12 $213.60
J1100 Injection, dexamethasone sodium phosphate, 1 mg 287 259 $139.82
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 65 55 $70.80
G0071 Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only 34 32 $64.74
J1885 Injection, ketorolac tromethamine, per 15 mg 27 24 $22.05
3078F 79 78 $0.00
3077F 21 20 $0.00
3074F 49 49 $0.00
3079F 38 36 $0.00
3080F 12 12 $0.00
3075F 19 19 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 13 12 $0.00