Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › KY › Middlesboro › NPI 1962908277
Physician

Arh Mary Breckinridge Health Services, INC.

Arh Mary Breckinridge Health Services, INC. was paid $1.46M by Medicaid between May 2018 and Nov 2024, across 42 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 50% of everything it billed.

33Billing provider infoARH MARY BRECKINRIDGE HEALTH SERVICES, INC.
MIDDLESBORO, KY 40965
33aNPI1962908277assigned 04/04/2018
28Total paid$1.46M
24GClaims56,975
24DCodes billed42
24AFirst – last monthMay 2018 – Nov 2024
Compared with peers

Next to other Hematology & Oncology Physician providers in Kentucky

Rank by total paid#1 of 7
Median peer was paid$8K
This provider vs. median182×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
20182,999$54K
20199,066$222K
202010,229$319K
20219,680$226K
20229,050$207K
20239,545$235K
2024incomplete6,406$193K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 50% 20,421 16,304 $731K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 26% 14,645 12,006 $374K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 4.8% 2,390 2,006 $69K
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 3.9% 987 775 $56K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2.8% 1,622 1,372 $41K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 2.4% 3,308 2,431 $35K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1.6% 2,150 1,779 $24K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1.4% 506 424 $20K
36415 Collection of venous blood by venipuncture 1.3% 6,775 5,879 $19K
93227 <1% 367 342 $13K
93307 <1% 302 258 $10K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity <1% 154 138 $10K
30 more codes
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 98 $9K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 136 $7K
90686 <1% 408 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 449 $6K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 158 $5K
97597 <1% 158 $4K
99244 Office or other outpatient consultation, moderate to high complexity <1% 31 $3K
93000 <1% 207 $3K
99406 <1% 305 $2K
93016 <1% 189 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 113 $2K
93018 <1% 197 $2K
99222 Initial hospital care, per day, moderate complexity <1% 36 $495.51
99308 Subsequent nursing facility care, per day, straightforward <1% 19 $478.80
Q3014 Telehealth originating site facility fee <1% 81 $450.38
99232 Hospital visit by a doctor, follow-up day <1% 32 $329.71
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 39 $326.78
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only <1% 36 $251.15
99307 <1% 12 $213.60
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 287 $139.82
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 65 $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 <1% 34 $64.74
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 27 $22.05
3078F 0% 79 $0.00
3077F 0% 21 $0.00
3074F 0% 49 $0.00
3079F 0% 38 $0.00
3080F 0% 12 $0.00
3075F 0% 19 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 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)
Parent organizationAPPALACHIAN REGIONAL HELATHCARE, INC.
Same official

Other billing entities under HARRIS, HOLLIE

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.