Clinic
Appalachian Regional Healthcare, INC.
Appalachian Regional Healthcare, INC. was paid $246K by Medicaid between Jan 2018 and Oct 2019, across 14 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 62% of everything it billed.
33Billing provider infoAPPALACHIAN REGIONAL HEALTHCARE, INC.
WEST LIBERTY, KY 41472
WEST LIBERTY, KY 41472
33aNPI1982648010assigned 06/16/2006
33bProvider typeRural Health Clinic/Center
28Total paid$246K
24GClaims8,392
24DCodes billed14
24AFirst – last monthJan 2018 – Oct 2019
Compared with peers
Next to other Rural Health Clinic/Center providers in Kentucky
Rank by total paid#170 of 265
Median peer was paid$400K
This provider vs. median0.6×
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.
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 | 4,271 | $127K | |
| 2019 | 4,121 | $119K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 62% | 4,059 | 3,452 | $153K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 29% | 2,934 | 2,435 | $73K |
| 93227 | 2.9% | 301 | 247 | $7K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 2.0% | 752 | 556 | $5K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 127 | 121 | $1K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 13 | 12 | $1K |
| 99220 | <1% | 17 | 14 | $1K | |
| 99217 | <1% | 29 | 27 | $966.03 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 13 | 13 | $907.44 |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 14 | 12 | $843.67 |
| 90686 | <1% | 41 | 38 | $640.53 | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 32 | 14 | $461.43 |
2 more codes
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 officialGROSSMAN, JOSEPH (PRESIDENT AND CHIEF EXECUTIVE OFFIC)
| Provider | Location | Paid |
|---|---|---|
| Hometown Family Care PLLC | Prestonsburg, KY | $1.43M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.