Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

APPALACHIAN REGIONAL HEALTHCARE, INC.

General Acute Care Hospital·WHITESBURG, KY·NPI: 1194723726Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $33.4M is at the below 25th percentile among 156 General Acute Care Hospital providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$33.4M

$33,422,527

Total Claims

639K

Beneficiaries

459K

1.4 claims/patient

Avg Cost/Claim

$52

Monthly Spending Trend

Yearly Spending

2018
$4.8M
-1%
2019
$4.8M
-9%
2020
$4.3M
+10%
2021
$4.7M
-4%
2022
$4.5M
+18%
2023
$5.3M
-6%
2024
$5.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 21% of total spending.

99284Top 5%

Emergency dept visit, high complexity

$7.0M

19K claims · 20.9%

Your Cost: $366.15/claim|Median: $69.51
5.3× median
74176Top 5%

CT abdomen and pelvis without contrast

$3.0M

4,898 claims · 8.9%

Your Cost: $606.94/claim|Median: $60.19
10.1× median
G0378Normal range

Hospital observation service, per hour

$1.8M

6,571 claims · 5.4%

Your Cost: $275.54/claim|Median: $99.39
2.8× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$1.7M

4,477 claims · 5.0%

Your Cost: $375.67/claim|Median: $85.65
4.4× median
99283Top 25%

Emergency dept visit, moderate complexity

$1.7M

17K claims · 5.0%

Your Cost: $101.08/claim|Median: $42.48
2.4× median
93306Top 5%

Echocardiography, transthoracic, complete, with Doppler

$1.2M

3,266 claims · 3.6%

Your Cost: $369.53/claim|Median: $54.68
6.8× median
74177Top 5%

CT abdomen and pelvis with contrast

$1.2M

1,712 claims · 3.6%

Your Cost: $699.56/claim|Median: $65.76
10.6× median
70450Top 10%

CT head/brain without contrast

$1.0M

4,404 claims · 3.1%

Your Cost: $235.51/claim|Median: $45.53
5.2× median
72148Top 5%

MRI lumbar spine without contrast

$774K

1,630 claims · 2.3%

Your Cost: $474.81/claim|Median: $101.03
4.7× median
80053Top 25%

Comprehensive metabolic panel

$755K

37K claims · 2.3%

Your Cost: $20.59/claim|Median: $7.24
2.8× median
96361Normal range

IV infusion, hydration, each additional hour

$577K

7,335 claims · 1.7%

Your Cost: $78.67/claim|Median: $38.92
2.0× median
43239Top 25%

Upper GI endoscopy with biopsy

$569K

1,767 claims · 1.7%

Your Cost: $321.85/claim|Median: $151.68
2.1× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$513K

12K claims · 1.5%

Your Cost: $41.82/claim|Median: $7.50
5.6× median
99291Top 5%

Critical care, first 30-74 minutes

$498K

1,203 claims · 1.5%

Your Cost: $414.03/claim|Median: $101.24
4.1× median
85025Top 10%

Complete blood count (CBC) with differential, automated

$450K

39K claims · 1.3%

Your Cost: $11.42/claim|Median: $4.71
2.4× median
97110Top 25%

Therapeutic exercises, each 15 min

$440K

6,828 claims · 1.3%

Your Cost: $64.39/claim|Median: $24.49
2.6× median
G0463Normal range

Hospital outpatient clinic visit

$427K

33K claims · 1.3%

Your Cost: $12.96/claim|Median: $26.41
0.5× median
96365Normal range

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$375K

7,976 claims · 1.1%

Your Cost: $46.96/claim|Median: $54.77
0.9× median
71045Top 10%

Chest X-ray, single view

$339K

8,929 claims · 1.0%

Your Cost: $37.94/claim|Median: $4.93
7.7× median
Q9967Top 10%

Low osmolar contrast material, 300-399 mg iodine/ml, per ml

$324K

4,880 claims · 1.0%

Your Cost: $66.35/claim|Median: $3.42
19.4× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$309K

8,756 claims · 0.9%

Your Cost: $35.26/claim|Median: $21.76
1.6× median
U0003Normal range

Infectious disease detection (COVID-19)

$268K

8,596 claims · 0.8%

Your Cost: $31.19/claim|Median: $63.08
0.5× median
99282Normal range

Emergency dept visit, low complexity

$259K

3,793 claims · 0.8%

Your Cost: $68.39/claim|Median: $37.72
1.8× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$257K

7,956 claims · 0.8%

Your Cost: $32.33/claim|Median: $35.43
0.9× median
84484Top 5%

Troponin, quantitative

$249K

8,438 claims · 0.7%

Your Cost: $29.48/claim|Median: $4.84
6.1× median
72125Top 5%

CT cervical spine without contrast

$238K

734 claims · 0.7%

Your Cost: $324.47/claim|Median: $32.30
10.0× median
87631Normal range

Respiratory virus detection, 3-5 targets, multiplex

$224K

2,722 claims · 0.7%

Your Cost: $82.24/claim|Median: $65.45
1.3× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$223K

15K claims · 0.7%

Your Cost: $15.11/claim|Median: $9.56
1.6× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$215K

3,812 claims · 0.6%

Your Cost: $56.41/claim|Median: $91.47
0.6× median
36415Normal range

Collection of venous blood by venipuncture

$204K

82K claims · 0.6%

Your Cost: $2.48/claim|Median: $1.57
1.6× median
84443Top 10%

Thyroid stimulating hormone (TSH)

$198K

7,995 claims · 0.6%

Your Cost: $24.75/claim|Median: $9.87
2.5× median
72131Top 5%

$193K

567 claims · 0.6%

Your Cost: $340.49/claim|Median: $42.82
8.0× median
87040Top 5%

$188K

4,502 claims · 0.6%

Your Cost: $41.82/claim|Median: $5.54
7.5× median
96366Normal range

IV infusion, therapeutic/prophylactic/diagnostic, each additional hour

$182K

2,313 claims · 0.5%

Your Cost: $78.85/claim|Median: $40.12
2.0× median
71250Top 5%

CT scan of chest without contrast

$160K

662 claims · 0.5%

Your Cost: $242.28/claim|Median: $39.11
6.2× median
81001Top 10%

Urinalysis, automated, with microscopy

$152K

19K claims · 0.5%

Your Cost: $8.02/claim|Median: $2.03
3.9× median
45378Top 25%

Colonoscopy, diagnostic

$149K

328 claims · 0.4%

Your Cost: $454.86/claim|Median: $225.49
2.0× median
73562Top 5%

$144K

1,764 claims · 0.4%

Your Cost: $81.43/claim|Median: $12.28
6.6× median
71260Top 5%

CT chest with contrast

$137K

503 claims · 0.4%

Your Cost: $271.57/claim|Median: $48.36
5.6× median
78452Normal range

Myocardial perfusion imaging, SPECT, multiple studies

$137K

884 claims · 0.4%

Your Cost: $154.49/claim|Median: $106.14
1.5× median
80048Normal range

Basic metabolic panel

$129K

21K claims · 0.4%

Your Cost: $6.04/claim|Median: $5.78
1.0× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$125K

5,712 claims · 0.4%

Your Cost: $21.90/claim|Median: $14.92
1.5× median
71046Top 10%

Chest X-ray, 2 views

$123K

3,550 claims · 0.4%

Your Cost: $34.76/claim|Median: $8.92
3.9× median
81025Top 5%

Urine pregnancy test

$123K

5,989 claims · 0.4%

Your Cost: $20.59/claim|Median: $4.81
4.3× median
82607Top 5%

Cyanocobalamin (vitamin B-12)

$123K

4,075 claims · 0.4%

Your Cost: $30.20/claim|Median: $8.72
3.5× median
94640Top 25%

Pressurized or nonpressurized inhalation treatment

$119K

2,918 claims · 0.4%

Your Cost: $40.70/claim|Median: $10.88
3.7× median
80061Top 10%

Lipid panel

$112K

6,495 claims · 0.3%

Your Cost: $17.29/claim|Median: $8.41
2.1× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$103K

2,976 claims · 0.3%

Your Cost: $34.71/claim|Median: $37.56
0.9× median
93971Top 25%

Duplex scan of extremity veins, unilateral or limited

$97K

950 claims · 0.3%

Your Cost: $102.54/claim|Median: $25.43
4.0× median
83735Top 10%

Magnesium blood level test

$96K

12K claims · 0.3%

Your Cost: $8.07/claim|Median: $2.77
2.9× median

Other Top Providers in Kentucky

View all →

University of Kentucky

General Acute Care Hospital

$716.4M

Norton Hospitals INC

General Acute Care Hospital

$419.6M

Seven Counties Services Inc.

Clinic/Center Developmental Disabilities

$375.8M

Cumberland River Behavioral Health INC

Community/Behavioral Health

$349.2M

Addiction Recovery Care LLC

Community Based Residential Treatment Facility, Me

$309.0M

Similar Providers

Other top providers in General Acute Care Hospital

Yale New Haven Hospital

New Haven, CT

$1.08B

Montefiore Medical Center

Bronx, NY

$961.1M

The Cleveland Clinic Foundation

Cleveland, OH

$863.5M

Nationwide Children's Hospital

Columbus, OH

$777.5M

Boston Medical Center Corporation

Boston, MA

$768.5M

← All providersAll providers in Kentucky →How we detect fraud →