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·HAZARD, KY·NPI: 1609869916Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $107.9M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$107.9M

$107,942,096

Total Claims

1.9M

Beneficiaries

1.3M

1.5 claims/patient

Avg Cost/Claim

$57

Monthly Spending Trend

Yearly Spending

2018
$17.3M
-5%
2019
$16.5M
-7%
2020
$15.4M
-4%
2021
$14.8M
-3%
2022
$14.5M
-1%
2023
$14.2M
+7%
2024
$15.2M

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 13% of total spending.

99284Top 5%

Emergency dept visit, high complexity

$13.9M

32K claims · 12.9%

Your Cost: $430.39/claim|Median: $69.51
6.2× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$10.7M

22K claims · 9.9%

Your Cost: $485.60/claim|Median: $85.65
5.7× median
G0378Top 25%

Hospital observation service, per hour

$9.2M

27K claims · 8.6%

Your Cost: $345.90/claim|Median: $99.39
3.5× median
74177Top 5%

CT abdomen and pelvis with contrast

$5.7M

7,929 claims · 5.3%

Your Cost: $716.33/claim|Median: $65.76
10.9× median
74176Top 5%

CT abdomen and pelvis without contrast

$3.5M

6,633 claims · 3.2%

Your Cost: $524.43/claim|Median: $60.19
8.7× median
80053Top 10%

Comprehensive metabolic panel

$2.3M

104K claims · 2.2%

Your Cost: $22.39/claim|Median: $7.24
3.1× median
93458Top 25%

Left heart catheterization with imaging

$2.3M

2,217 claims · 2.1%

Your Cost: $1,034.93/claim|Median: $183.33
5.6× median
93306Top 5%

Echocardiography, transthoracic, complete, with Doppler

$2.3M

6,008 claims · 2.1%

Your Cost: $380.21/claim|Median: $54.68
7.0× median
70450Top 10%

CT head/brain without contrast

$2.2M

9,690 claims · 2.1%

Your Cost: $232.09/claim|Median: $45.53
5.1× median
99291Top 5%

Critical care, first 30-74 minutes

$2.1M

3,365 claims · 2.0%

Your Cost: $638.89/claim|Median: $101.24
6.3× median
99283Top 25%

Emergency dept visit, moderate complexity

$2.1M

20K claims · 1.9%

Your Cost: $104.71/claim|Median: $42.48
2.5× median
43239Top 25%

Upper GI endoscopy with biopsy

$2.0M

5,305 claims · 1.8%

Your Cost: $376.06/claim|Median: $151.68
2.5× median
85025Top 10%

Complete blood count (CBC) with differential, automated

$1.8M

124K claims · 1.7%

Your Cost: $14.43/claim|Median: $4.71
3.1× median
72148Top 5%

MRI lumbar spine without contrast

$1.7M

3,555 claims · 1.5%

Your Cost: $466.70/claim|Median: $101.03
4.6× median
G0463Normal range

Hospital outpatient clinic visit

$1.6M

113K claims · 1.5%

Your Cost: $14.51/claim|Median: $26.41
0.5× median
96361Normal range

IV infusion, hydration, each additional hour

$1.6M

18K claims · 1.5%

Your Cost: $92.66/claim|Median: $38.92
2.4× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$1.1M

32K claims · 1.0%

Your Cost: $32.81/claim|Median: $7.50
4.4× median
96365Normal range

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

$941K

22K claims · 0.9%

Your Cost: $43.68/claim|Median: $54.77
0.8× median
Q9967Top 10%

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

$905K

14K claims · 0.8%

Your Cost: $65.41/claim|Median: $3.42
19.1× median
71260Top 5%

CT chest with contrast

$886K

3,038 claims · 0.8%

Your Cost: $291.70/claim|Median: $48.36
6.0× median
70551Top 5%

MRI brain without contrast

$857K

1,999 claims · 0.8%

Your Cost: $428.52/claim|Median: $85.39
5.0× median
72125Top 5%

CT cervical spine without contrast

$837K

2,592 claims · 0.8%

Your Cost: $323.07/claim|Median: $32.30
10.0× median
71045Top 10%

Chest X-ray, single view

$833K

22K claims · 0.8%

Your Cost: $38.55/claim|Median: $4.93
7.8× median
97110Top 25%

Therapeutic exercises, each 15 min

$785K

13K claims · 0.7%

Your Cost: $60.63/claim|Median: $24.49
2.5× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$773K

20K claims · 0.7%

Your Cost: $39.07/claim|Median: $35.43
1.1× median
94640Top 10%

Pressurized or nonpressurized inhalation treatment

$770K

8,872 claims · 0.7%

Your Cost: $86.80/claim|Median: $10.88
8.0× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$769K

22K claims · 0.7%

Your Cost: $34.80/claim|Median: $21.76
1.6× median
45380Top 25%

Colonoscopy with biopsy

$733K

2,005 claims · 0.7%

Your Cost: $365.79/claim|Median: $200.68
1.8× median
84484Top 5%

Troponin, quantitative

$665K

22K claims · 0.6%

Your Cost: $30.30/claim|Median: $4.84
6.3× median
83735Top 5%

Magnesium blood level test

$650K

26K claims · 0.6%

Your Cost: $24.92/claim|Median: $2.77
9.0× median
36415Normal range

Collection of venous blood by venipuncture

$637K

265K claims · 0.6%

Your Cost: $2.40/claim|Median: $1.57
1.5× median
84443Top 10%

Thyroid stimulating hormone (TSH)

$628K

24K claims · 0.6%

Your Cost: $25.81/claim|Median: $9.87
2.6× median
72131Top 5%

$613K

2,332 claims · 0.6%

Your Cost: $262.99/claim|Median: $42.82
6.1× median
96366Normal range

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

$611K

9,604 claims · 0.6%

Your Cost: $63.61/claim|Median: $40.12
1.6× median
80048Top 25%

Basic metabolic panel

$598K

38K claims · 0.6%

Your Cost: $15.76/claim|Median: $5.78
2.7× median
73721Top 5%

MRI joint of lower extremity without contrast

$596K

1,380 claims · 0.6%

Your Cost: $431.77/claim|Median: $127.34
3.4× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$591K

15K claims · 0.5%

Your Cost: $39.43/claim|Median: $37.56
1.0× median
72141Top 5%

MRI of cervical spine without contrast

$527K

1,309 claims · 0.5%

Your Cost: $402.49/claim|Median: $112.68
3.6× median
71275Top 5%

CT angiography, chest, with contrast

$506K

1,135 claims · 0.5%

Your Cost: $445.84/claim|Median: $92.96
4.8× median
76705Top 10%

Ultrasound, abdominal, limited

$502K

5,331 claims · 0.5%

Your Cost: $94.11/claim|Median: $23.81
4.0× median
45378Top 25%

Colonoscopy, diagnostic

$471K

1,044 claims · 0.4%

Your Cost: $450.76/claim|Median: $225.49
2.0× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$469K

35K claims · 0.4%

Your Cost: $13.30/claim|Median: $9.56
1.4× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$445K

5,646 claims · 0.4%

Your Cost: $78.74/claim|Median: $75.28
1.0× median
71250Top 5%

CT scan of chest without contrast

$436K

1,809 claims · 0.4%

Your Cost: $241.09/claim|Median: $39.11
6.2× median
97530Normal range

Therapeutic activities, each 15 min

$433K

7,634 claims · 0.4%

Your Cost: $56.73/claim|Median: $33.11
1.7× median
80061Top 10%

Lipid panel

$422K

17K claims · 0.4%

Your Cost: $25.18/claim|Median: $8.41
3.0× median
72128Top 5%

$412K

1,264 claims · 0.4%

Your Cost: $326.18/claim|Median: $33.24
9.8× median
87040Top 5%

$410K

9,748 claims · 0.4%

Your Cost: $42.06/claim|Median: $5.54
7.6× median
96367Normal range

$408K

9,817 claims · 0.4%

Your Cost: $41.52/claim|Median: $29.27
1.4× median
87631Normal range

Respiratory virus detection, 3-5 targets, multiplex

$404K

5,604 claims · 0.4%

Your Cost: $72.04/claim|Median: $65.45
1.1× 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 →