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APPALACHIAN REGIONAL HEALTHCARE, INC.

General Acute Care Hospital, Critical Access·MC DOWELL, KY·NPI: 1649209263Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$26.9M

$26,861,143

Total Claims

498K

Beneficiaries

370K

1.3 claims/patient

Avg Cost/Claim

$54

Monthly Spending Trend

Yearly Spending

2018
$4.5M
-22%
2019
$3.5M
-15%
2020
$3.0M
+30%
2021
$3.9M
+1%
2022
$3.9M
+9%
2023
$4.2M
-8%
2024
$3.9M

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 18% of total spending.

99284Top 1%

Emergency dept visit, high complexity

$4.9M

10K claims · 18.1%

Your Cost: $473.06/claim|Median: $69.51
6.8× median
74176Top 5%

CT abdomen and pelvis without contrast

$2.2M

3,063 claims · 8.1%

Your Cost: $708.46/claim|Median: $60.19
11.8× median
99283Top 25%

Emergency dept visit, moderate complexity

$1.8M

16K claims · 6.7%

Your Cost: $112.66/claim|Median: $42.48
2.7× median
G0480Top 25%

Drug test, definitive, 1-7 drug classes

$1.8M

26K claims · 6.7%

Your Cost: $69.44/claim|Median: $37.56
1.8× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$1.7M

3,249 claims · 6.4%

Your Cost: $528.72/claim|Median: $85.65
6.2× median
G0378Top 25%

Hospital observation service, per hour

$1.4M

3,012 claims · 5.1%

Your Cost: $451.96/claim|Median: $99.39
4.5× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$1.1M

22K claims · 4.2%

Your Cost: $51.22/claim|Median: $35.43
1.4× median
97110Top 5%

Therapeutic exercises, each 15 min

$789K

7,442 claims · 2.9%

Your Cost: $106.06/claim|Median: $24.49
4.3× median
80053Top 10%

Comprehensive metabolic panel

$743K

31K claims · 2.8%

Your Cost: $23.86/claim|Median: $7.24
3.3× median
99291Top 5%

Critical care, first 30-74 minutes

$618K

1,022 claims · 2.3%

Your Cost: $604.54/claim|Median: $101.24
6.0× median
G0463Normal range

Hospital outpatient clinic visit

$615K

31K claims · 2.3%

Your Cost: $19.75/claim|Median: $26.41
0.7× median
70450Top 5%

CT head/brain without contrast

$605K

1,996 claims · 2.3%

Your Cost: $303.27/claim|Median: $45.53
6.7× median
99282Normal range

Emergency dept visit, low complexity

$388K

5,233 claims · 1.4%

Your Cost: $74.11/claim|Median: $37.72
2.0× median
85025Top 10%

Complete blood count (CBC) with differential, automated

$379K

29K claims · 1.4%

Your Cost: $12.97/claim|Median: $4.71
2.8× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$361K

14K claims · 1.3%

Your Cost: $24.99/claim|Median: $9.56
2.6× median
93005Top 10%

Electrocardiogram, tracing only, without interpretation

$338K

6,038 claims · 1.3%

Your Cost: $56.00/claim|Median: $7.50
7.5× median
U0003Normal range

Infectious disease detection (COVID-19)

$330K

6,079 claims · 1.2%

Your Cost: $54.28/claim|Median: $63.08
0.9× median
36415Top 10%

Collection of venous blood by venipuncture

$328K

59K claims · 1.2%

Your Cost: $5.55/claim|Median: $1.57
3.5× median
96361Top 25%

IV infusion, hydration, each additional hour

$311K

2,543 claims · 1.2%

Your Cost: $122.33/claim|Median: $38.92
3.1× median
87631Normal range

Respiratory virus detection, 3-5 targets, multiplex

$302K

2,964 claims · 1.1%

Your Cost: $102.04/claim|Median: $65.45
1.6× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$287K

5,020 claims · 1.1%

Your Cost: $57.20/claim|Median: $91.47
0.6× median
71045Top 5%

Chest X-ray, single view

$278K

5,809 claims · 1.0%

Your Cost: $47.87/claim|Median: $4.93
9.7× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$272K

6,132 claims · 1.0%

Your Cost: $44.38/claim|Median: $21.76
2.0× median
94640Top 10%

Pressurized or nonpressurized inhalation treatment

$215K

2,491 claims · 0.8%

Your Cost: $86.47/claim|Median: $10.88
7.9× median
80061Top 10%

Lipid panel

$205K

11K claims · 0.8%

Your Cost: $19.32/claim|Median: $8.41
2.3× median
84484Top 5%

Troponin, quantitative

$202K

5,656 claims · 0.8%

Your Cost: $35.76/claim|Median: $4.84
7.4× median
84443Top 25%

Thyroid stimulating hormone (TSH)

$197K

12K claims · 0.7%

Your Cost: $16.37/claim|Median: $9.87
1.7× median
96365Normal range

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

$194K

3,195 claims · 0.7%

Your Cost: $60.61/claim|Median: $54.77
1.1× median
82306Top 25%

Vitamin D, 25 hydroxy

$192K

6,888 claims · 0.7%

Your Cost: $27.83/claim|Median: $18.18
1.5× median
92507Normal range

Speech/hearing/language treatment

$182K

2,808 claims · 0.7%

Your Cost: $64.84/claim|Median: $49.45
1.3× median
71046Top 5%

Chest X-ray, 2 views

$177K

2,951 claims · 0.7%

Your Cost: $60.06/claim|Median: $8.92
6.7× median
87040Top 5%

$142K

2,578 claims · 0.5%

Your Cost: $55.19/claim|Median: $5.54
10.0× median
82607Top 10%

Cyanocobalamin (vitamin B-12)

$141K

6,409 claims · 0.5%

Your Cost: $21.94/claim|Median: $8.72
2.5× median
80048Top 10%

Basic metabolic panel

$119K

5,625 claims · 0.4%

Your Cost: $21.21/claim|Median: $5.78
3.7× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$113K

3,890 claims · 0.4%

Your Cost: $29.14/claim|Median: $28.46
1.0× median
81001Top 10%

Urinalysis, automated, with microscopy

$113K

12K claims · 0.4%

Your Cost: $9.19/claim|Median: $2.03
4.5× median
83036Top 10%

Hemoglobin A1c (glycated hemoglobin)

$107K

9,995 claims · 0.4%

Your Cost: $10.68/claim|Median: $5.50
1.9× median
C9803Normal range

$103K

8,492 claims · 0.4%

Your Cost: $12.17/claim|Median: $13.20
0.9× median
83880Top 5%

$101K

2,389 claims · 0.4%

Your Cost: $42.41/claim|Median: $11.81
3.6× median
87086Top 10%

Urine culture, colony count, with identification

$98K

4,829 claims · 0.4%

Your Cost: $20.35/claim|Median: $5.31
3.8× median
97530Top 10%

Therapeutic activities, each 15 min

$98K

1,053 claims · 0.4%

Your Cost: $92.89/claim|Median: $33.11
2.8× median
80074Top 5%

$98K

1,378 claims · 0.4%

Your Cost: $70.91/claim|Median: $27.54
2.6× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$92K

1,604 claims · 0.3%

Your Cost: $57.27/claim|Median: $65.64
0.9× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$87K

5,212 claims · 0.3%

Your Cost: $16.72/claim|Median: $15.76
1.1× median
72100Top 5%

$84K

954 claims · 0.3%

Your Cost: $87.81/claim|Median: $15.14
5.8× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$79K

3,099 claims · 0.3%

Your Cost: $25.54/claim|Median: $14.92
1.7× median
83690Top 5%

$61K

3,079 claims · 0.2%

Your Cost: $19.94/claim|Median: $3.35
6.0× median
81025Top 5%

Urine pregnancy test

$60K

2,035 claims · 0.2%

Your Cost: $29.57/claim|Median: $4.81
6.1× median
83735Top 10%

Magnesium blood level test

$59K

6,985 claims · 0.2%

Your Cost: $8.40/claim|Median: $2.77
3.0× median
72125Top 1%

CT cervical spine without contrast

$54K

105 claims · 0.2%

Your Cost: $518.37/claim|Median: $32.30
16.0× median

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