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Elevated
OpenScore 130

APPALACHIAN REGIONAL HEALTHCARE INC

Flagged provider address

1916 CUMBERLAND AVE, MIDDLESBORO, KY, 40965-1231

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Why this was flagged

Elevated
Extreme per-patient billing

Medicare paid far more per patient than peers

In 2022 this provider was paid $7,907 per patient, against a typical $4,384 for the same kind of provider in KY. A genuinely high-need patient mix can explain some of this, but extreme per-patient billing is a classic upcoding and phantom-patient pattern.

Source Medicare Home Health Payments by Provider · record as of 11 Aug 2026 · pulled 9 Nov 2026 · version 2026-11-09 · db4c19

View the records behind this flag →

Moderate
Owner cluster

Owner is tied to 66 providers

An owner or managing party of this provider (HOLLIE HARRIS) is listed on 66 separate Medicare enrollments. Chains are legal, and most are ordinary business — this is background context, not a fraud indicator on its own.

Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4

View the records behind this flag →

Owners and managing parties of record

GREGORY A WILSON

CORPORATE DIRECTOR · I · since Nov 7, 2019

Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4

HOLLIE HARRIS

CORPORATE OFFICER · I · since May 10, 2021

Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4

GREGORY COUCH

CORPORATE DIRECTOR · I · since Nov 8, 2013

Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4

MARIA BENOIT BRAMAN

CORPORATE OFFICER · I · since Mar 7, 2016

Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4

ANDREA MASSEY

CORPORATE DIRECTOR · I · since Nov 8, 2019

Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4

JULIE ROSE

CORPORATE DIRECTOR · I · since Nov 5, 2014

Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4

CHRISTI LEE

CORPORATE OFFICER · I · since Nov 5, 2021

Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4

JOANN ANDERSON

CORPORATE DIRECTOR · I · since Nov 2, 2017

Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4

GREGORY PAULEY

CORPORATE DIRECTOR · I · since Nov 25, 2010

Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4

CAROLYN NEACE

W-2 MANAGING EMPLOYEE · I · since Apr 14, 1997

Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4

SAMUEL DUNN

CORPORATE DIRECTOR · I · since Nov 5, 2021

Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4

JEFFREY HOLLON

CORPORATE DIRECTOR · I · since Nov 2, 2012

Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4

SUSAN STEWART

W-2 MANAGING EMPLOYEE · I · since Feb 8, 2012

Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4

LARRY B FRANCIS

CORPORATE DIRECTOR · I · since Nov 2, 2017

Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4

RANDALL EVANS

CORPORATE DIRECTOR · I · since Nov 8, 2013

Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4

ONZIE SIZEMORE

CORPORATE DIRECTOR · I · since Nov 5, 2014

Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4

THEODORE T MYRE

CORPORATE DIRECTOR · I · since Nov 2, 2017

Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4

DANNY HARRIS

CORPORATE OFFICER · I · since May 1, 2013

Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4

SUSAN RENAE NEACE

W-2 MANAGING EMPLOYEE · I · since Jan 3, 2005

Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4

MICHAEL RUST

CORPORATE DIRECTOR · I · since Nov 7, 2019

Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4

KEN ALLMAN

CORPORATE DIRECTOR · I · since Nov 7, 2019

Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4

JOANNA SANTIESTEBAN

CORPORATE DIRECTOR · I · since Nov 6, 2020

Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4

Source timeline

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Source records

Each value includes its published file, download date, and weekly version. Open a link to check the source record. Verify this lead yourself.

DetailValuePublished fileRecord as ofPulledVersion
Legal nameAPPALACHIAN REGIONAL HEALTHCARE INCCMS Home Health Agency EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · 80bfb7
NPI1558357624CMS Home Health Agency EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · 80bfb7
Medicare certification number187021CMS Home Health Agency EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · 80bfb7
CMS associate ID0840107835CMS Home Health Agency EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · 80bfb7
Provider typePART A PROVIDER - HOME HEALTH AGENCYCMS Home Health Agency EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · 80bfb7
Organisation typeCORPORATIONCMS Home Health Agency EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · 80bfb7
Incorporation date1963-06-27CMS Home Health Agency EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · 80bfb7
State of incorporationKYCMS Home Health Agency EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · 80bfb7
Street address1916 CUMBERLAND AVECMS Home Health Agency EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · 80bfb7
CityMIDDLESBOROCMS Home Health Agency EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · 80bfb7
StateKYCMS Home Health Agency EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · 80bfb7
ZIP40965-1231CMS Home Health Agency EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · 80bfb7

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