Behavioral
Rural Health Care, INC
Rural Health Care, INC was paid $15.92M by Medicaid between Jan 2018 and Dec 2024, across 103 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.
33Billing provider infoRURAL HEALTH CARE, INC
WORTHINGTON, MN 56187
WORTHINGTON, MN 56187
33aNPI1215317375assigned 06/04/2015
33bProvider typePsychologist
28Total paid$15.92M
24GClaims192,133
24DCodes billed103
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Psychologist providers in Minnesota
Rank by total paid#4 of 100
Median peer was paid$162K
This provider vs. median98×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official HARDWICK, JAMES controls 12+ related entities in our dataset. Read more
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 | 49,531 | $2.31M | |
| 2019 | 47,178 | $2.37M | |
| 2020 | 23,025 | $1.86M | |
| 2021 | 21,557 | $2.22M | |
| 2022 | 16,988 | $2.20M | |
| 2023 | 17,364 | $2.44M | |
| 2024incomplete | 16,490 | $2.52M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 53% | 48,239 | 39,609 | $8.45M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 15% | 12,716 | 9,111 | $2.41M |
| 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 | 13% | 11,217 | 10,017 | $2.11M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.6% | 6,407 | 6,053 | $1.22M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.0% | 5,746 | 5,433 | $1.11M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.7% | 1,642 | 1,502 | $270K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 729 | 665 | $127K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 564 | 297 | $120K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | <1% | 185 | 145 | $36K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 110 | 65 | $15K |
| X5622 | <1% | 242 | 180 | $13K | |
| 99381 | <1% | 50 | 47 | $10K |
91 more codes
| 99442 | <1% | 47 | $10K | |
| 99188 | <1% | 3,122 | $6K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 18 | $4K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | $3K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 12 | $3K |
| G0467 | Community health center visit, returning patient | <1% | 120 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 9,474 | $2K |
| 80053 | Comprehensive metabolic panel | <1% | 1,447 | $1K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 3,927 | $1K |
| V5008 | Hearing screening | <1% | 5,121 | $920.70 |
| 80061 | Lipid panel | <1% | 990 | $844.03 |
| 90838 | <1% | 247 | $813.96 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 8,903 | $430.44 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 13,053 | $414.00 |
| 90670 | <1% | 3,685 | $406.04 | |
| 80050 | General health panel | <1% | 216 | $355.42 |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 724 | $261.55 |
| 83655 | <1% | 1,537 | $251.09 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 315 | $230.22 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 4,411 | $207.90 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,751 | $206.01 |
| 36416 | <1% | 3,608 | $168.30 | |
| 90715 | <1% | 965 | $166.33 | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 365 | $142.63 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 527 | $132.31 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 524 | $119.81 |
| 81001 | <1% | 1,349 | $114.68 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 3,497 | $114.34 |
| 84439 | <1% | 639 | $102.39 | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 520 | $93.88 |
| 99173 | <1% | 5,154 | $85.47 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 950 | $64.56 |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 1,134 | $61.23 |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 15 | $60.10 |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 555 | $55.33 |
| 85018 | <1% | 1,492 | $27.84 | |
| 81003 | <1% | 1,026 | $26.28 | |
| 90656 | <1% | 200 | $20.02 | |
| 90686 | <1% | 3,422 | $18.65 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 89 | $15.29 |
| 90633 | <1% | 2,060 | $0.01 | |
| 0011A | 0% | 15 | $0.00 | |
| 90696 | 0% | 293 | $0.00 | |
| 87081 | 0% | 84 | $0.00 | |
| 90723 | 0% | 2,658 | $0.00 | |
| 90716 | 0% | 320 | $0.00 | |
| 0240U | 0% | 147 | $0.00 | |
| 82120 | 0% | 234 | $0.00 | |
| 90651 | 0% | 341 | $0.00 | |
| 90697 | 0% | 630 | $0.00 | |
| 76819 | Fetal biophysical profile; without non-stress testing | 0% | 136 | $0.00 |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | 0% | 14 | $0.00 |
| 86140 | 0% | 78 | $0.00 | |
| 0001A | 0% | 55 | $0.00 | |
| 0012A | 0% | 32 | $0.00 | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 0% | 26 | $0.00 |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 0% | 154 | $0.00 |
| 80081 | 0% | 16 | $0.00 | |
| 83550 | 0% | 12 | $0.00 | |
| 87088 | 0% | 13 | $0.00 | |
| 82728 | 0% | 25 | $0.00 | |
| 86780 | 0% | 12 | $0.00 | |
| 76801 | 0% | 13 | $0.00 | |
| 82950 | 0% | 45 | $0.00 | |
| 91307 | 0% | 17 | $0.00 | |
| 81025 | 0% | 344 | $0.00 | |
| 90681 | 0% | 1,905 | $0.00 | |
| 90700 | 0% | 408 | $0.00 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 0% | 26 | $0.00 |
| 90648 | 0% | 3,551 | $0.00 | |
| 90671 | 0% | 904 | $0.00 | |
| T1013 | Sign language or oral interpretive services, per 15 minutes | 0% | 763 | $0.00 |
| 90685 | 0% | 228 | $0.00 | |
| 90710 | 0% | 418 | $0.00 | |
| 0002A | 0% | 51 | $0.00 | |
| 90707 | 0% | 334 | $0.00 | |
| 90734 | 0% | 472 | $0.00 | |
| 87186 | 0% | 13 | $0.00 | |
| 87420 | 0% | 504 | $0.00 | |
| 87210 | 0% | 391 | $0.00 | |
| 90863 | 0% | 44 | $0.00 | |
| 90836 | 0% | 15 | $0.00 | |
| 74018 | 0% | 102 | $0.00 | |
| 99199 | Unlisted special service, procedure or report | 0% | 82 | $0.00 |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 0% | 29 | $0.00 |
| 82947 | 0% | 29 | $0.00 | |
| 87631 | 0% | 14 | $0.00 | |
| 96381 | 0% | 14 | $0.00 | |
| 90473 | 0% | 13 | $0.00 | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 0% | 14 | $0.00 |
| 83540 | 0% | 25 | $0.00 |
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 officialHARDWICK, JAMES (CEO)
| Provider | Location | Paid |
|---|---|---|
| Rural Health Care, INC | Marshall, MN | $10.08M |
| Rural Health Care, INC | Mitchell, SD | $4.41M |
| Rural Health Care, INC | Brookings, SD | $2.11M |
| Rural Health Care, INC | Windom, MN | $1.60M |
| Rural Health Care, INC. | Chamberlain, SD | $233K |
| Rural Health Care, INC. | Fulda, MN | $229K |
| Rural Health Care, INC. | Fort Pierre, SD | $156K |
| Rural Health Care, INC. | Murdo, SD | $81K |
| Rural Health Care, INC. | Highmore, SD | $65K |
| Rural Health Care, INC | Presho, SD | $24K |
| Rural Health Care, INC | Onida, SD | $225.00 |
| Rural Health Care, INC | Kennebec, SD | $156.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.