Clinic
Horizon Health Care INC.
Horizon Health Care INC. was paid $3.32M by Medicaid between Jan 2018 and Dec 2024, across 36 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.
33Billing provider infoHORIZON HEALTH CARE INC.
MARTIN, SD 57551
MARTIN, SD 57551
33aNPI1316054935assigned 08/23/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$3.32M
24GClaims28,861
24DCodes billed36
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in South Dakota
Rank by total paid#4 of 39
Median peer was paid$185K
This provider vs. median18×
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 MENGENHAUSEN, JOHN controls 20+ 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 | 5,877 | $874K | |
| 2019 | 5,457 | $802K | |
| 2020 | 2,666 | $302K | |
| 2021 | 3,749 | $467K | |
| 2022 | 3,275 | $361K | |
| 2023 | 3,995 | $233K | |
| 2024incomplete | 3,842 | $286K |
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 | 46% | 9,378 | 7,766 | $1.52M |
| 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 | 19% | 4,406 | 3,699 | $630K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.9% | 1,688 | 1,595 | $162K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 4.2% | 819 | 756 | $140K |
| 36415 | Collection of venous blood by venipuncture | 3.8% | 2,161 | 1,843 | $125K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.0% | 715 | 634 | $101K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.9% | 560 | 263 | $96K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 2.8% | 611 | 547 | $94K |
| W0037 | 2.8% | 4,573 | 4,573 | $93K | |
| 90686 | 2.1% | 501 | 489 | $68K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.0% | 384 | 359 | $67K |
| 80053 | Comprehensive metabolic panel | 1.3% | 300 | 275 | $44K |
24 more codes
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.3% | 240 | $43K |
| 99000 | 1.1% | 218 | $37K | |
| 81003 | <1% | 127 | $21K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 637 | $16K |
| 99188 | <1% | 282 | $14K | |
| 90651 | <1% | 219 | $10K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 49 | $8K |
| Q3014 | Telehealth originating site facility fee | <1% | 346 | $8K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 103 | $6K |
| 87807 | <1% | 31 | $5K | |
| 80061 | Lipid panel | <1% | 27 | $4K |
| G0467 | Community health center visit, returning patient | <1% | 111 | $3K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 14 | $3K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 13 | $2K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 14 | $2K |
| 90734 | 0% | 148 | $0.00 | |
| 90715 | 0% | 63 | $0.00 | |
| 90707 | 0% | 13 | $0.00 | |
| 90661 | 0% | 14 | $0.00 | |
| 90716 | 0% | 12 | $0.00 | |
| 36416 | 0% | 14 | $0.00 | |
| 90656 | 0% | 37 | $0.00 | |
| 90620 | 0% | 14 | $0.00 | |
| 90674 | 0% | 19 | $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 officialMENGENHAUSEN, JOHN (CEO)
| Provider | Location | Paid |
|---|---|---|
| Horizon Health Care, INC | Mission, SD | $9.68M |
| Horizon Health Care INC | Huron, SD | $3.21M |
| Horizon Health Care INC | Eagle Butte, SD | $2.31M |
| Horizon Health Care, INC | White River, SD | $1.19M |
| Horizon Health Care INC | Howard, SD | $1.13M |
| Horizon Health Care INC | Plankinton, SD | $914K |
| Horizon Health Care INC | Fort Thompson, SD | $706K |
| Horizon Health Care INC | Yankton, SD | $507K |
| Horizon Health Care INC | Elk Point, SD | $437K |
| Horizon Health Care INC | De Smet, SD | $380K |
| Horizon Health Care INC | Desmet, SD | $347K |
| Horizon Health Care INC | Howard, SD | $327K |
| Horizon Health Care INC | Wessington Springs, SD | $323K |
| Horizon Health Care INC | Aberdeen, SD | $185K |
| Horizon Health Care INC | Wessington Springs, SD | $176K |
| Horizon Health Care INC | Faith, SD | $154K |
| Horizon Health Care INC | Alcester, SD | $133K |
| Horizon Health Care INC | Howard, SD | $99K |
| Horizon Health Care INC | Woonsocket, SD | $71K |
| Horizon Health Care INC | Yankton, SD | $51K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.