Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

HORIZON HEALTH CARE INC.

NPI: 1316054935 · MARTIN, SD 57551 · Federally Qualified Health Center (FQHC) · NPI assigned 08/23/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official MENGENHAUSEN, JOHN controls 20+ related entities in our dataset. Read more

$3.32M
Total Medicaid Paid
28,861
Total Claims
25,265
Beneficiaries
36
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMENGENHAUSEN, JOHN (CEO)
NPI Enumeration Date08/23/2006

Related Entities

Other providers sharing the same authorized official: MENGENHAUSEN, JOHN

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 3,842 $286K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,378 7,766 $1.52M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,406 3,699 $630K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,688 1,595 $162K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 819 756 $140K
36415 Collection of venous blood by venipuncture 2,161 1,843 $125K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 715 634 $101K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 560 263 $96K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 611 547 $94K
W0037 4,573 4,573 $93K
90686 501 489 $68K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 384 359 $67K
80053 Comprehensive metabolic panel 300 275 $44K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 240 225 $43K
99000 218 203 $37K
81003 127 119 $21K
90472 Immunization administration, each additional vaccine (list separately) 637 607 $16K
99188 282 268 $14K
90651 219 211 $10K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 49 48 $8K
Q3014 Telehealth originating site facility fee 346 238 $8K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 103 80 $6K
87807 31 31 $5K
80061 Lipid panel 27 26 $4K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 111 60 $3K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 14 14 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 13 13 $2K
83036 Hemoglobin; glycosylated (A1C) 14 14 $2K
90734 148 136 $0.00
90715 63 56 $0.00
90707 13 13 $0.00
90661 14 13 $0.00
90716 12 12 $0.00
36416 14 12 $0.00
90656 37 37 $0.00
90620 14 13 $0.00
90674 19 17 $0.00