Clinic
Rural Health Care, INC
Rural Health Care, INC was paid $2.11M by Medicaid between Nov 2020 and Dec 2024, across 30 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 57% of everything it billed.
33Billing provider infoRURAL HEALTH CARE, INC
BROOKINGS, SD 57006
BROOKINGS, SD 57006
33aNPI1386254191assigned 08/06/2020
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$2.11M
24GClaims31,460
24DCodes billed30
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in South Dakota
Rank by total paid#7 of 39
Median peer was paid$185K
This provider vs. median11×
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 | |
|---|---|---|---|
| 2020 | 186 | $8K | |
| 2021 | 5,951 | $493K | |
| 2022 | 7,141 | $531K | |
| 2023 | 8,958 | $484K | |
| 2024incomplete | 9,224 | $593K |
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 | 57% | 9,990 | 8,221 | $1.19M |
| 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 | 21% | 4,552 | 3,982 | $437K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.2% | 1,067 | 1,022 | $152K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.6% | 958 | 935 | $138K |
| W0037 | 3.9% | 4,532 | 4,532 | $82K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.9% | 288 | 278 | $41K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.5% | 1,692 | 1,608 | $33K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 117 | 115 | $18K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 58 | 55 | $6K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 46 | 40 | $5K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 15 | 14 | $2K |
| 90686 | <1% | 821 | 783 | $1K |
18 more codes
| 91322 | <1% | 62 | $490.48 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 86 | $278.38 |
| 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% | 586 | $220.96 |
| 90473 | <1% | 371 | $172.82 | |
| 90656 | <1% | 258 | $150.20 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,099 | $131.89 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 91 | $85.12 |
| 90480 | <1% | 56 | $16.00 | |
| 90680 | 0% | 462 | $0.00 | |
| 90723 | 0% | 252 | $0.00 | |
| 90697 | 0% | 211 | $0.00 | |
| 90651 | 0% | 29 | $0.00 | |
| 90671 | 0% | 348 | $0.00 | |
| 90633 | 0% | 78 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 1,458 | $0.00 |
| 90670 | 0% | 404 | $0.00 | |
| 90648 | 0% | 402 | $0.00 | |
| 90710 | 0% | 71 | $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 | Worthington, MN | $15.92M |
| Rural Health Care, INC | Marshall, MN | $10.08M |
| Rural Health Care, INC | Mitchell, SD | $4.41M |
| 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.