Physician
Rural Health Care, INC
Rural Health Care, INC was paid $4.41M by Medicaid between Nov 2019 and Dec 2024, across 55 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
MITCHELL, SD 57301
MITCHELL, SD 57301
33aNPI1669027678assigned 08/06/2019
33bProvider typeFamily Medicine Physician
28Total paid$4.41M
24GClaims56,169
24DCodes billed55
24AFirst – last monthNov 2019 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in South Dakota
Rank by total paid#1 of 40
Median peer was paid$144K
This provider vs. median31×
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 | |
|---|---|---|---|
| 2019 | 1,600 | $137K | |
| 2020 | 4,684 | $352K | |
| 2021 | 9,694 | $807K | |
| 2022 | 11,069 | $903K | |
| 2023 | 14,293 | $1.01M | |
| 2024incomplete | 14,829 | $1.20M |
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% | 17,935 | 14,432 | $2.32M |
| 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% | 8,462 | 7,508 | $931K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.7% | 1,683 | 1,399 | $251K |
| W0037 | 4.3% | 7,663 | 7,663 | $190K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.2% | 1,206 | 1,167 | $187K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 2.8% | 1,110 | 754 | $124K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.1% | 600 | 588 | $93K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.6% | 482 | 463 | $73K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.3% | 424 | 387 | $55K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.2% | 2,024 | 1,914 | $52K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 266 | 241 | $31K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 116 | 106 | $18K |
43 more codes
| 90834 | Psychotherapy session, about 45 minutes | <1% | 145 | $17K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 83 | $13K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 97 | $11K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 72 | $11K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 761 | $7K |
| 99188 | <1% | 314 | $6K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 154 | $6K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,963 | $5K |
| 90686 | <1% | 1,561 | $4K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,769 | $3K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 321 | $569.89 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 24 | $516.18 |
| G0467 | Community health center visit, returning patient | <1% | 26 | $446.08 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 436 | $158.58 |
| 90656 | <1% | 350 | $150.20 | |
| 90670 | <1% | 581 | $101.48 | |
| 90715 | <1% | 165 | $68.78 | |
| 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% | 223 | $66.83 |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 15 | $39.07 |
| 90651 | <1% | 250 | $35.87 | |
| 90680 | 0% | 392 | $0.00 | |
| 90647 | 0% | 369 | $0.00 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 363 | $0.00 |
| 90697 | 0% | 275 | $0.00 | |
| 90723 | 0% | 325 | $0.00 | |
| 90677 | 0% | 158 | $0.00 | |
| 90716 | 0% | 68 | $0.00 | |
| 90480 | 0% | 120 | $0.00 | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 0% | 26 | $0.00 |
| 90381 | 0% | 23 | $0.00 | |
| 96380 | 0% | 20 | $0.00 | |
| 94760 | 0% | 13 | $0.00 | |
| 99177 | 0% | 586 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 125 | $0.00 |
| 90461 | 0% | 1,281 | $0.00 | |
| 90633 | 0% | 185 | $0.00 | |
| 91321 | 0% | 50 | $0.00 | |
| 90671 | 0% | 286 | $0.00 | |
| 90700 | 0% | 26 | $0.00 | |
| 90734 | 0% | 95 | $0.00 | |
| 90707 | 0% | 56 | $0.00 | |
| 90380 | 0% | 17 | $0.00 | |
| 96381 | 0% | 29 | $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 | 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.