NP / PA
Hometown Family Health PLLC
Hometown Family Health PLLC was paid $101K by Medicaid between Aug 2022 and Dec 2024, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.
33Billing provider infoHOMETOWN FAMILY HEALTH PLLC
PLANKINTON, SD 57368
PLANKINTON, SD 57368
33aNPI1699417295assigned 04/13/2022
33bProvider typeFamily Nurse Practitioner
28Total paid$101K
24GClaims5,329
24DCodes billed20
24AFirst – last monthAug 2022 – Dec 2024
Compared with peers
Next to other Family Nurse Practitioner providers in South Dakota
Rank by total paid#3 of 6
Median peer was paid$38K
This provider vs. median2.7×
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.
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 | |
|---|---|---|---|
| 2022 | 1,242 | $5K | |
| 2023 | 2,646 | $52K | |
| 2024incomplete | 1,441 | $45K |
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 | 47% | 1,490 | 948 | $47K |
| 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 | 23% | 513 | 346 | $23K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 7.2% | 120 | 95 | $7K |
| 36415 | Collection of venous blood by venipuncture | 3.2% | 795 | 492 | $3K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 2.7% | 107 | 88 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.5% | 91 | 70 | $3K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 2.2% | 57 | 42 | $2K |
| 80050 | General health panel | 1.9% | 37 | 32 | $2K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.5% | 363 | 245 | $2K |
| 96127 | 1.4% | 679 | 297 | $1K | |
| 80053 | Comprehensive metabolic panel | 1.4% | 233 | 168 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.3% | 17 | 14 | $1K |
8 more codes
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.2% | 79 | $1K |
| 80061 | Lipid panel | 1.0% | 140 | $1K |
| 84443 | Thyroid stimulating hormone (TSH) | 1.0% | 95 | $1K |
| W0037 | <1% | 305 | $915.00 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 36 | $567.49 |
| 99173 | <1% | 34 | $339.75 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 115 | $178.74 |
| 90686 | <1% | 23 | $18.47 |
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 officialSPINAR, APRIL (OWNER)