Rural Health Care, INC
Rural Health Care, INC was paid $10.08M by Medicaid between Jan 2022 and Dec 2024, across 53 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 61% of everything it billed.
MARSHALL, MN 56258
Next to other Federally Qualified Health Center (FQHC) providers in Minnesota
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2022 | 25,947 | $2.85M | |
| 2023 | 30,511 | $3.77M | |
| 2024incomplete | 24,338 | $3.46M |
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 | 61% | 27,689 | 25,375 | $6.12M |
| 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 | 27% | 14,338 | 12,930 | $2.76M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.6% | 1,628 | 1,514 | $363K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.1% | 1,073 | 940 | $217K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.8% | 762 | 733 | $178K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.4% | 657 | 478 | $145K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.0% | 467 | 377 | $104K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 401 | 359 | $69K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 198 | 191 | $46K |
| G0467 | Community health center visit, returning patientFederally 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 | <1% | 416 | 381 | $13K |
| X5622 | <1% | 224 | 161 | $12K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 1,059 | 989 | $11K |
41 more codes
| 99188 | <1% | 641 | $10K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 57 | $7K |
| 36415 | Collection of venous blood by venipuncture | <1% | 8,987 | $5K |
| 0240U | <1% | 774 | $4K | |
| 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% | 2,091 | $4K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 15 | $3K |
| 90677 | <1% | 40 | $2K | |
| 80053 | Comprehensive metabolic panel | <1% | 1,800 | $2K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 711 | $2K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 2,288 | $1K |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit | <1% | 39 | $1K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 2,663 | $935.38 |
| 90686 | <1% | 1,763 | $312.78 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 201 | $174.79 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,231 | $118.66 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 37 | $62.97 |
| 81003 | <1% | 383 | $27.62 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 67 | $25.80 |
| 85027 | <1% | 376 | $19.51 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,139 | $9.94 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 89 | $0.00 |
| 90697 | 0% | 53 | $0.00 | |
| 90647 | 0% | 142 | $0.00 | |
| 90680 | 0% | 122 | $0.00 | |
| 36416 | 0% | 147 | $0.00 | |
| 90723 | 0% | 108 | $0.00 | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 0% | 121 | $0.00 |
| 90651 | 0% | 89 | $0.00 | |
| 90656 | 0% | 274 | $0.00 | |
| 85018 | 0% | 136 | $0.00 | |
| 90670 | 0% | 250 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 2,415 | $0.00 |
| 90633 | 0% | 105 | $0.00 | |
| 90461 | 0% | 1,041 | $0.00 | |
| 90710 | 0% | 96 | $0.00 | |
| 90715 | 0% | 83 | $0.00 | |
| 90671 | 0% | 170 | $0.00 | |
| 90473 | 0% | 71 | $0.00 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 13 | $0.00 |
| 90734 | 0% | 44 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 12 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Rural Health Care, INC | Worthington, MN | $15.92M |
| Rural Health Care, INC | Mitchell, SD | $4.41M |
| 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.