Ortonville Area Health Services
Ortonville Area Health Services was paid $834K by Medicaid between Jan 2018 and Dec 2024, across 35 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.
ORTONVILLE, MN 56278
Next to other Critical Access Hospital 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 | |
|---|---|---|---|
| 2018 | 4,445 | $33K | |
| 2019 | 4,805 | $146K | |
| 2020 | 3,240 | $96K | |
| 2021 | 6,519 | $157K | |
| 2022 | 4,113 | $154K | |
| 2023 | 4,406 | $139K | |
| 2024incomplete | 2,899 | $109K |
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 | 48% | 13,983 | 9,961 | $400K |
| 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 | 30% | 6,200 | 4,084 | $252K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 5.0% | 277 | 265 | $41K |
| 36415 | Collection of venous blood by venipuncture | 3.9% | 2,668 | 2,308 | $33K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 2.5% | 885 | 873 | $21K |
| S5170 | Home delivered meals, including preparation; per meal | 2.0% | 2,489 | 97 | $16K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.7% | 258 | 250 | $14K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.1% | 142 | 88 | $10K |
| 80053 | Comprehensive metabolic panel | 1.1% | 136 | 119 | $10K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 304 | 282 | $8K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 481 | 461 | $6K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 107 | 107 | $5K |
23 more codes
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 67 | $4K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 456 | $3K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 45 | $2K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 35 | $2K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 65 | $2K |
| 99188 | <1% | 114 | $1K | |
| 90686 | <1% | 316 | $1K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 29 | $1K |
| 87634 | <1% | 12 | $986.17 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 14 | $903.86 |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 60 | $622.16 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 12 | $493.79 |
| 92551 | <1% | 96 | $470.80 | |
| 0071A | <1% | 14 | $314.92 | |
| 0002A | <1% | 13 | $260.01 | |
| 0001A | <1% | 12 | $124.71 | |
| 81003 | <1% | 42 | $97.72 | |
| 99173 | <1% | 70 | $61.20 | |
| 96127 | <1% | 473 | $37.76 | |
| 85018 | <1% | 13 | $37.31 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 98 | $18.03 |
| X5622 | 0% | 379 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 62 | $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 |
|---|---|---|
| Sunset Community Health Center INC | Yuma, AZ | $82.35M |
| Sunset Community Health Center | Yuma, AZ | $850K |
| Sunset Community Health Center INC | San Luis, AZ | $167K |
| DRN Medical LLC | Easley, SC | $150K |
| Ortonville Area Health Services | Ortonville, MN | $138K |
| Ortonville Area Health Services | Ortonville, MN | $75K |
| Sunset Community Health Center INC | Somerton, AZ | $63K |
| Sunset Community Health Center | San Luis, AZ | $32K |
| Sunset Community Health Center | Somerton, AZ | $28K |
| Sunset Community Health Center INC | Wellton, AZ | $10K |
| Jackson Anesthesia Associates INC | Marianna, FL | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.