NP / PA
Horizon Health Care INC
Horizon Health Care INC was paid $1.13M by Medicaid between Dec 2019 and Dec 2024, across 58 billing codes. Its largest line is 87428, — 19% of everything it billed.
33Billing provider infoHORIZON HEALTH CARE INC
HOWARD, SD 57349
HOWARD, SD 57349
33aNPI1821038514assigned 06/08/2006
33bProvider typePhysician Assistant
28Total paid$1.13M
24GClaims76,851
24DCodes billed58
24AFirst – last monthDec 2019 – Dec 2024
Compared with peers
Next to other Physician Assistant providers in South Dakota
Rank by total paid#1 of 8
Median peer was paid$11K
This provider vs. median107×
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 MENGENHAUSEN, JOHN controls 20+ 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 | 1,092 | $12K | |
| 2020 | 8,748 | $99K | |
| 2021 | 16,637 | $243K | |
| 2022 | 18,381 | $269K | |
| 2023 | 15,528 | $198K | |
| 2024incomplete | 16,465 | $313K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 87428 | 19% | 5,421 | 5,139 | $218K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 16% | 12,567 | 11,349 | $181K |
| Q3014 | Telehealth originating site facility fee | 12% | 5,890 | 4,125 | $135K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 9.8% | 7,476 | 3,482 | $111K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 7.9% | 2,802 | 2,704 | $90K |
| 99188 | 6.4% | 3,169 | 3,071 | $72K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 4.1% | 7,259 | 6,103 | $46K |
| 80053 | Comprehensive metabolic panel | 2.7% | 3,542 | 3,021 | $30K |
| 87807 | 2.0% | 1,953 | 1,821 | $23K | |
| 80050 | General health panel | 1.9% | 441 | 368 | $21K |
| 81025 | 1.9% | 3,023 | 2,606 | $21K | |
| 83036 | Hemoglobin; glycosylated (A1C) | 1.8% | 2,594 | 2,303 | $20K |
46 more codes
| 80061 | Lipid panel | 1.8% | 1,878 | $20K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.5% | 2,047 | $18K |
| 81003 | 1.1% | 6,709 | $13K | |
| 0072A | 1.0% | 336 | $12K | |
| 0071A | <1% | 330 | $11K | |
| 0001A | <1% | 317 | $11K | |
| 0002A | <1% | 310 | $11K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 400 | $7K |
| 0054A | <1% | 263 | $7K | |
| 83655 | <1% | 589 | $6K | |
| 80305 | <1% | 456 | $5K | |
| 87808 | <1% | 317 | $4K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 246 | $4K |
| 0124A | <1% | 171 | $4K | |
| 90686 | <1% | 1,164 | $3K | |
| 85027 | <1% | 640 | $3K | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 363 | $3K |
| 0052A | <1% | 83 | $3K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 65 | $2K |
| 0074A | <1% | 64 | $2K | |
| 0051A | <1% | 69 | $2K | |
| 85018 | <1% | 908 | $2K | |
| 0154A | <1% | 100 | $2K | |
| 0004A | <1% | 47 | $1K | |
| 82044 | <1% | 270 | $1K | |
| 87905 | <1% | 116 | $1K | |
| 86703 | <1% | 82 | $877.44 | |
| 86780 | <1% | 82 | $858.81 | |
| 0012A | <1% | 22 | $753.67 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 49 | $688.80 |
| 74018 | <1% | 41 | $659.67 | |
| 82948 | <1% | 139 | $604.80 | |
| 0011A | <1% | 22 | $526.00 | |
| 73630 | <1% | 30 | $338.76 | |
| 73560 | <1% | 13 | $229.97 | |
| 90651 | <1% | 71 | $206.65 | |
| 90715 | <1% | 50 | $158.93 | |
| 90734 | <1% | 50 | $137.99 | |
| 98966 | 0% | 17 | $0.00 | |
| 91300 | 0% | 622 | $0.00 | |
| 91312 | 0% | 153 | $0.00 | |
| 91307 | 0% | 650 | $0.00 | |
| 91305 | 0% | 217 | $0.00 | |
| 91315 | 0% | 81 | $0.00 | |
| 91301 | 0% | 53 | $0.00 | |
| 90674 | 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.
From NPPES
Who's on the registration
Authorized officialMENGENHAUSEN, JOHN (CEO)
| Provider | Location | Paid |
|---|---|---|
| Horizon Health Care, INC | Mission, SD | $9.68M |
| Horizon Health Care INC. | Martin, SD | $3.32M |
| Horizon Health Care INC | Huron, SD | $3.21M |
| Horizon Health Care INC | Eagle Butte, SD | $2.31M |
| Horizon Health Care, INC | White River, SD | $1.19M |
| Horizon Health Care INC | Plankinton, SD | $914K |
| Horizon Health Care INC | Fort Thompson, SD | $706K |
| Horizon Health Care INC | Yankton, SD | $507K |
| Horizon Health Care INC | Elk Point, SD | $437K |
| Horizon Health Care INC | De Smet, SD | $380K |
| Horizon Health Care INC | Desmet, SD | $347K |
| Horizon Health Care INC | Howard, SD | $327K |
| Horizon Health Care INC | Wessington Springs, SD | $323K |
| Horizon Health Care INC | Aberdeen, SD | $185K |
| Horizon Health Care INC | Wessington Springs, SD | $176K |
| Horizon Health Care INC | Faith, SD | $154K |
| Horizon Health Care INC | Alcester, SD | $133K |
| Horizon Health Care INC | Howard, SD | $99K |
| Horizon Health Care INC | Woonsocket, SD | $71K |
| Horizon Health Care INC | Yankton, SD | $51K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.