Horizon Health Care INC
Horizon Health Care INC was paid $437K by Medicaid between Jan 2018 and Nov 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 63% of everything it billed.
ELK POINT, SD 57025
Next to other Federally Qualified Health Center (FQHC) providers in South Dakota
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 | 391 | $56K | |
| 2019 | 344 | $47K | |
| 2020 | 252 | $36K | |
| 2021 | 494 | $72K | |
| 2022 | 451 | $59K | |
| 2023 | 681 | $63K | |
| 2024incomplete | 832 | $105K |
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 | 63% | 1,973 | 1,530 | $274K |
| 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 | 31% | 1,017 | 783 | $137K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.5% | 84 | 80 | $11K |
| 90686 | 2.2% | 53 | 52 | $9K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.0% | 30 | 13 | $4K |
| W0037 | <1% | 288 | 288 | $864.00 |
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 |
|---|---|---|
| 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 | Howard, SD | $1.13M |
| 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 | 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.