Clinic
Prairiestar Health Center, INC
Prairiestar Health Center, INC was paid $13.92M by Medicaid between Jan 2018 and Nov 2024, across 107 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.
33Billing provider infoPRAIRIESTAR HEALTH CENTER, INC
HUTCHINSON, KS 67502
HUTCHINSON, KS 67502
33aNPI1871564534assigned 01/31/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$13.92M
24GClaims174,116
24DCodes billed107
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Kansas
Rank by total paid#2 of 71
Median peer was paid$899K
This provider vs. median15×
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 | |
|---|---|---|---|
| 2018 | 20,430 | $1.36M | |
| 2019 | 23,345 | $1.52M | |
| 2020 | 22,863 | $1.51M | |
| 2021 | 24,194 | $1.81M | |
| 2022 | 30,768 | $2.35M | |
| 2023 | 33,393 | $3.27M | |
| 2024incomplete | 19,123 | $2.10M |
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 | 28% | 24,805 | 21,641 | $3.88M |
| 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 | 21% | 18,052 | 16,499 | $2.99M |
| D1120 | Dental cleaning, childProphylaxis - child | 7.0% | 6,832 | 6,650 | $977K |
| D1110 | Prophylaxis - adult | 5.8% | 5,302 | 5,184 | $811K |
| D0140 | Limited oral evaluation - problem focused | 4.2% | 3,539 | 3,365 | $589K |
| D0330 | Panoramic radiographic image | 3.4% | 2,763 | 2,698 | $466K |
| D7140 | Extraction, erupted tooth or exposed root | 3.1% | 4,633 | 2,354 | $427K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.0% | 3,626 | 2,599 | $416K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.1% | 1,479 | 1,453 | $293K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.8% | 1,440 | 1,282 | $255K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.8% | 2,775 | 1,994 | $245K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.6% | 1,119 | 1,103 | $228K |
95 more codes
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.6% | 1,110 | $220K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 1.6% | 1,226 | $218K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.3% | 931 | $182K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 1.3% | 925 | $179K |
| 99203 | Doctor's office visit, new patient (routine) | 1.1% | 1,014 | $158K |
| D1206 | Topical application of fluoride varnish | 1.1% | 6,082 | $148K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.0% | 2,726 | $140K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 722 | $124K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 798 | $117K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 688 | $111K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,575 | $96K |
| D1351 | Sealant - per tooth | <1% | 7,194 | $91K |
| V2020 | Frames, purchases | <1% | 2,102 | $90K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 558 | $90K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 430 | $78K |
| D0274 | Bitewings - four radiographic images | <1% | 3,594 | $52K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 268 | $50K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 4,324 | $23K |
| D0120 | Dental checkup, returning patient | <1% | 3,664 | $22K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 103 | $19K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 97 | $15K |
| 99383 | <1% | 74 | $14K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 75 | $11K |
| 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% | 389 | $10K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 579 | $10K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 264 | $8K |
| G0467 | Community health center visit, returning patient | <1% | 9,291 | $8K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 6,625 | $7K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 118 | $7K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 42 | $6K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 3,048 | $6K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 118 | $5K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 32 | $5K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 188 | $4K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 3,015 | $4K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 831 | $3K |
| 99382 | <1% | 13 | $3K | |
| 99384 | <1% | 12 | $2K | |
| V2760 | Scratch resistant coating, per lens | <1% | 194 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 333 | $2K |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 14 | $2K |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | <1% | 174 | $2K |
| 99381 | <1% | 14 | $1K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 880 | $1K |
| 80053 | Comprehensive metabolic panel | <1% | 471 | $1K |
| 90670 | <1% | 619 | $715.03 | |
| 92015 | Determination of refractive state | <1% | 3,533 | $569.37 |
| D2330 | <1% | 15 | $560.31 | |
| D1354 | <1% | 15 | $527.00 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 117 | $440.14 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 1,126 | $438.68 |
| 80061 | Lipid panel | <1% | 143 | $419.54 |
| 36415 | Collection of venous blood by venipuncture | <1% | 7,672 | $296.61 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 770 | $276.50 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 184 | $225.63 |
| 81002 | <1% | 224 | $210.21 | |
| D0272 | Bitewings - two radiographic images | <1% | 2,009 | $206.77 |
| 90686 | <1% | 2,315 | $200.54 | |
| 90688 | <1% | 184 | $123.76 | |
| 90662 | <1% | 31 | $79.21 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 103 | $34.29 |
| 90633 | 0% | 360 | $0.00 | |
| 90671 | 0% | 411 | $0.00 | |
| 3078F | 0% | 500 | $0.00 | |
| D0191 | 0% | 3,554 | $0.00 | |
| 92568 | 0% | 177 | $0.00 | |
| 90715 | 0% | 369 | $0.00 | |
| 90710 | 0% | 226 | $0.00 | |
| 90734 | 0% | 236 | $0.00 | |
| 90682 | 0% | 122 | $0.00 | |
| 90687 | 0% | 66 | $0.00 | |
| 90473 | 0% | 20 | $0.00 | |
| 90621 | 0% | 47 | $0.00 | |
| 90681 | 0% | 19 | $0.00 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 0% | 32 | $0.00 |
| 36416 | 0% | 1,048 | $0.00 | |
| 90619 | 0% | 190 | $0.00 | |
| 1111F | 0% | 563 | $0.00 | |
| 90474 | 0% | 205 | $0.00 | |
| 3074F | 0% | 466 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 207 | $0.00 |
| 90744 | 0% | 33 | $0.00 | |
| 90651 | 0% | 499 | $0.00 | |
| 90697 | 0% | 123 | $0.00 | |
| 3075F | 0% | 135 | $0.00 | |
| 90698 | 0% | 353 | $0.00 | |
| 90620 | 0% | 93 | $0.00 | |
| 3044F | 0% | 83 | $0.00 | |
| 90680 | 0% | 188 | $0.00 | |
| 3079F | 0% | 144 | $0.00 | |
| J1010 | Injection, methylprednisolone acetate, 1 mg | 0% | 28 | $0.00 |
| 90696 | 0% | 81 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 15 | $0.00 |
| 90656 | 0% | 41 | $0.00 | |
| D1355 | 0% | 132 | $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 officialANDERSON, JUSTIN (CHIEF EXECUTIVE OFFICER)