Regional Health Network INC

Regional Health Network INC was paid $20K by Medicaid between Jan 2018 and Feb 2018, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 61% of everything it billed.

33Billing provider infoREGIONAL HEALTH NETWORK INC
STURGIS, SD 57785

33aNPI1881073005assigned 05/20/2015

33bProvider typeMulti-Specialty Clinic/Center

28Total paid$20K

24GClaims677

24DCodes billed9

24AFirst – last monthJan 2018 – Feb 2018

Compared with peers

Next to other Multi-Specialty Clinic/Center providers in South Dakota

Rank by total paid#18 of 24

Median peer was paid$251K

This provider vs. median0.1×

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	677	$20K

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	61%	325	204	$12K
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	22%	68	51	$4K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	7.5%	47	33	$1K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	5.0%	61	40	$1K
36415	Collection of venous blood by venipuncture	1.3%	80	59	$260.83
85025	Blood count; complete (CBC), automated, and automated differential WBC count	1.3%	29	20	$258.88
80053	Comprehensive metabolic panel	1.2%	27	21	$247.69
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	24	16	$183.25
90686		<1%	16	12	$17.13

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 officialRICHARDS, KYLE (PRESIDENT RHN)

Parent organizationREGIONAL HEALTH NETWORK INC