Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MONUMENT HEALTH NETWORK, INC.

NPI: 1003295924 · SPEARFISH, SD 57783 · Dermatology Physician · NPI assigned 05/26/2015

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official WORSLEY, THOMAS controls 13+ related entities in our dataset. Read more

$18K
Total Medicaid Paid
487
Total Claims
436
Beneficiaries
4
Codes Billed
2018-02
First Month
2024-11
Last Month

Provider Details

Authorized OfficialWORSLEY, THOMAS (PRESIDENT SPEARFISH HOSPITAL)
NPI Enumeration Date05/26/2015

Related Entities

Other providers sharing the same authorized official: WORSLEY, THOMAS

ProviderCityStateTotal Paid
MONUMENT HEALTH NETWORK, INC. SPEARFISH SD $2.02M
MONUMENT HEALTH NETWORK, INC. SPEARFISH SD $1.82M
MONUMENT HEALTH NETWORK, INC. BELLE FOURCHE SD $879K
MONUMENT HEALTH NETWORK, INC. SPEARFISH SD $743K
MONUMENT HEALTH NETWORK, INC. SPEARFISH SD $441K
MONUMENT HEALTH NETWORK, INC. SPEARFISH SD $220K
MONUMENT HEALTH NETWORK, INC. SPEARFISH SD $101K
MONUMENT HEALTH NETWORK, INC. NEWCASTLE WY $94K
MONUMENT HEALTH NETWORK, INC. SPEARFISH SD $15K
MONUMENT HEALTH NETWORK, INC. BELLE FOURCHE SD $14K
MONUMENT HEALTH NETWORK, INC. SPEARFISH SD $8K
MONUMENT HEALTH NETWORK, INC. SPEARFISH SD $2K
MONUMENT HEALTH NETWORK, INC. BUFFALO SD $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 62 $1K
2019 57 $1K
2020 12 $465.13
2021 53 $2K
2022 13 $437.26
2023 44 $868.71
2024 246 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 336 307 $11K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 77 65 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 58 52 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 16 12 $495.71