Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › SD › Spearfish › NPI 1003295924
Physician

Monument Health Network, INC.

Monument Health Network, INC. was paid $18K by Medicaid between Feb 2018 and Nov 2024, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 64% of everything it billed.

33Billing provider infoMONUMENT HEALTH NETWORK, INC.
SPEARFISH, SD 57783
33aNPI1003295924assigned 05/26/2015
33bProvider typeDermatology Physician
28Total paid$18K
24GClaims487
24DCodes billed4
24AFirst – last monthFeb 2018 – Nov 2024
Compared with peers

Next to other Dermatology Physician providers in South Dakota

Rank by total paid#5 of 7
Median peer was paid$43K
This provider vs. median0.4×

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 WORSLEY, THOMAS controls 13+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$1.0K$2.0K$3.0K2018201920202021202220232024
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
YearClaimsPaid
201862$1K
201957$1K
202012$465.13
202153$2K
202213$437.26
202344$868.71
2024incomplete246$12K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 64% 336 307 $11K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 28% 77 65 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5.8% 58 52 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 2.8% 16 12 $495.71

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 officialWORSLEY, THOMAS (PRESIDENT SPEARFISH HOSPITAL)
Same official

Other billing entities under WORSLEY, THOMAS

Full network →
ProviderLocationPaid
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

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.