Medicaid Provider Spending

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

NPI: 1013921733 · VERMILLION, SD 57069 · Psychologist · NPI assigned 07/28/2006

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

Authorized official MORRISON, TONY controls 20+ related entities in our dataset. Read more

$1.31M
Total Medicaid Paid
36,215
Total Claims
32,038
Beneficiaries
58
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMORRISON, TONY (VICE PRESIDENT, REVENUE CYCLE)
NPI Enumeration Date07/28/2006

Related Entities

Other providers sharing the same authorized official: MORRISON, TONY

ProviderCityStateTotal Paid
SANFORD MEDICAL CENTER FARGO FARGO ND $50.18M
SANFORD HEALTH OF NORTHERN MINNESOTA BEMIDJI MN $47.45M
SANFORD BISMARCK BISMARCK ND $43.96M
SANFORD HEALTH OF NORTHERN MINNESOTA BEMIDJI MN $27.11M
SANFORD MEDICAL CENTER SIOUX FALLS SD $24.40M
FM AMBULANCE SERVICE, INC FARGO ND $23.80M
SANFORD MEDICAL CENTER SIOUX FALLS SD $18.03M
SANFORD HEALTH NETWORK WORTHINGTON MN $7.58M
SANFORD CLINIC SIOUX FALLS SD $6.04M
SANFORD CLINIC SIOUX FALLS SD $5.45M
SANFORD HEALTHCARE ACCESSORIES, LLC FARGO ND $4.79M
SANFORD HEALTH NETWORK NORTH THIEF RIVER FALLS MN $3.28M
SANFORD CLINIC SIOUX FALLS SD $2.96M
SANFORD HEALTH NETWORK JACKSON MN $2.81M
SANFORD CLINIC WATERTOWN SD $2.02M
BLACK HILLS ORTHOPEDIC & SPINE CENTER, INC. RAPID CITY SD $1.71M
SANFORD HEALTH NETWORK CHAMBERLAIN SD $1.47M
SANFORD HEALTH NETWORK LUVERNE MN $1.27M
SANFORD MEDICAL CENTER FARGO PELICAN RAPIDS MN $1.01M
SANFORD MEDICAL CENTER FARGO MAHNOMEN MN $994K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,425 $137K
2019 4,962 $170K
2020 2,596 $100K
2021 5,453 $207K
2022 5,524 $204K
2023 7,156 $242K
2024 6,099 $253K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13,112 10,678 $518K
99284 Emergency department visit for the evaluation and management, high severity 2,101 1,814 $166K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,709 2,468 $159K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 704 607 $86K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,341 1,094 $84K
90460 Immunization administration through 18 years of age via any route, first or only component 1,354 1,316 $53K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 740 719 $46K
99283 Emergency department visit for the evaluation and management, moderate severity 590 523 $31K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,629 2,474 $25K
W0037 3,276 3,276 $15K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 283 250 $14K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 214 209 $14K
99308 Subsequent nursing facility care, per day, straightforward 520 386 $12K
90472 Immunization administration, each additional vaccine (list separately) 603 574 $10K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 167 154 $10K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 82 80 $9K
91320 84 80 $9K
90686 1,589 1,553 $8K
90651 170 166 $7K
90671 89 88 $6K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 184 180 $5K
90480 151 145 $3K
0001A 125 66 $2K
90656 174 170 $2K
0011A 56 56 $2K
0002A 58 48 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 38 35 $2K
36415 Collection of venous blood by venipuncture 424 399 $2K
0071A 42 39 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 78 75 $1K
0012A 27 27 $1K
0054A 31 30 $1K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 126 109 $911.62
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 119 102 $906.56
90670 490 466 $889.01
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 13 12 $815.85
0064A 22 21 $753.73
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 32 28 $711.47
90715 54 52 $703.06
85025 Blood count; complete (CBC), automated, and automated differential WBC count 100 90 $578.47
0072A 14 14 $555.38
98966 75 70 $444.52
0124A 14 14 $417.09
0031A 12 12 $413.81
90688 14 14 $225.82
90685 30 30 $47.28
90633 78 74 $30.78
90461 394 385 $0.00
91300 217 136 $0.00
91312 26 26 $0.00
90680 124 118 $0.00
91307 94 83 $0.00
90698 188 178 $0.00
91305 55 54 $0.00
90744 28 26 $0.00
91301 113 108 $0.00
91303 16 16 $0.00
91306 22 21 $0.00