Behavioral
Sanford Health Network
Sanford Health Network was paid $1.31M by Medicaid between Jan 2018 and Dec 2024, across 58 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoSANFORD HEALTH NETWORK
VERMILLION, SD 57069
VERMILLION, SD 57069
33aNPI1013921733assigned 07/28/2006
33bProvider typePsychologist
28Total paid$1.31M
24GClaims36,215
24DCodes billed58
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Psychologist providers in South Dakota
Rank by total paid#1 of 7
Median peer was paid$9K
This provider vs. median142×
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 MORRISON, TONY controls 20+ related entities in our dataset. Read more
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 | 4,425 | $137K | |
| 2019 | 4,962 | $170K | |
| 2020 | 2,596 | $100K | |
| 2021 | 5,453 | $207K | |
| 2022 | 5,524 | $204K | |
| 2023 | 7,156 | $242K | |
| 2024incomplete | 6,099 | $253K |
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 | 39% | 13,112 | 10,678 | $518K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 13% | 2,101 | 1,814 | $166K |
| 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 | 12% | 2,709 | 2,468 | $159K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 6.5% | 704 | 607 | $86K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.4% | 1,341 | 1,094 | $84K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.0% | 1,354 | 1,316 | $53K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.5% | 740 | 719 | $46K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 2.3% | 590 | 523 | $31K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.9% | 2,629 | 2,474 | $25K |
| W0037 | 1.2% | 3,276 | 3,276 | $15K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.1% | 283 | 250 | $14K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.0% | 214 | 209 | $14K |
46 more codes
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 520 | $12K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 603 | $10K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 167 | $10K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 82 | $9K |
| 91320 | <1% | 84 | $9K | |
| 90686 | <1% | 1,589 | $8K | |
| 90651 | <1% | 170 | $7K | |
| 90671 | <1% | 89 | $6K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 184 | $5K |
| 90480 | <1% | 151 | $3K | |
| 0001A | <1% | 125 | $2K | |
| 90656 | <1% | 174 | $2K | |
| 0011A | <1% | 56 | $2K | |
| 0002A | <1% | 58 | $2K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 38 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 424 | $2K |
| 0071A | <1% | 42 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 78 | $1K |
| 0012A | <1% | 27 | $1K | |
| 0054A | <1% | 31 | $1K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 126 | $911.62 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 119 | $906.56 |
| 90670 | <1% | 490 | $889.01 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 13 | $815.85 |
| 0064A | <1% | 22 | $753.73 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 32 | $711.47 |
| 90715 | <1% | 54 | $703.06 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 100 | $578.47 |
| 0072A | <1% | 14 | $555.38 | |
| 98966 | <1% | 75 | $444.52 | |
| 0124A | <1% | 14 | $417.09 | |
| 0031A | <1% | 12 | $413.81 | |
| 90688 | <1% | 14 | $225.82 | |
| 90685 | <1% | 30 | $47.28 | |
| 90633 | <1% | 78 | $30.78 | |
| 90461 | 0% | 394 | $0.00 | |
| 91300 | 0% | 217 | $0.00 | |
| 91312 | 0% | 26 | $0.00 | |
| 90680 | 0% | 124 | $0.00 | |
| 91307 | 0% | 94 | $0.00 | |
| 90698 | 0% | 188 | $0.00 | |
| 91305 | 0% | 55 | $0.00 | |
| 90744 | 0% | 28 | $0.00 | |
| 91301 | 0% | 113 | $0.00 | |
| 91303 | 0% | 16 | $0.00 | |
| 91306 | 0% | 22 | $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 officialMORRISON, TONY (VICE PRESIDENT, REVENUE CYCLE)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.