MONUMENT HEALTH NETWORK, INC.
NPI: 1033183942
· SPEARFISH, SD 57783
· 273Y00000X
$441K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,167 |
$46K |
| 2019 |
430 |
$21K |
| 2020 |
56 |
$19K |
| 2021 |
1,435 |
$55K |
| 2022 |
2,123 |
$75K |
| 2023 |
2,705 |
$164K |
| 2024 |
1,390 |
$62K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J7120 |
Ringers lactate infusion |
283 |
233 |
$205K |
| 99282 |
|
827 |
776 |
$59K |
| 36415 |
|
261 |
213 |
$55K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
217 |
208 |
$27K |
| 93005 |
|
2,835 |
236 |
$26K |
| A9270 |
Non-covered item or service |
2,550 |
493 |
$20K |
| 0241U |
|
82 |
81 |
$12K |
| 99283 |
|
237 |
214 |
$12K |
| 87486 |
|
14 |
13 |
$5K |
| 87651 |
|
135 |
132 |
$3K |
| 97110 |
|
350 |
61 |
$3K |
| 80053 |
|
143 |
126 |
$3K |
| U0002 |
Covid-19 lab test non-cdc |
46 |
44 |
$2K |
| G1004 |
Cdsm ndsc |
104 |
37 |
$2K |
| G0463 |
Hospital outpt clinic visit |
60 |
13 |
$2K |
| J2405 |
Ondansetron hcl injection |
269 |
143 |
$1K |
| U0003 |
Cov-19 amp prb hgh thruput |
12 |
12 |
$1K |
| 87633 |
|
14 |
13 |
$1K |
| 85018 |
|
163 |
158 |
$737.57 |
| 85025 |
|
175 |
152 |
$393.59 |
| 87798 |
|
28 |
13 |
$176.56 |
| J2704 |
Inj, propofol, 10 mg |
328 |
194 |
$90.00 |
| 87581 |
|
14 |
13 |
$88.28 |
| 85027 |
|
32 |
27 |
$18.44 |
| J1100 |
Dexamethasone sodium phos |
103 |
92 |
$0.00 |
| U0005 |
Infec agen detec ampli probe |
12 |
12 |
$0.00 |
| 00170 |
|
12 |
12 |
$0.00 |