Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hospital

Monument Health Network, INC.

Monument Health Network, INC. was paid $441K by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is J7120, Ringers lactate infusion, up to 1000 cc — 46% of everything it billed.

33Billing provider infoMONUMENT HEALTH NETWORK, INC.
SPEARFISH, SD 57783
33aNPI1033183942assigned 02/15/2006
28Total paid$441K
24GClaims9,306
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024

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$25K$50K$75K2018201920202021202220232024
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
20181,167$46K
2019430$21K
202056$19K
20211,435$55K
20222,123$75K
20232,705$164K
2024incomplete1,390$62K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
J7120 Ringers lactate infusion, up to 1000 cc 46% 283 233 $205K
99282 Emergency department visit for the evaluation and management, low to moderate severity 13% 827 776 $59K
36415 Collection of venous blood by venipuncture 13% 261 213 $55K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 6.2% 217 208 $27K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 6.0% 2,835 236 $26K
A9270 Non-covered item or service 4.6% 2,550 493 $20K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 2.7% 82 81 $12K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 2.6% 237 214 $12K
87486 1.0% 14 13 $5K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 135 132 $3K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 350 61 $3K
80053 Comprehensive metabolic panel <1% 143 126 $3K
15 more codes
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 46 $2K
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program <1% 104 $2K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 60 $2K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 269 $1K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r <1% 12 $1K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 14 $1K
85018 <1% 163 $737.57
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 175 $393.59
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 28 $176.56
J2704 Injection, propofol, 10 mg <1% 328 $90.00
87581 <1% 14 $88.28
85027 <1% 32 $18.44
J1100 Injection, dexamethasone sodium phosphate, 1 mg 0% 103 $0.00
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 0% 12 $0.00
00170 Anesthesia for intraoral procedures, including biopsy 0% 12 $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 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$220K
Monument Health Network, INC.Spearfish, SD$101K
Monument Health Network, INC.Newcastle, WY$94K
Monument Health Network, INC.Spearfish, SD$18K
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.