Medicaid Provider Spending

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

SANFORD HEALTH NETWORK

NPI: 1033495379 · LUVERNE, MN 56156 · Family Medicine Physician · NPI assigned 11/01/2011

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

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

$724K
Total Medicaid Paid
17,210
Total Claims
15,562
Beneficiaries
13
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMORRISON, TONY (VICE PRESIDENT, REVENUE CYCLE)
Parent OrganizationSANFORD HEALTH NETWORK
NPI Enumeration Date11/01/2011

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 VERMILLION SD $1.31M
SANFORD HEALTH NETWORK LUVERNE MN $1.27M
SANFORD MEDICAL CENTER FARGO PELICAN RAPIDS MN $1.01M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,548 $33K
2019 2,881 $117K
2020 2,283 $100K
2021 2,866 $148K
2022 2,515 $131K
2023 2,440 $112K
2024 1,677 $82K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12,805 11,446 $475K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,769 2,547 $157K
99284 Emergency department visit for the evaluation and management, high severity 490 461 $42K
90460 Immunization administration through 18 years of age via any route, first or only component 473 466 $20K
99283 Emergency department visit for the evaluation and management, moderate severity 194 181 $9K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 155 155 $7K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 84 82 $4K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 62 62 $3K
90834 Psychotherapy, 45 minutes with patient 38 24 $2K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 17 16 $2K
S0281 Medical home program, comprehensive care coordination and planning, maintenance of plan 72 72 $699.39
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 13 12 $636.48
90686 38 38 $0.00