Monument Health Network, INC.
Monument Health Network, INC. was paid $53K by Medicaid between Jan 2018 and Apr 2024, across 14 billing codes. Its largest line is 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 — 29% of everything it billed.
STURGIS, SD 57785
Next to other Critical Access Hospital providers in South Dakota
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 438 | $13K | |
| 2019 | 176 | $3K | |
| 2020 | 190 | $4K | |
| 2021 | 258 | $12K | |
| 2022 | 366 | $16K | |
| 2023 | 32 | $7.77 | |
| 2024incomplete | 97 | $5K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 29% | 156 | 147 | $15K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 22% | 378 | 39 | $12K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 15% | 186 | 179 | $8K |
| 0240U | 8.4% | 13 | 13 | $4K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 7.1% | 248 | 131 | $4K |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 5.5% | 34 | 34 | $3K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 4.0% | 13 | 13 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.9% | 145 | 142 | $2K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.8% | 62 | 14 | $1K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 1.7% | 70 | 68 | $912.34 |
| 80053 | Comprehensive metabolic panel | 1.3% | 12 | 12 | $700.13 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 70 | 64 | $59.02 |
2 more codes
| 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% | 156 | $0.00 |
| A9270 | Non-covered item or service | 0% | 14 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Monument Health Network, INC. | Sturgis, SD | $737K |
| Monument Health Network, INC. | Hot Springs, SD | $324K |
| Monument Health Network, INC. | Sturgis, SD | $163K |
| Monument Health Network, INC. | Sturgis, SD | $130K |
| Monument Health Network, INC | Custer, SD | $91K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.