MONUMENT HEALTH NETWORK, INC.
NPI: 1104205020
· SPEARFISH, SD 57783
· Orthopaedic Surgery Physician
· NPI assigned 05/26/2015
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official WORSLEY, THOMAS controls 13+ related entities in our dataset. Read more
$101K
Total Medicaid Paid
Provider Details
| Authorized Official | WORSLEY, THOMAS (PRESIDENT SPEARFISH HOSPITAL) |
| NPI Enumeration Date | 05/26/2015 |
Related Entities
Other providers sharing the same authorized official: WORSLEY, THOMAS
| Provider | City | State | Total Paid |
|---|
| 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 |
$441K |
| MONUMENT HEALTH NETWORK, INC. |
SPEARFISH |
SD |
$220K |
| 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 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
627 |
$16K |
| 2019 |
575 |
$15K |
| 2020 |
284 |
$8K |
| 2021 |
468 |
$14K |
| 2022 |
557 |
$16K |
| 2023 |
438 |
$13K |
| 2024 |
407 |
$18K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,641 |
2,168 |
$77K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
225 |
193 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
137 |
116 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
318 |
267 |
$7K |
| 20610 |
|
14 |
13 |
$321.67 |
| 73030 |
|
21 |
13 |
$56.55 |