Clinic
Sanford Medical Center Fargo
Sanford Medical Center Fargo was paid $1.01M by Medicaid between Jan 2018 and Dec 2024, across 36 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 71% of everything it billed.
33Billing provider infoSANFORD MEDICAL CENTER FARGO
PELICAN RAPIDS, MN 56572
PELICAN RAPIDS, MN 56572
33aNPI1114953627assigned 06/25/2006
33bProvider typeRural Health Clinic/Center
28Total paid$1.01M
24GClaims20,951
24DCodes billed36
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Minnesota
Rank by total paid#29 of 69
Median peer was paid$763K
This provider vs. median1.3×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official MORRISON, TONY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 3,491 | $124K | |
| 2019 | 4,033 | $126K | |
| 2020 | 3,400 | $87K | |
| 2021 | 3,701 | $168K | |
| 2022 | 2,250 | $184K | |
| 2023 | 2,377 | $184K | |
| 2024incomplete | 1,699 | $142K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 71% | 9,538 | 7,096 | $716K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 26% | 3,557 | 2,691 | $266K |
| X5622 | 1.2% | 147 | 131 | $12K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 97 | 87 | $3K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 63 | 63 | $3K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 68 | 61 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 26 | 26 | $3K |
| 36415 | Collection of venous blood by venipuncture | <1% | 900 | 654 | $2K |
| 80053 | Comprehensive metabolic panel | <1% | 29 | 15 | $824.65 |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 21 | 13 | $376.34 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,623 | 1,378 | $370.79 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 23 | 12 | $255.42 |
24 more codes
| 99188 | <1% | 83 | $241.02 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 181 | $202.59 |
| 85027 | <1% | 220 | $195.98 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 546 | $181.95 |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 75 | $149.55 |
| 0240U | <1% | 12 | $146.91 | |
| 90686 | <1% | 1,540 | $105.41 | |
| 90480 | <1% | 22 | $91.40 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 219 | $35.09 |
| T1013 | Sign language or oral interpretive services, per 15 minutes | <1% | 40 | $18.95 |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 0% | 213 | $0.00 |
| 92551 | 0% | 124 | $0.00 | |
| 0001A | 0% | 170 | $0.00 | |
| 0031A | 0% | 28 | $0.00 | |
| 91303 | 0% | 28 | $0.00 | |
| 90656 | 0% | 21 | $0.00 | |
| 91305 | 0% | 16 | $0.00 | |
| 91300 | 0% | 472 | $0.00 | |
| 99173 | 0% | 123 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 391 | $0.00 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 120 | $0.00 |
| 0004A | 0% | 32 | $0.00 | |
| 0002A | 0% | 147 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 36 | $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 officialMORRISON, TONY (VICE PRESIDENT, REVENUE CYCLE)
| Provider | Location | 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 | Mahnomen, MN | $994K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.