SANFORD MEDICAL CENTER FARGO

NPI: 1124184403 · DETROIT LAKES, MN 56501 · Eyewear Supplier · NPI assigned 12/29/2006

$80K

Total Medicaid Paid

2,894

Total Claims

2,703

Beneficiaries

Codes Billed

2018-01

First Month

2024-11

Last Month

Provider Details

Authorized Official	MORRISON, TONY (VP, FINANCE)
NPI Enumeration Date	12/29/2006

Other providers sharing the same authorized official: MORRISON, TONY

Provider	City	State	Total 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

Code	Description	Claims	Beneficiaries	Total Paid
V2020	Frames, purchases	1,258	1,189	$38K
92340		829	782	$17K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	297	272	$14K
V2784	Lens, polycarbonate or equal, any index, per lens	238	212	$8K
88305		27	12	$1K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	14	13	$770.00
84443		40	40	$748.63
36415		177	171	$666.01
87651		14	12	$481.92