Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › SD › SPEARFISH › MONUMENT HEALTH NETWORK, INC.

MONUMENT HEALTH NETWORK, INC.

NPI: 1174569347 · SPEARFISH, SD 57783 · Multi-Specialty Clinic/Center · NPI assigned 06/22/2006

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

Authorized official WORSLEY, THOMAS controls 13+ related entities in our dataset. Read more

$743K
Total Medicaid Paid
20,226
Total Claims
14,785
Beneficiaries
70
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWORSLEY, THOMAS (PRESIDENT SPEARFISH HOSPITAL)
NPI Enumeration Date06/22/2006

Related Entities

Other providers sharing the same authorized official: WORSLEY, THOMAS

ProviderCityStateTotal 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 $441K
MONUMENT HEALTH NETWORK, INC. SPEARFISH SD $220K
MONUMENT HEALTH NETWORK, INC. SPEARFISH SD $101K
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

YearClaimsTotal Paid
2018 1,443 $72K
2019 1,741 $74K
2020 10,077 $235K
2021 2,013 $96K
2022 1,828 $88K
2023 1,557 $77K
2024 1,567 $100K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 3,576 2,922 $242K
99283 Emergency department visit for the evaluation and management, moderate severity 4,593 3,918 $228K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2,162 1,959 $59K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 340 219 $25K
A0430 Ambulance service, conventional air services, transport, one way (fixed wing) 22 22 $20K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 837 681 $17K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 1,453 612 $17K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 575 414 $15K
A0435 Fixed wing air mileage, per statute mile 22 22 $12K
E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate 278 277 $11K
90999 Unlisted dialysis procedure, inpatient or outpatient 699 17 $10K
A0427 Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) 104 88 $8K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1,317 1,068 $7K
A0429 Ambulance service, basic life support, emergency transport (bls-emergency) 76 71 $6K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 572 65 $5K
99232 Subsequent hospital care, per day, moderate complexity 342 103 $5K
A0425 Ground mileage, per statute mile 234 210 $5K
G0008 Administration of influenza virus vaccine 310 46 $4K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery 13 12 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 126 107 $4K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 73 24 $3K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 218 70 $3K
99309 Subsequent nursing facility care, per day, low to moderate complexity 149 129 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 33 14 $3K
99308 Subsequent nursing facility care, per day, straightforward 192 170 $3K
00170 Anesthesia for intraoral procedures, including biopsy 12 12 $2K
A9270 Non-covered item or service 161 22 $2K
E0601 Continuous positive airway pressure (cpap) device 58 58 $1K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 80 65 $1K
99223 Prolong inpt eval add15 m 33 28 $1K
A7030 Full face mask used with positive airway pressure device, each 48 48 $1K
A7031 Face mask interface, replacement for full face mask, each 47 47 $1K
90863 58 56 $1K
99281 Emergency department visit for the evaluation and management, self-limited or minor 13 12 $1K
E1392 Portable oxygen concentrator, rental 61 61 $984.08
97161 53 13 $821.29
71046 Radiologic examination, chest; 2 views 80 64 $780.05
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 41 38 $739.00
99215 Prolong outpt/office vis 31 25 $722.30
A4604 Tubing with integrated heating element for use with positive airway pressure device 66 66 $631.16
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 30 29 $600.05
K0738 Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing 15 15 $517.60
E0431 Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing 58 58 $512.47
Q3014 Telehealth originating site facility fee 40 33 $454.14
71045 Radiologic examination, chest; single view 150 96 $446.62
J7626 Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg 26 26 $402.27
90834 Psychotherapy, 45 minutes with patient 26 25 $396.04
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 16 16 $390.00
99238 Hospital discharge day management, 30 minutes or less 26 26 $367.34
Q0513 Pharmacy dispensing fee for inhalation drug(s); per 30 days 61 59 $336.60
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 61 16 $319.59
99239 Hospital discharge day management, more than 30 minutes 18 17 $315.76
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 105 101 $287.90
A7038 Filter, disposable, used with positive airway pressure device 78 78 $266.19
88305 Level IV - Surgical pathology, gross and microscopic examination 18 18 $264.47
E0570 Nebulizer, with compressor 68 68 $256.88
99231 Subsequent hospital care, per day, straightforward or low complexity 34 14 $235.72
A7034 Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap 14 14 $211.67
A7035 Headgear used with positive airway pressure device 36 36 $179.40
99442 15 15 $166.58
99307 12 12 $118.49
93296 14 14 $94.70
A7046 Water chamber for humidifier, used with positive airway pressure device, replacement, each 34 34 $94.62
K0001 Standard wheelchair 12 12 $74.36
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 31 30 $68.50
E0562 Humidifier, heated, used with positive airway pressure device 14 14 $59.47
A4357 Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each 17 16 $54.11
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 12 12 $14.05
A4259 Lancets, per box of 100 14 13 $3.08
36415 Collection of venous blood by venipuncture 13 13 $0.00