Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › ND › Fargo › NPI 1215125463
Hospital

Innovis Health, LLC

Innovis Health, LLC was paid $25.47M by Medicaid between Jan 2018 and Dec 2024, across 208 billing codes. Its largest line is 99284, emergency room visit (serious) — 28% of everything it billed.

33Billing provider infoINNOVIS HEALTH, LLC
FARGO, ND 58103
33aNPI1215125463assigned 10/11/2007
28Total paid$25.47M
24GClaims381,966
24DCodes billed208
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in North Dakota

Rank by total paid#2 of 8
Median peer was paid$750K
This provider vs. median34×

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 HURLEY, ALAN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$200K$400K$600K2018201920202021202220232024
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
YearClaimsPaid
201866,829$2.32M
201946,436$3.36M
202038,858$2.70M
202162,165$4.10M
202263,229$4.75M
202359,722$4.69M
2024incomplete44,727$3.56M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 28% 47,672 37,695 $7.24M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 24% 53,421 41,794 $6.05M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 22% 89,552 78,402 $5.71M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 11% 14,835 12,107 $2.83M
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 3.7% 12,367 9,887 $941K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1.3% 5,798 5,191 $329K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 1.1% 5,638 5,105 $273K
96361 Intravenous infusion, hydration; each additional hour <1% 1,159 1,058 $203K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 387 363 $198K
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 <1% 8,395 6,692 $138K
G0483 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed <1% 846 667 $121K
36591 <1% 18,845 17,385 $94K
196 more codes
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 1,250 $89K
J0585 Injection, onabotulinumtoxina, 1 unit <1% 188 $88K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 527 $67K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 1,085 $66K
67028 Intravitreal injection of a pharmacologic agent <1% 348 $62K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 2,392 $60K
80053 Comprehensive metabolic panel <1% 10,967 $51K
96375 Therapeutic injection; each additional sequential IV push <1% 1,976 $49K
36415 Collection of venous blood by venipuncture <1% 14,426 $45K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 1,622 $45K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 56 $41K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 323 $34K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 18,181 $29K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 459 $29K
93296 <1% 1,163 $26K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 2,194 $26K
0202U Oncology (prostate), multianalyte, gene expression profiling <1% 92 $25K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions <1% 1,388 $25K
64615 <1% 92 $21K
87631 <1% 228 $20K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 26 $20K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 855 $18K
71046 Radiologic examination, chest; 2 views <1% 747 $17K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 81 $17K
0002A <1% 631 $17K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study <1% 39 $16K
0001A <1% 669 $15K
76819 Fetal biophysical profile; without non-stress testing <1% 201 $15K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 75 $15K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 739 $14K
G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed <1% 163 $12K
71045 Radiologic examination, chest; single view <1% 708 $12K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 579 $10K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 15 $10K
82728 <1% 848 $9K
84425 <1% 577 $8K
82607 <1% 844 $8K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 215 $8K
84443 Thyroid stimulating hormone (TSH) <1% 1,036 $7K
93299 <1% 236 $7K
80061 Lipid panel <1% 859 $7K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 215 $7K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 93 $7K
83036 Hemoglobin; glycosylated (A1C) <1% 1,287 $7K
82746 <1% 709 $7K
J7030 Infusion, normal saline solution , 1000 cc <1% 4,810 $6K
80048 Basic metabolic panel (calcium, ionized) <1% 2,582 $6K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 123 $5K
82525 <1% 560 $5K
J3490 Unclassified drugs <1% 3,672 $5K
84590 <1% 566 $4K
73630 <1% 187 $4K
84630 <1% 580 $4K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes <1% 113 $4K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 49 $4K
70450 Computed tomography, head or brain; without contrast material <1% 119 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 282 $4K
95886 <1% 27 $4K
J2704 Injection, propofol, 10 mg <1% 2,602 $3K
93325 <1% 52 $3K
T1016 Case management, each 15 minutes <1% 67 $3K
93298 <1% 111 $3K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 35 $3K
81513 <1% 51 $3K
90686 <1% 310 $3K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 5,380 $3K
92134 <1% 605 $3K
93320 <1% 39 $3K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 1,274 $3K
0031A <1% 95 $2K
94010 <1% 95 $2K
0240U <1% 12 $2K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 3,120 $2K
0072A <1% 85 $2K
98940 <1% 125 $2K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 110 $2K
0124A <1% 59 $2K
20610 <1% 30 $2K
86140 <1% 549 $1K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed <1% 88 $1K
0004A <1% 73 $1K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 17 $1K
76830 Ultrasound, transvaginal <1% 16 $1K
86780 <1% 88 $1K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 1,818 $1K
85027 <1% 1,137 $1K
83735 <1% 1,253 $1K
94729 <1% 170 $1K
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 1,811 $1K
0071A <1% 33 $987.40
84484 <1% 509 $968.88
96367 <1% 16 $952.90
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 51 $880.10
87086 Culture, bacterial; quantitative colony count, urine <1% 511 $778.65
81001 <1% 1,845 $730.65
C9257 Injection, bevacizumab, 0.25 mg <1% 87 $717.19
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 115 $664.72
73610 <1% 50 $664.24
87481 <1% 51 $658.61
99232 Hospital visit by a doctor, follow-up day <1% 43 $648.16
J1756 Injection, iron sucrose, 1 mg <1% 32 $630.00
0012A <1% 23 $599.17
0011A <1% 22 $530.08
84703 <1% 861 $479.47
73120 <1% 15 $475.35
J7120 Ringers lactate infusion, up to 1000 cc <1% 656 $474.90
11721 <1% 56 $466.62
83690 <1% 577 $466.55
90480 <1% 26 $451.00
86803 <1% 105 $446.51
92567 <1% 26 $443.58
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 389 $438.65
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 58 $426.55
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 1,420 $426.18
Q3014 Telehealth originating site facility fee <1% 53 $425.14
84466 <1% 104 $380.85
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 141 $355.69
84439 <1% 136 $316.73
84481 <1% 25 $309.51
J0690 Injection, cefazolin sodium, 500 mg <1% 315 $300.13
73030 <1% 33 $296.10
87070 <1% 46 $291.48
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 21 $285.80
73562 <1% 15 $265.60
J1040 Injection, methylprednisolone acetate, 80 mg <1% 26 $264.88
0064A <1% 19 $251.88
87340 <1% 100 $248.57
83540 <1% 135 $220.48
90834 Psychotherapy session, about 45 minutes <1% 15 $214.49
84255 <1% 15 $205.19
90656 <1% 13 $188.43
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) <1% 31 $149.77
87205 <1% 45 $145.40
85652 <1% 84 $142.64
91320 <1% 14 $124.87
87480 <1% 222 $123.16
89190 <1% 12 $120.81
86705 <1% 15 $117.38
90691 <1% 12 $109.37
73100 <1% 15 $103.25
81003 <1% 674 $89.69
86431 <1% 28 $81.35
G0008 Administration of influenza virus vaccine <1% 27 $80.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 32 $77.60
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 456 $69.75
86704 <1% 14 $54.79
87081 <1% 520 $47.70
86706 <1% 14 $46.75
83605 <1% 51 $34.71
82248 <1% 55 $16.72
87660 <1% 222 $6.10
87510 <1% 222 $6.10
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 27 $4.32
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 0% 15 $0.00
91300 0% 246 $0.00
87186 0% 165 $0.00
87653 0% 44 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 0% 188 $0.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 0% 174 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 0% 454 $0.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 0% 207 $0.00
85610 0% 314 $0.00
84702 0% 149 $0.00
74018 0% 14 $0.00
87420 0% 51 $0.00
A9575 Injection, gadoterate meglumine, 0.1 ml 0% 18 $0.00
J2270 Injection, morphine sulfate, up to 10 mg 0% 42 $0.00
80347 0% 30 $0.00
86900 0% 14 $0.00
84156 0% 12 $0.00
82570 0% 12 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 15 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 0% 17 $0.00
82962 0% 307 $0.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 0% 201 $0.00
82550 0% 69 $0.00
87077 0% 184 $0.00
88142 0% 144 $0.00
A9270 Non-covered item or service 0% 1,235 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 0% 97 $0.00
99213 Doctor's office visit, returning patient (routine) 0% 124 $0.00
99214 Doctor's office visit, returning patient (more involved) 0% 165 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 0% 17 $0.00
96376 0% 74 $0.00
86762 0% 29 $0.00
86901 0% 14 $0.00
91303 0% 13 $0.00
82043 0% 49 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 0% 63 $0.00
J1170 Injection, hydromorphone, up to 4 mg 0% 21 $0.00
85379 0% 32 $0.00
82950 0% 32 $0.00
83880 0% 25 $0.00
82553 0% 14 $0.00
73502 0% 15 $0.00
85730 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.

From NPPES

Who's on the registration

Authorized officialHURLEY, ALAN (COO)
Parent organizationESSENTIA HEALTH
Same official

Other billing entities under HURLEY, ALAN

Full network →
ProviderLocationPaid
ST Mary's Regional Health CenterPark Rapids, MN$21.51M
ST. Marys Regional Health CenterDetroit Lakes, MN$18.64M
ST Mary's Regional Health CenterDetroit Lakes, MN$6.79M
Innovis Health LLCFargo, ND$5.11M
Innovis Health LLCFargo, ND$4.44M
ST Marys Regional Health CenterPark Rapids, MN$4.26M
Bridges Medical CenterAda, MN$2.02M
ST Mary's Regional Health CenterWalker, MN$1.86M
Graceville Health CenterGraceville, MN$1.04M
Innovis Health, LLC.Jamestown, ND$990K
Innovis Health LLCMoorhead, MN$899K
Innovis Health LLCFargo, ND$862K
ST Mary's Regional Health CenterMenahga, MN$849K
ST Marys Regional Health CenterDetroit Lakes, MN$806K
ST. Mary's Regional Health CenterMahnomen, MN$804K
Innovis Health LLCMoorhead, MN$795K
Innovis Health, LLCValley City, ND$753K
Innovis Health, LLCBismarck, ND$538K
Innovis Health, LLC.Wahpeton, ND$465K
ST. Mary's Regional Health CenterPelican Rapids, MN$459K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.