Clinic
Monument Health Network, INC.
Monument Health Network, INC. was paid $324K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.
33Billing provider infoMONUMENT HEALTH NETWORK, INC.
HOT SPRINGS, SD 57747
HOT SPRINGS, SD 57747
33aNPI1215458211assigned 06/29/2017
33bProvider typeRural Health Clinic/Center
28Total paid$324K
24GClaims5,239
24DCodes billed10
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in South Dakota
Rank by total paid#14 of 42
Median peer was paid$131K
This provider vs. median2.5×
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.
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 | 771 | $45K | |
| 2019 | 840 | $61K | |
| 2020 | 405 | $28K | |
| 2021 | 590 | $45K | |
| 2022 | 771 | $56K | |
| 2023 | 1,001 | $49K | |
| 2024incomplete | 861 | $41K |
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 | 47% | 2,142 | 1,779 | $151K |
| 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 | 38% | 1,620 | 1,423 | $124K |
| W0037 | 11% | 1,177 | 1,177 | $34K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.8% | 143 | 139 | $9K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 29 | 24 | $3K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 38 | 34 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 12 | 12 | $1K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 13 | 13 | $232.42 |
| 90686 | <1% | 20 | 20 | $112.35 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 45 | 41 | $50.02 |
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 officialSCHULTE, MARK (PRESIDENT CUSTER LD-DWD HOSPITAL)
| Provider | Location | Paid |
|---|---|---|
| Monument Health Network, INC. | Sturgis, SD | $737K |
| Monument Health Network, INC. | Sturgis, SD | $163K |
| Monument Health Network, INC. | Sturgis, SD | $130K |
| Monument Health Network, INC | Custer, SD | $91K |
| Monument Health Network, INC. | Sturgis, SD | $53K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.