Hospital
Sanford Health Network
Sanford Health Network was paid $1.89M by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is J3490, Unclassified drugs — 68% of everything it billed.
33Billing provider infoSANFORD HEALTH NETWORK
ABERDEEN, SD 57401
ABERDEEN, SD 57401
33aNPI1235406455assigned 11/17/2011
33bProvider typeGeneral Acute Care Hospital
28Total paid$1.89M
24GClaims43,421
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Acute Care Hospital providers in South Dakota
Rank by total paid#6 of 17
Median peer was paid$547K
This provider vs. median3.5×
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.
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 | 6,298 | $210K | |
| 2019 | 5,716 | $193K | |
| 2020 | 2,685 | $82K | |
| 2021 | 7,121 | $301K | |
| 2022 | 8,164 | $307K | |
| 2023 | 7,079 | $355K | |
| 2024incomplete | 6,358 | $447K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| J3490 | Unclassified drugs | 68% | 10,711 | 3,979 | $1.30M |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 14% | 20,554 | 6,244 | $260K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 3.9% | 1,343 | 1,266 | $74K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 3.4% | 353 | 343 | $65K |
| 36415 | Collection of venous blood by venipuncture | 2.1% | 639 | 536 | $40K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 1.9% | 879 | 816 | $37K |
| 87081 | 1.9% | 529 | 519 | $35K | |
| A9270 | Non-covered item or service | 1.3% | 3,631 | 381 | $25K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 1,341 | 105 | $13K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 569 | 561 | $11K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 139 | 137 | $9K |
| 80053 | Comprehensive metabolic panel | <1% | 239 | 221 | $8K |
16 more codes
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 172 | $7K |
| G0008 | Administration of influenza virus vaccine | <1% | 747 | $6K |
| 87631 | <1% | 46 | $5K | |
| 99285 | Emergency room visit (most serious) | <1% | 44 | $974.65 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 625 | $852.88 |
| 0124A | <1% | 237 | $784.93 | |
| 71045 | Radiologic examination, chest; single view | <1% | 14 | $510.01 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 447 | $182.51 |
| 87210 | <1% | 17 | $155.28 | |
| Q3014 | Telehealth originating site facility fee | <1% | 14 | $69.29 |
| G1004 | Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program | <1% | 18 | $0.01 |
| 90662 | 0% | 43 | $0.00 | |
| 83605 | 0% | 13 | $0.00 | |
| 90686 | 0% | 28 | $0.00 | |
| 83735 | 0% | 16 | $0.00 | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 0% | 13 | $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 | Pelican Rapids, MN | $1.01M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.