SANFORD CLINIC

$765.88

Total Medicaid Paid

25

Total Claims

24

Beneficiaries

1

Codes Billed

2018-02

First Month

2019-10

Last Month

Authorized Official	MORRISON, TONY (VICE PRESIDENT, REVENUE CYCLE)
NPI Enumeration Date	07/13/2006

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

Year	Claims	Total Paid
2018	13	$425.85
2019	12	$340.03

Code	Description	Claims	Beneficiaries	Total Paid
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	25	24	$765.88

Medicaid Provider Spending