Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SANFORD HEALTH NETWORK

NPI: 1265718571 · CANTON, SD 57013 · Family Medicine Physician · NPI assigned 11/01/2011

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

Authorized official MORRISON, TONY controls 20+ related entities in our dataset. Read more

$190K
Total Medicaid Paid
5,172
Total Claims
4,613
Beneficiaries
10
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMORRISON, TONY (VICE PRESIDENT, REVENUE CYCLE)
Parent OrganizationSANFORD HEALTH NETWORK
NPI Enumeration Date11/01/2011

Related Entities

Other providers sharing the same authorized official: MORRISON, TONY

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 507 $17K
2019 620 $18K
2020 255 $10K
2021 597 $26K
2022 726 $34K
2023 1,224 $40K
2024 1,243 $46K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,065 2,567 $129K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 460 417 $27K
W0037 1,194 1,194 $26K
99284 Emergency department visit for the evaluation and management, high severity 32 26 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 31 29 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 177 174 $2K
90686 154 151 $572.76
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 25 23 $371.49
90656 20 18 $111.75
91301 14 14 $0.00