Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Sanford Clinic

Sanford Clinic was paid $291K by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 53% of everything it billed.

33Billing provider infoSANFORD CLINIC
SIOUX FALLS, SD 57105
33aNPI1326311721assigned 02/15/2012
28Total paid$291K
24GClaims9,248
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Clinical Medical Laboratory providers in South Dakota

Rank by total paid#8 of 12
Median peer was paid$312K
This provider vs. median0.9×

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

$0$5.0K$10K2018201920202021202220232024
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
20182,016$74K
20191,166$46K
2020608$19K
2021858$28K
20221,414$40K
20231,680$41K
2024incomplete1,506$43K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
88305 Level IV - Surgical pathology, gross and microscopic examination 53% 3,920 2,580 $155K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 38% 4,181 3,824 $110K
88307 2.5% 163 154 $7K
88141 2.5% 510 467 $7K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1.4% 104 97 $4K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1.4% 104 97 $4K
85060 <1% 115 100 $1K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 29 26 $1K
88304 <1% 63 45 $812.83
88342 <1% 21 12 $507.66
80500 <1% 38 29 $422.59

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)
Same official

Other billing entities under MORRISON, TONY

Full network →
ProviderLocationPaid
Sanford Medical Center FargoFargo, ND$50.18M
Sanford Health of Northern MinnesotaBemidji, MN$47.45M
Sanford BismarckBismarck, ND$43.96M
Sanford Health of Northern MinnesotaBemidji, MN$27.11M
Sanford Medical CenterSioux Falls, SD$24.40M
FM Ambulance Service, INCFargo, ND$23.80M
Sanford Medical CenterSioux Falls, SD$18.03M
Sanford Health NetworkWorthington, MN$7.58M
Sanford ClinicSioux Falls, SD$6.04M
Sanford ClinicSioux Falls, SD$5.45M
Sanford Healthcare Accessories, LLCFargo, ND$4.79M
Sanford Health Network NorthThief River Falls, MN$3.28M
Sanford ClinicSioux Falls, SD$2.96M
Sanford Health NetworkJackson, MN$2.81M
Sanford ClinicWatertown, SD$2.02M
Black Hills Orthopedic & Spine Center, INC.Rapid City, SD$1.71M
Sanford Health NetworkChamberlain, SD$1.47M
Sanford Health NetworkVermillion, SD$1.31M
Sanford Health NetworkLuverne, MN$1.27M
Sanford Medical Center FargoPelican Rapids, MN$1.01M

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