Hospital
Sanford Health Network
Sanford Health Network was paid $7.58M by Medicaid between Jan 2018 and Dec 2024, across 109 billing codes. Its largest line is G0463, Hospital outpatient clinic visit for assessment and management of a patient — 49% of everything it billed.
33Billing provider infoSANFORD HEALTH NETWORK
WORTHINGTON, MN 56187
WORTHINGTON, MN 56187
33aNPI1396712618assigned 03/06/2006
33bProvider typeRural Acute Care Hospital
28Total paid$7.58M
24GClaims114,111
24DCodes billed109
24AFirst – last monthJan 2018 – Dec 2024
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 | 13,327 | $278K | |
| 2019 | 13,091 | $836K | |
| 2020 | 12,949 | $754K | |
| 2021 | 20,715 | $1.27M | |
| 2022 | 19,857 | $1.54M | |
| 2023 | 20,630 | $1.72M | |
| 2024incomplete | 13,542 | $1.19M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 49% | 44,309 | 38,102 | $3.75M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 15% | 7,482 | 6,725 | $1.17M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 11% | 4,096 | 3,610 | $837K |
| A0429 | Emergency ambulance ride, basic life supportAmbulance service, basic life support, emergency transport (bls-emergency) | 4.4% | 853 | 700 | $333K |
| A0425 | Ground mileage, per statute mile | 3.4% | 1,232 | 972 | $255K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 3.0% | 2,124 | 2,013 | $227K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 2.7% | 727 | 621 | $208K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.4% | 1,278 | 1,199 | $103K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.2% | 1,162 | 1,019 | $94K |
| 96361 | Intravenous infusion, hydration; each additional hour | 1.2% | 519 | 477 | $91K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 616 | 566 | $65K |
| 36415 | Collection of venous blood by venipuncture | <1% | 14,147 | 12,183 | $40K |
97 more codes
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 351 | $39K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 385 | $38K |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 1,022 | $36K |
| 71045 | Radiologic examination, chest; single view | <1% | 686 | $29K |
| J3490 | Unclassified drugs | <1% | 1,634 | $24K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,677 | $21K |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 432 | $18K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 126 | $16K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 420 | $14K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 50 | $14K |
| 80053 | Comprehensive metabolic panel | <1% | 5,666 | $12K |
| 0001A | <1% | 452 | $12K | |
| 0002A | <1% | 441 | $12K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 1,252 | $11K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 879 | $10K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 6,723 | $9K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 78 | $8K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 67 | $7K |
| 90686 | <1% | 1,348 | $7K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 41 | $5K |
| 80061 | Lipid panel | <1% | 704 | $5K |
| 0071A | <1% | 150 | $5K | |
| 0072A | <1% | 133 | $4K | |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 28 | $4K |
| 20610 | <1% | 14 | $3K | |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 26 | $3K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 26 | $3K |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 235 | $3K |
| 99173 | <1% | 491 | $3K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 171 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 90 | $2K |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 20 | $2K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,199 | $2K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 12 | $2K |
| 87631 | <1% | 303 | $2K | |
| 0011A | <1% | 88 | $2K | |
| 0012A | <1% | 83 | $2K | |
| 86780 | <1% | 160 | $2K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 12 | $2K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 28 | $2K |
| 83605 | <1% | 614 | $1K | |
| 0004A | <1% | 38 | $1K | |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | <1% | 37 | $989.25 |
| 90670 | <1% | 129 | $964.38 | |
| 0124A | <1% | 25 | $816.87 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 28 | $711.67 |
| 81001 | <1% | 1,428 | $710.85 | |
| 86140 | <1% | 1,068 | $687.90 | |
| 91300 | <1% | 319 | $661.87 | |
| 84484 | <1% | 469 | $638.97 | |
| 90480 | <1% | 33 | $435.81 | |
| 96381 | <1% | 43 | $412.98 | |
| 86850 | <1% | 32 | $410.16 | |
| 90656 | <1% | 76 | $406.91 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 227 | $345.70 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 517 | $297.02 |
| 84145 | <1% | 32 | $293.86 | |
| 0064A | <1% | 13 | $287.42 | |
| 99188 | <1% | 323 | $278.86 | |
| 0031A | <1% | 12 | $259.38 | |
| Q3014 | Telehealth originating site facility fee | <1% | 27 | $246.73 |
| 87040 | <1% | 75 | $188.95 | |
| 91307 | <1% | 86 | $180.81 | |
| 87634 | <1% | 16 | $173.79 | |
| 87210 | <1% | 67 | $154.12 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 58 | $149.86 |
| 87081 | <1% | 321 | $141.24 | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 30 | $124.09 |
| 86901 | <1% | 17 | $123.92 | |
| 86900 | <1% | 17 | $123.37 | |
| 85018 | <1% | 41 | $121.76 | |
| 91301 | <1% | 47 | $119.52 | |
| U0005 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 | <1% | 16 | $102.25 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 59 | $93.49 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 133 | $93.48 |
| 81025 | <1% | 49 | $87.60 | |
| 85027 | <1% | 12 | $74.95 | |
| 87340 | <1% | 16 | $65.96 | |
| 82077 | <1% | 85 | $57.61 | |
| 86803 | <1% | 16 | $57.32 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 96 | $48.60 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 13 | $30.17 |
| 85610 | <1% | 12 | $21.85 | |
| 90685 | <1% | 33 | $20.52 | |
| 83690 | <1% | 76 | $11.36 | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 107 | $9.09 |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 28 | $7.48 |
| 81003 | <1% | 39 | $2.31 | |
| A9270 | Non-covered item or service | 0% | 129 | $0.00 |
| 85379 | 0% | 12 | $0.00 | |
| 90744 | 0% | 15 | $0.00 | |
| 90698 | 0% | 72 | $0.00 | |
| 90381 | 0% | 16 | $0.00 | |
| 90680 | 0% | 30 | $0.00 | |
| 90697 | 0% | 14 | $0.00 | |
| G1004 | Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program | 0% | 470 | $0.00 |
| 80305 | 0% | 50 | $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 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 |
| Sanford Medical Center Fargo | Mahnomen, MN | $994K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.