Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MN › WORTHINGTON › SANFORD HEALTH NETWORK

SANFORD HEALTH NETWORK

NPI: 1396712618 · WORTHINGTON, MN 56187 · Rural Acute Care Hospital · NPI assigned 03/06/2006

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

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

$7.58M
Total Medicaid Paid
114,111
Total Claims
99,795
Beneficiaries
109
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMORRISON, TONY (VICE PRESIDENT, REVENUE CYCLE)
NPI Enumeration Date03/06/2006

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 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 13,542 $1.19M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0463 Hospital outpatient clinic visit for assessment and management of a patient 44,309 38,102 $3.75M
99283 Emergency department visit for the evaluation and management, moderate severity 7,482 6,725 $1.17M
99284 Emergency department visit for the evaluation and management, high severity 4,096 3,610 $837K
A0429 Ambulance service, basic life support, emergency transport (bls-emergency) 853 700 $333K
A0425 Ground mileage, per statute mile 1,232 972 $255K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 2,124 2,013 $227K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 727 621 $208K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,278 1,199 $103K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,162 1,019 $94K
96361 Intravenous infusion, hydration; each additional hour 519 477 $91K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 616 566 $65K
36415 Collection of venous blood by venipuncture 14,147 12,183 $40K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 351 343 $39K
99282 Emergency department visit for the evaluation and management, low to moderate severity 385 356 $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 1,022 945 $36K
71045 Radiologic examination, chest; single view 686 638 $29K
J3490 Unclassified drugs 1,634 1,011 $24K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,677 1,481 $21K
96375 Therapeutic injection; each additional sequential IV push 432 381 $18K
96110 Developmental screening, with scoring and documentation, per standardized instrument 126 124 $16K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 420 389 $14K
74177 Computed tomography, abdomen and pelvis; with contrast material 50 44 $14K
80053 Comprehensive metabolic panel 5,666 5,149 $12K
0001A 452 429 $12K
0002A 441 425 $12K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,252 1,129 $11K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 879 799 $10K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 6,723 6,015 $9K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 78 71 $8K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 67 64 $7K
90686 1,348 1,274 $7K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 41 40 $5K
80061 Lipid panel 704 653 $5K
0071A 150 137 $5K
0072A 133 124 $4K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 28 25 $4K
20610 14 12 $3K
70450 Computed tomography, head or brain; without contrast material 26 26 $3K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 26 24 $3K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 235 219 $3K
99173 491 463 $3K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 171 159 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 90 78 $2K
76819 Fetal biophysical profile; without non-stress testing 20 14 $2K
83036 Hemoglobin; glycosylated (A1C) 1,199 1,092 $2K
90791 Psychiatric diagnostic evaluation 12 12 $2K
87631 303 237 $2K
0011A 88 85 $2K
0012A 83 79 $2K
86780 160 146 $2K
90834 Psychotherapy, 45 minutes with patient 12 12 $2K
71046 Radiologic examination, chest; 2 views 28 28 $2K
83605 614 523 $1K
0004A 38 35 $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 37 37 $989.25
90670 129 119 $964.38
0124A 25 24 $816.87
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 28 27 $711.67
81001 1,428 1,292 $710.85
86140 1,068 990 $687.90
91300 319 260 $661.87
84484 469 398 $638.97
90480 33 30 $435.81
96381 43 37 $412.98
86850 32 28 $410.16
90656 76 67 $406.91
90472 Immunization administration, each additional vaccine (list separately) 227 166 $345.70
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 517 460 $297.02
84145 32 25 $293.86
0064A 13 12 $287.42
99188 323 310 $278.86
0031A 12 12 $259.38
Q3014 Telehealth originating site facility fee 27 27 $246.73
87040 75 55 $188.95
91307 86 61 $180.81
87634 16 15 $173.79
87210 67 61 $154.12
80048 Basic metabolic panel (calcium, ionized) 58 51 $149.86
87081 321 289 $141.24
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 30 28 $124.09
86901 17 15 $123.92
86900 17 15 $123.37
85018 41 41 $121.76
91301 47 43 $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 16 16 $102.25
J0696 Injection, ceftriaxone sodium, per 250 mg 59 54 $93.49
J2405 Injection, ondansetron hydrochloride, per 1 mg 133 115 $93.48
81025 49 47 $87.60
85027 12 12 $74.95
87340 16 14 $65.96
82077 85 79 $57.61
86803 16 14 $57.32
J1885 Injection, ketorolac tromethamine, per 15 mg 96 88 $48.60
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 13 12 $30.17
85610 12 12 $21.85
90685 33 30 $20.52
83690 76 70 $11.36
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 107 26 $9.09
J3010 Injection, fentanyl citrate, 0.1 mg 28 26 $7.48
81003 39 39 $2.31
A9270 Non-covered item or service 129 89 $0.00
85379 12 12 $0.00
90744 15 15 $0.00
90698 72 71 $0.00
90381 16 14 $0.00
90680 30 28 $0.00
90697 14 13 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 470 381 $0.00
80305 50 46 $0.00