Physician
Sanford Clinic
Sanford Clinic was paid $652K by Medicaid between Jan 2018 and Jun 2021, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.
33Billing provider infoSANFORD CLINIC
SIOUX FALLS, SD 57105
SIOUX FALLS, SD 57105
33aNPI1396764254assigned 07/19/2006
33bProvider typePsychiatry Physician
28Total paid$652K
24GClaims14,081
24DCodes billed13
24AFirst – last monthJan 2018 – Jun 2021
Compared with peers
Next to other Psychiatry Physician providers in South Dakota
Rank by total paid#3 of 8
Median peer was paid$280K
This provider vs. median2.3×
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
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 | 6,974 | $325K | |
| 2019 | 7,069 | $324K | |
| 2020 | 12 | $647.76 | |
| 2021 | 26 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 5,115 | 4,812 | $182K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 14% | 1,342 | 882 | $89K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 13% | 1,077 | 941 | $82K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 12% | 2,039 | 1,881 | $77K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 10% | 1,289 | 892 | $68K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 7.9% | 1,215 | 1,105 | $51K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 6.6% | 949 | 596 | $43K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 5.9% | 519 | 449 | $39K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.3% | 299 | 275 | $8K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 121 | 113 | $6K |
| 90836 | <1% | 53 | 51 | $3K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 26 | 25 | $2K |
1 more codes
| 90785 | <1% | 37 | $16.40 |
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 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.