Monument Health Network, INC.

Monument Health Network, INC. was paid $94K by Medicaid between Jan 2018 and Apr 2021, across 2 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.

33Billing provider infoMONUMENT HEALTH NETWORK, INC.
NEWCASTLE, WY 82701

33aNPI1417336637assigned 05/20/2015

33bProvider typeRural Health Clinic/Center

28Total paid$94K

24GClaims1,437

24DCodes billed2

24AFirst – last monthJan 2018 – Apr 2021

Compared with peers

Next to other Rural Health Clinic/Center providers in Wyoming

Rank by total paid#10 of 17

Median peer was paid$125K

This provider vs. median0.7×

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 WORSLEY, THOMAS controls 13+ 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	817	$51K
2019	551	$38K
2020	57	$3K
2021	12	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T1015	A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive	100%	962	897	$94K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	0%	475	446	$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 officialWORSLEY, THOMAS (PRESIDENT SPEARFISH HOSPITAL)

Same official

Other billing entities under WORSLEY, THOMAS

Full network →

Provider	Location	Paid
Monument Health Network, INC.	Spearfish, SD	$2.02M
Monument Health Network, INC.	Spearfish, SD	$1.82M
Monument Health Network, INC.	Belle Fourche, SD	$879K
Monument Health Network, INC.	Spearfish, SD	$743K
Monument Health Network, INC.	Spearfish, SD	$441K
Monument Health Network, INC.	Spearfish, SD	$220K
Monument Health Network, INC.	Spearfish, SD	$101K
Monument Health Network, INC.	Spearfish, SD	$18K
Monument Health Network, INC.	Spearfish, SD	$15K
Monument Health Network, INC.	Belle Fourche, SD	$14K
Monument Health Network, INC.	Spearfish, SD	$8K
Monument Health Network, INC.	Spearfish, SD	$2K
Monument Health Network, INC.	Buffalo, SD	$2K

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