Physician
Monument Health Network, INC.
Monument Health Network, INC. was paid $643K by Medicaid between Jan 2018 and Dec 2024, across 84 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.
33Billing provider infoMONUMENT HEALTH NETWORK, INC.
CUSTER, SD 57730
CUSTER, SD 57730
33aNPI1427243963assigned 09/07/2007
33bProvider typeEmergency Medicine Physician
28Total paid$643K
24GClaims27,358
24DCodes billed84
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Emergency Medicine Physician providers in South Dakota
Rank by total paid#2 of 10
Median peer was paid$6K
This provider vs. median114×
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.
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 | 1,603 | $49K | |
| 2019 | 1,498 | $49K | |
| 2020 | 16,185 | $266K | |
| 2021 | 1,567 | $57K | |
| 2022 | 1,623 | $63K | |
| 2023 | 2,319 | $66K | |
| 2024incomplete | 2,563 | $93K |
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 | 29% | 5,102 | 4,196 | $186K |
| 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 | 22% | 2,652 | 2,198 | $139K |
| 90999 | Dialysis (unlisted procedure)Unlisted dialysis procedure, inpatient or outpatient | 6.3% | 3,109 | 69 | $41K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 4.9% | 735 | 495 | $32K |
| W0037 | 4.5% | 1,888 | 1,888 | $29K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 3.6% | 755 | 592 | $23K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 2.6% | 1,361 | 120 | $17K |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 2.6% | 1,652 | 685 | $17K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 2.5% | 350 | 164 | $16K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.8% | 805 | 269 | $12K |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 1.5% | 246 | 246 | $10K |
| 36415 | Collection of venous blood by venipuncture | 1.5% | 1,942 | 1,598 | $9K |
72 more codes
| 99285 | Emergency room visit (most serious) | 1.2% | 206 | $8K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.1% | 672 | $7K |
| A9270 | Non-covered item or service | <1% | 281 | $6K |
| A0429 | Emergency ambulance ride, basic life support | <1% | 69 | $5K |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | <1% | 93 | $5K |
| 99223 | Prolong inpt eval add15 m | <1% | 127 | $5K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 314 | $5K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 226 | $4K |
| 90837 | Psychotherapy session, about an hour | <1% | 218 | $4K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 92 | $4K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 81 | $4K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 192 | $4K |
| 90961 | <1% | 72 | $3K | |
| A0425 | Ground mileage, per statute mile | <1% | 135 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 191 | $3K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 101 | $3K |
| A0427 | Emergency ambulance ride, advanced life support | <1% | 29 | $3K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 120 | $2K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 81 | $2K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 135 | $2K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 160 | $2K |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 69 | $2K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 75 | $2K |
| G0008 | Administration of influenza virus vaccine | <1% | 265 | $1K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 149 | $1K |
| E0601 | Continuous positive airway pressure (cpap) device | <1% | 68 | $1K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 46 | $1K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 160 | $1K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 50 | $1K |
| 71045 | Radiologic examination, chest; single view | <1% | 356 | $1K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 117 | $1K |
| 99442 | <1% | 91 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 71 | $990.49 |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 71 | $905.43 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 206 | $891.46 |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 29 | $840.77 |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 39 | $818.82 |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 106 | $757.86 |
| A7031 | Face mask interface, replacement for full face mask, each | <1% | 29 | $750.01 |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 46 | $662.66 |
| 99307 | <1% | 50 | $655.02 | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 63 | $583.16 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 57 | $554.20 |
| 90686 | <1% | 71 | $534.12 | |
| 99443 | <1% | 66 | $495.70 | |
| 71275 | Computed tomographic angiography, chest, with contrast material | <1% | 31 | $491.56 |
| E1392 | Portable oxygen concentrator, rental | <1% | 61 | $487.27 |
| A4604 | Tubing with integrated heating element for use with positive airway pressure device | <1% | 46 | $447.41 |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 32 | $418.61 |
| 11721 | <1% | 39 | $399.55 | |
| A7030 | Full face mask used with positive airway pressure device, each | <1% | 14 | $372.22 |
| 90656 | <1% | 26 | $338.00 | |
| 73030 | <1% | 31 | $328.84 | |
| Q0513 | Pharmacy dispensing fee for inhalation drug(s); per 30 days | <1% | 47 | $277.20 |
| 73502 | <1% | 25 | $267.25 | |
| Q3014 | Telehealth originating site facility fee | <1% | 83 | $229.48 |
| 20610 | <1% | 17 | $191.47 | |
| 98940 | <1% | 32 | $185.34 | |
| A7038 | Filter, disposable, used with positive airway pressure device | <1% | 52 | $182.61 |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | <1% | 33 | $162.54 |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 28 | $155.12 |
| A7035 | Headgear used with positive airway pressure device | <1% | 27 | $139.56 |
| 92134 | <1% | 16 | $130.12 | |
| 74018 | <1% | 26 | $129.02 | |
| E0570 | Nebulizer, with compressor | <1% | 52 | $94.13 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 22 | $92.05 |
| E0562 | Humidifier, heated, used with positive airway pressure device | <1% | 13 | $86.12 |
| 99441 | <1% | 12 | $52.25 | |
| A4357 | Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each | <1% | 12 | $31.18 |
| 73630 | <1% | 12 | $22.47 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 12 | $20.48 |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 15 | $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 officialSCHMIDT, MARK (PRESIDENT CUSTER LD-DWD HOSPITAL)
| Provider | Location | Paid |
|---|---|---|
| Monument Health Network, INC. | Deadwood, SD | $358K |
| Monument Health Network, INC. | Hill City, SD | $134K |
| Care to Cure | Springboro, OH | $94K |
| Monument Health Network, INC | Custer, SD | $44K |
| Monument Health Network, INC. | Deadwood, SD | $27K |
| Monument Health Network, INC. | Deadwood, SD | $13K |
| Monument Health Network, INC. | Deadwood, SD | $10K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.