Sanford Clinic
Sanford Clinic was paid $1.22M by Medicaid between Jan 2018 and Aug 2024, across 29 billing codes. Its largest line is 76811, Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed — 17% of everything it billed.
33Billing provider infoSANFORD CLINIC
SIOUX FALLS, SD 57105
SIOUX FALLS, SD 57105
33aNPI1487923991assigned 12/29/2011
33bProvider typeMidwife
28Total paid$1.22M
24GClaims26,734
24DCodes billed29
24AFirst – last monthJan 2018 – Aug 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 | 12,973 | $600K | |
| 2019 | 12,162 | $561K | |
| 2020 | 913 | $25K | |
| 2021 | 219 | $10K | |
| 2022 | 212 | $9K | |
| 2023 | 165 | $12K | |
| 2024incomplete | 90 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 17% | 2,021 | 1,047 | $203K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 16% | 5,169 | 2,727 | $192K |
| 76819 | Fetal biophysical profile; without non-stress testing | 11% | 3,204 | 1,073 | $134K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 8.8% | 1,982 | 1,312 | $108K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 7.5% | 2,299 | 1,160 | $91K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.7% | 2,093 | 1,674 | $81K |
| 76825 | 5.5% | 974 | 496 | $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 | 5.5% | 1,099 | 902 | $67K |
| 59025 | Fetal non-stress test | 4.8% | 2,955 | 450 | $59K |
| 76827 | 3.4% | 1,039 | 541 | $42K | |
| 93325 | 3.4% | 1,074 | 531 | $41K | |
| 76813 | 2.8% | 666 | 322 | $34K |
17 more codes
| 99242 | 2.0% | 395 | $25K | |
| 76801 | 1.7% | 384 | $21K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 157 | $10K |
| 99241 | <1% | 152 | $6K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 154 | $6K |
| 76818 | <1% | 128 | $6K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 114 | $5K |
| 76820 | <1% | 272 | $5K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 99 | $5K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 85 | $4K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 20 | $3K |
| 76821 | <1% | 69 | $2K | |
| 76830 | Ultrasound, transvaginal | <1% | 53 | $2K |
| 99243 | <1% | 13 | $1K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 35 | $1K |
| 90686 | <1% | 13 | $227.24 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 16 | $156.48 |
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.