Medicaid Provider Spending

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

NPI: 1497703045 · LUVERNE, MN 56156 · Critical Access Hospital · NPI assigned 05/05/2006

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

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

$1.27M
Total Medicaid Paid
24,560
Total Claims
18,141
Beneficiaries
47
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMORRISON, TONY (VICE PRESIDENT, REVENUE CYCLE)
NPI Enumeration Date05/05/2006

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 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 MEDICAL CENTER FARGO PELICAN RAPIDS MN $1.01M
SANFORD MEDICAL CENTER FARGO MAHNOMEN MN $994K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,649 $50K
2019 3,172 $181K
2020 2,590 $141K
2021 4,692 $262K
2022 4,357 $303K
2023 4,085 $229K
2024 2,015 $99K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,339 7,292 $564K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,675 1,630 $141K
H2035 Alcohol and/or other drug treatment program, per hour 1,539 301 $93K
A0425 Ground mileage, per statute mile 581 454 $86K
99283 Emergency department visit for the evaluation and management, moderate severity 531 494 $62K
T1016 Case management, each 15 minutes 1,004 315 $42K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 742 691 $37K
A0427 Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) 82 65 $36K
99282 Emergency department visit for the evaluation and management, low to moderate severity 265 246 $29K
J3490 Unclassified drugs 1,123 515 $28K
99284 Emergency department visit for the evaluation and management, high severity 216 185 $22K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 66 49 $17K
80053 Comprehensive metabolic panel 698 638 $13K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 958 864 $12K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 854 796 $11K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 49 49 $8K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 190 182 $7K
36415 Collection of venous blood by venipuncture 1,230 1,108 $7K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 176 168 $6K
0002A 230 223 $6K
0001A 223 217 $6K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 44 40 $5K
90686 711 695 $4K
A0429 Ambulance service, basic life support, emergency transport (bls-emergency) 13 12 $4K
0012A 79 79 $2K
0011A 82 81 $2K
86140 162 142 $2K
96375 Therapeutic injection; each additional sequential IV push 31 27 $2K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 17 17 $2K
87631 24 18 $1K
Q3014 Telehealth originating site facility fee 82 78 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 16 13 $1K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 14 13 $1K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 32 28 $816.22
80048 Basic metabolic panel (calcium, ionized) 59 50 $689.87
0071A 17 16 $595.93
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 13 12 $462.12
0004A 21 19 $455.20
81001 63 57 $407.98
83735 23 19 $266.76
91300 146 125 $265.41
J2405 Injection, ondansetron hydrochloride, per 1 mg 15 12 $244.89
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 15 12 $219.26
90656 20 14 $91.13
71045 Radiologic examination, chest; single view 14 12 $66.91
91301 42 41 $0.00
90472 Immunization administration, each additional vaccine (list separately) 34 27 $0.00