Hospital
Sanford Health Network
Sanford Health Network was paid $1.27M by Medicaid between Jan 2018 and Dec 2024, across 47 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.
33Billing provider infoSANFORD HEALTH NETWORK
LUVERNE, MN 56156
LUVERNE, MN 56156
33aNPI1497703045assigned 05/05/2006
33bProvider typeCritical Access Hospital
28Total paid$1.27M
24GClaims24,560
24DCodes billed47
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Critical Access Hospital providers in Minnesota
Rank by total paid#28 of 68
Median peer was paid$798K
This provider vs. median1.6×
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 | 3,649 | $50K | |
| 2019 | 3,172 | $181K | |
| 2020 | 2,590 | $141K | |
| 2021 | 4,692 | $262K | |
| 2022 | 4,357 | $303K | |
| 2023 | 4,085 | $229K | |
| 2024incomplete | 2,015 | $99K |
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 | 45% | 9,339 | 7,292 | $564K |
| 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 | 11% | 2,675 | 1,630 | $141K |
| H2035 | Alcohol and/or other drug treatment program, per hour | 7.3% | 1,539 | 301 | $93K |
| A0425 | Ground mileage, per statute mile | 6.8% | 581 | 454 | $86K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 4.9% | 531 | 494 | $62K |
| T1016 | Case management, each 15 minutes | 3.3% | 1,004 | 315 | $42K |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 2.9% | 742 | 691 | $37K |
| A0427 | Emergency ambulance ride, advanced life supportAmbulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 2.9% | 82 | 65 | $36K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 2.3% | 265 | 246 | $29K |
| J3490 | Unclassified drugs | 2.2% | 1,123 | 515 | $28K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 1.8% | 216 | 185 | $22K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 1.3% | 66 | 49 | $17K |
35 more codes
| 80053 | Comprehensive metabolic panel | 1.0% | 698 | $13K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 958 | $12K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 854 | $11K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 49 | $8K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 190 | $7K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,230 | $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 | <1% | 176 | $6K |
| 0002A | <1% | 230 | $6K | |
| 0001A | <1% | 223 | $6K | |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 44 | $5K |
| 90686 | <1% | 711 | $4K | |
| A0429 | Emergency ambulance ride, basic life support | <1% | 13 | $4K |
| 0012A | <1% | 79 | $2K | |
| 0011A | <1% | 82 | $2K | |
| 86140 | <1% | 162 | $2K | |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 31 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 17 | $2K |
| 87631 | <1% | 24 | $1K | |
| Q3014 | Telehealth originating site facility fee | <1% | 82 | $1K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 16 | $1K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 14 | $1K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 32 | $816.22 |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 59 | $689.87 |
| 0071A | <1% | 17 | $595.93 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 13 | $462.12 |
| 0004A | <1% | 21 | $455.20 | |
| 81001 | <1% | 63 | $407.98 | |
| 83735 | <1% | 23 | $266.76 | |
| 91300 | <1% | 146 | $265.41 | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 15 | $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) | <1% | 15 | $219.26 |
| 90656 | <1% | 20 | $91.13 | |
| 71045 | Radiologic examination, chest; single view | <1% | 14 | $66.91 |
| 91301 | 0% | 42 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 34 | $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 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 Medical Center Fargo | Pelican Rapids, MN | $1.01M |
| Sanford Medical Center Fargo | Mahnomen, MN | $994K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.