Monument Health Network, INC.
Monument Health Network, INC. was paid $220K by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is G0463, Hospital outpatient clinic visit for assessment and management of a patient — 94% of everything it billed.
SPEARFISH, SD 57783
Next to other Multi-Specialty Clinic/Center providers in South Dakota
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,726 | $28K | |
| 2019 | 2,861 | $27K | |
| 2020 | 1,303 | $21K | |
| 2021 | 2,492 | $32K | |
| 2022 | 2,765 | $39K | |
| 2023 | 2,912 | $33K | |
| 2024incomplete | 2,343 | $39K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 94% | 16,736 | 5,709 | $207K |
| J0897 | Injection, denosumab, 1 mg | 2.2% | 87 | 38 | $5K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.7% | 46 | 43 | $4K |
| 11721 | 1.5% | 190 | 141 | $3K | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 185 | 37 | $1K |
| Q3014 | Telehealth originating site facility fee | <1% | 97 | 86 | $721.57 |
| G0008 | Administration of influenza virus vaccine | 0% | 61 | 13 | $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.
Who's on the registration
| 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 | $101K |
| Monument Health Network, INC. | Newcastle, WY | $94K |
| 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.