Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Monument Health Network, INC.

Monument Health Network, INC. was paid $14K by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is 80053, Comprehensive metabolic panel — 32% of everything it billed.

33Billing provider infoMONUMENT HEALTH NETWORK, INC.
BELLE FOURCHE, SD 57717
33aNPI1548649841assigned 05/20/2015
28Total paid$14K
24GClaims1,850
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Multi-Specialty Clinic/Center providers in South Dakota

Rank by total paid#19 of 24
Median peer was paid$251K
This provider vs. median0.1×

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 WORSLEY, THOMAS controls 13+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$500$1.0K$1.5K2018201920202021202220232024
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
YearClaimsPaid
201893$3K
2022530$1K
2023524$3K
2024incomplete703$7K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
80053 Comprehensive metabolic panel 32% 624 518 $4K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 29% 807 620 $4K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17% 65 64 $2K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 13% 64 58 $2K
83036 Hemoglobin; glycosylated (A1C) 2.4% 38 36 $330.13
36415 Collection of venous blood by venipuncture 2.3% 170 112 $325.57
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1.5% 12 12 $204.12
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1.4% 29 26 $198.36
90656 <1% 12 12 $76.00
80061 Lipid panel <1% 17 13 $13.39
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 0% 12 12 $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 officialWORSLEY, THOMAS (PRESIDENT SPEARFISH HOSPITAL)
Same official

Other billing entities under WORSLEY, THOMAS

Full network →
ProviderLocationPaid
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$220K
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.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.