Medicaid Provider Spending

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

MONUMENT HEALTH NETWORK, INC.

NPI: 1548649841 · BELLE FOURCHE, SD 57717 · Multi-Specialty Clinic/Center · NPI assigned 05/20/2015

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

Authorized official WORSLEY, THOMAS controls 13+ related entities in our dataset. Read more

$14K
Total Medicaid Paid
1,850
Total Claims
1,483
Beneficiaries
11
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWORSLEY, THOMAS (PRESIDENT SPEARFISH HOSPITAL)
NPI Enumeration Date05/20/2015

Related Entities

Other providers sharing the same authorized official: WORSLEY, THOMAS

ProviderCityStateTotal 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 $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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 93 $3K
2022 530 $1K
2023 524 $3K
2024 703 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
80053 Comprehensive metabolic panel 624 518 $4K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 807 620 $4K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 65 64 $2K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 64 58 $2K
83036 Hemoglobin; glycosylated (A1C) 38 36 $330.13
36415 Collection of venous blood by venipuncture 170 112 $325.57
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 12 12 $204.12
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 29 26 $198.36
90656 12 12 $76.00
80061 Lipid panel 17 13 $13.39
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 12 12 $0.00