MONUMENT HEALTH NETWORK, INC.
NPI: 1578942496
· SPEARFISH, SD 57783
· 261QM1300X
$1.82M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
8,657 |
$199K |
| 2019 |
9,390 |
$232K |
| 2020 |
5,774 |
$144K |
| 2021 |
8,872 |
$278K |
| 2022 |
9,691 |
$294K |
| 2023 |
10,938 |
$294K |
| 2024 |
11,411 |
$377K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
18,155 |
15,334 |
$619K |
| 99214 |
|
9,577 |
8,293 |
$440K |
| W0037 |
|
3,870 |
3,870 |
$144K |
| 0241U |
|
785 |
746 |
$83K |
| 99203 |
|
1,057 |
958 |
$62K |
| U0002 |
Covid-19 lab test non-cdc |
1,327 |
1,259 |
$60K |
| 99212 |
|
2,470 |
2,269 |
$58K |
| 99309 |
|
1,726 |
1,339 |
$44K |
| 87651 |
|
1,031 |
927 |
$30K |
| 87804 |
|
1,614 |
900 |
$27K |
| 99215 |
Prolong outpt/office vis |
448 |
387 |
$27K |
| 80053 |
|
2,579 |
2,319 |
$25K |
| 36415 |
|
5,622 |
4,765 |
$25K |
| 87880 |
|
1,694 |
1,533 |
$23K |
| 85025 |
|
3,026 |
2,664 |
$22K |
| 90471 |
|
1,857 |
1,787 |
$19K |
| 99211 |
|
1,054 |
1,001 |
$18K |
| 99308 |
|
671 |
506 |
$11K |
| 11721 |
|
767 |
739 |
$10K |
| 90472 |
|
560 |
537 |
$10K |
| 99391 |
|
121 |
107 |
$7K |
| 71046 |
|
296 |
273 |
$5K |
| 99204 |
|
41 |
41 |
$4K |
| 87807 |
|
282 |
261 |
$4K |
| 99335 |
|
158 |
138 |
$4K |
| U0003 |
Cov-19 amp prb hgh thruput |
55 |
55 |
$4K |
| 80061 |
|
283 |
267 |
$4K |
| 96372 |
|
410 |
344 |
$3K |
| 90686 |
|
520 |
511 |
$3K |
| 83036 |
|
285 |
272 |
$3K |
| 99393 |
|
45 |
42 |
$2K |
| 81001 |
|
755 |
649 |
$2K |
| G2211 |
Complex e/m visit add on |
535 |
453 |
$2K |
| 99394 |
|
30 |
29 |
$1K |
| 98967 |
|
58 |
49 |
$1K |
| U0005 |
Infec agen detec ampli probe |
56 |
56 |
$1K |
| 99202 |
|
32 |
27 |
$1K |
| 99442 |
|
64 |
58 |
$874.69 |
| 73630 |
|
43 |
38 |
$832.01 |
| 87635 |
|
16 |
16 |
$769.65 |
| 99348 |
|
37 |
32 |
$741.69 |
| 99392 |
|
12 |
12 |
$691.68 |
| 90656 |
|
52 |
52 |
$622.70 |
| 90677 |
|
15 |
15 |
$577.32 |
| 98966 |
|
39 |
37 |
$432.37 |
| 81025 |
|
56 |
51 |
$430.50 |
| 90651 |
|
49 |
47 |
$383.00 |
| 93005 |
|
54 |
52 |
$306.18 |
| 80048 |
|
28 |
26 |
$195.84 |
| 85027 |
|
28 |
26 |
$155.28 |
| 93010 |
|
42 |
40 |
$153.31 |
| 90715 |
|
44 |
43 |
$121.00 |
| 81003 |
|
29 |
25 |
$82.32 |
| 83690 |
|
13 |
12 |
$75.79 |
| C9803 |
Hopd covid-19 spec collect |
199 |
196 |
$0.00 |
| 90734 |
|
34 |
32 |
$0.00 |
| 91301 |
|
15 |
14 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |