Medicaid Provider Spending

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

MONUMENT HEALTH NETWORK, INC.

NPI: 1598144719 · BELLE FOURCHE, SD 57717 · Rural Health 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

$879K
Total Medicaid Paid
14,768
Total Claims
13,011
Beneficiaries
21
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. 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. 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,483 $194K
2019 2,336 $205K
2020 1,206 $74K
2021 2,496 $121K
2022 1,666 $101K
2023 2,315 $78K
2024 2,266 $105K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,452 4,674 $460K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,098 989 $90K
36415 Collection of venous blood by venipuncture 2,156 1,762 $86K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 910 808 $76K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 490 437 $50K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 621 493 $29K
80053 Comprehensive metabolic panel 488 412 $22K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 195 190 $19K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 351 334 $15K
W0037 2,269 2,269 $9K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 146 78 $9K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 32 30 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 35 31 $3K
90686 108 108 $2K
81001 56 51 $2K
90472 Immunization administration, each additional vaccine (list separately) 57 56 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 14 14 $578.05
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 247 235 $0.00
90651 16 13 $0.00
90734 14 14 $0.00
90715 13 13 $0.00