Physician
Sanford Health Network
Sanford Health Network was paid $4.41M by Medicaid between Jan 2018 and Dec 2024, across 115 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.
33Billing provider infoSANFORD HEALTH NETWORK
ABERDEEN, SD 57401
ABERDEEN, SD 57401
33aNPI1639423957assigned 11/08/2012
33bProvider typeFamily Medicine Physician
28Total paid$4.41M
24GClaims125,733
24DCodes billed115
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in South Dakota
Rank by total paid#2 of 40
Median peer was paid$144K
This provider vs. median31×
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 MORRISON, TONY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 17,586 | $552K | |
| 2019 | 15,173 | $475K | |
| 2020 | 7,920 | $267K | |
| 2021 | 18,036 | $639K | |
| 2022 | 18,248 | $675K | |
| 2023 | 22,534 | $737K | |
| 2024incomplete | 26,236 | $1.07M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 29% | 34,115 | 27,009 | $1.29M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 12% | 11,307 | 9,714 | $549K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 10.0% | 5,527 | 4,921 | $439K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 8.8% | 3,701 | 3,128 | $390K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.8% | 3,296 | 2,957 | $210K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.7% | 3,598 | 3,157 | $206K |
| W0037 | 3.9% | 9,408 | 9,408 | $170K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.4% | 2,344 | 2,286 | $152K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.2% | 4,017 | 3,947 | $142K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 3.0% | 2,502 | 2,279 | $132K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.3% | 1,315 | 1,158 | $100K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.6% | 1,046 | 1,021 | $71K |
103 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.3% | 5,630 | $56K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,775 | $43K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 494 | $36K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 771 | $36K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,864 | $29K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 660 | $27K |
| 90651 | <1% | 936 | $26K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 326 | $21K |
| 99188 | <1% | 636 | $17K | |
| 90671 | <1% | 820 | $17K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 342 | $15K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,703 | $15K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 493 | $14K |
| 90715 | <1% | 790 | $14K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 212 | $13K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 783 | $11K |
| 90686 | <1% | 3,778 | $10K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 175 | $10K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 2,024 | $10K |
| 99223 | Prolong inpt eval add15 m | <1% | 94 | $7K |
| 90480 | <1% | 380 | $7K | |
| 91320 | <1% | 90 | $7K | |
| 0002A | <1% | 181 | $6K | |
| 99460 | <1% | 76 | $6K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 517 | $6K |
| 0001A | <1% | 212 | $5K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 112 | $5K |
| 99383 | <1% | 43 | $4K | |
| 74018 | <1% | 306 | $4K | |
| 90670 | <1% | 1,802 | $4K | |
| Q3014 | Telehealth originating site facility fee | <1% | 150 | $4K |
| 0071A | <1% | 98 | $4K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 648 | $4K |
| 0072A | <1% | 91 | $3K | |
| 0011A | <1% | 94 | $3K | |
| 90474 | <1% | 351 | $3K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 205 | $3K |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 133 | $3K |
| 99173 | <1% | 224 | $3K | |
| 0012A | <1% | 81 | $3K | |
| 81025 | <1% | 407 | $3K | |
| 0124A | <1% | 86 | $3K | |
| 90656 | <1% | 487 | $3K | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 25 | $2K |
| 90739 | <1% | 15 | $2K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 42 | $2K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 77 | $2K |
| 80050 | General health panel | <1% | 31 | $2K |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 27 | $2K |
| 73630 | <1% | 111 | $1K | |
| 99217 | <1% | 29 | $1K | |
| 91322 | <1% | 28 | $1K | |
| 73610 | <1% | 97 | $1K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 211 | $1K |
| 80061 | Lipid panel | <1% | 99 | $1K |
| 99462 | <1% | 34 | $1K | |
| 99459 | <1% | 68 | $1K | |
| 0054A | <1% | 50 | $1K | |
| 0004A | <1% | 31 | $944.11 | |
| 76830 | Ultrasound, transvaginal | <1% | 21 | $911.93 |
| 90710 | <1% | 949 | $767.36 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 49 | $764.85 |
| 99381 | <1% | 15 | $714.02 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 83 | $650.58 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 72 | $627.75 |
| 80053 | Comprehensive metabolic panel | <1% | 72 | $576.56 |
| 96381 | <1% | 70 | $564.86 | |
| 0081A | <1% | 17 | $527.26 | |
| 90381 | <1% | 51 | $495.00 | |
| 90621 | <1% | 45 | $349.96 | |
| 96380 | <1% | 17 | $320.94 | |
| 90619 | <1% | 153 | $299.79 | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 12 | $288.96 |
| 87081 | <1% | 45 | $263.93 | |
| 98966 | <1% | 19 | $250.61 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 58 | $235.44 |
| 90633 | <1% | 1,295 | $202.99 | |
| 96127 | <1% | 27 | $138.32 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 13 | $131.04 |
| 71045 | Radiologic examination, chest; single view | <1% | 14 | $107.10 |
| 81002 | <1% | 29 | $97.44 | |
| 91319 | <1% | 51 | $79.00 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 14 | $76.14 |
| 81001 | <1% | 16 | $42.16 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 12 | $26.56 |
| 91301 | 0% | 223 | $0.00 | |
| 90744 | 0% | 838 | $0.00 | |
| 90698 | 0% | 1,560 | $0.00 | |
| 90697 | 0% | 687 | $0.00 | |
| 90680 | 0% | 1,742 | $0.00 | |
| 90647 | 0% | 13 | $0.00 | |
| 90696 | 0% | 222 | $0.00 | |
| 91307 | 0% | 266 | $0.00 | |
| 91305 | 0% | 167 | $0.00 | |
| 90723 | 0% | 13 | $0.00 | |
| 91306 | 0% | 12 | $0.00 | |
| 91312 | 0% | 81 | $0.00 | |
| 90461 | 0% | 1,587 | $0.00 | |
| 91300 | 0% | 500 | $0.00 | |
| 91308 | 0% | 52 | $0.00 | |
| G1004 | Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program | 0% | 29 | $0.00 |
| 90685 | 0% | 98 | $0.00 | |
| 90734 | 0% | 193 | $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 officialMORRISON, TONY (VICE PRESIDENT, REVENUE CYCLE)
Parent organizationSANFORD HEALTH NETWORK
| Provider | Location | Paid |
|---|---|---|
| Sanford Medical Center Fargo | Fargo, ND | $50.18M |
| Sanford Health of Northern Minnesota | Bemidji, MN | $47.45M |
| Sanford Bismarck | Bismarck, ND | $43.96M |
| Sanford Health of Northern Minnesota | Bemidji, MN | $27.11M |
| Sanford Medical Center | Sioux Falls, SD | $24.40M |
| FM Ambulance Service, INC | Fargo, ND | $23.80M |
| Sanford Medical Center | Sioux Falls, SD | $18.03M |
| Sanford Health Network | Worthington, MN | $7.58M |
| Sanford Clinic | Sioux Falls, SD | $6.04M |
| Sanford Clinic | Sioux Falls, SD | $5.45M |
| Sanford Healthcare Accessories, LLC | Fargo, ND | $4.79M |
| Sanford Health Network North | Thief River Falls, MN | $3.28M |
| Sanford Clinic | Sioux Falls, SD | $2.96M |
| Sanford Health Network | Jackson, MN | $2.81M |
| Sanford Clinic | Watertown, SD | $2.02M |
| Black Hills Orthopedic & Spine Center, INC. | Rapid City, SD | $1.71M |
| Sanford Health Network | Chamberlain, SD | $1.47M |
| Sanford Health Network | Vermillion, SD | $1.31M |
| Sanford Health Network | Luverne, MN | $1.27M |
| Sanford Medical Center Fargo | Pelican Rapids, MN | $1.01M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.