Medicaid Provider Spending

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

PRAIRIE LAKES HEALTH CARE SYSTEM INC

NPI: 1659316214 · WATERTOWN, SD 57201 · Rural Acute Care Hospital · NPI assigned 06/18/2006

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

Authorized official MORRISON, TONY controls 20+ related entities in our dataset. Read more

$703K
Total Medicaid Paid
24,216
Total Claims
11,425
Beneficiaries
21
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMORRISON, TONY (VICE PRESIDENT, REVENUE CYCLE)
NPI Enumeration Date06/18/2006

Related Entities

Other providers sharing the same authorized official: MORRISON, TONY

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,978 $116K
2019 4,885 $147K
2020 2,548 $72K
2021 4,505 $128K
2022 3,314 $86K
2023 2,337 $75K
2024 1,649 $79K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99282 Emergency department visit for the evaluation and management, low to moderate severity 5,033 4,347 $255K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 8,070 2,875 $112K
J7120 Ringers lactate infusion, up to 1000 cc 250 220 $100K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 6,533 585 $75K
36415 Collection of venous blood by venipuncture 903 749 $51K
99283 Emergency department visit for the evaluation and management, moderate severity 1,592 1,381 $41K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 646 582 $24K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 60 53 $10K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 585 182 $10K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 66 64 $7K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 67 65 $7K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 14 14 $5K
87631 22 22 $3K
51798 50 13 $1K
80053 Comprehensive metabolic panel 170 158 $953.28
81001 44 36 $905.14
83690 12 12 $488.52
99284 Emergency department visit for the evaluation and management, high severity 29 25 $481.30
86140 15 14 $245.04
J3490 Unclassified drugs 42 16 $0.00
84484 13 12 $0.00