Medicaid Provider Spending

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

NPI: 1760854624 · SIOUX FALLS, SD 57105 · Pediatrics Physician · NPI assigned 10/30/2015

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

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

$765K
Total Medicaid Paid
5,060
Total Claims
4,657
Beneficiaries
10
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMORRISON, TONY (VICE PRESIDENT, REVENUE CYCLE)
Parent OrganizationSANFORD
NPI Enumeration Date10/30/2015

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 48 $10K
2019 945 $154K
2020 820 $132K
2021 834 $150K
2022 739 $81K
2023 871 $125K
2024 803 $114K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99499 2,394 2,272 $547K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,879 1,664 $146K
99205 Prolong outpt/office vis 148 131 $20K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 337 323 $20K
W8700 48 37 $10K
99215 Prolong outpt/office vis 98 88 $9K
99170 70 67 $9K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 37 34 $3K
99417 Prolong home eval add 15m 37 29 $2K
92551 12 12 $143.40