Sanford Clinic

Sanford Clinic was paid $163K by Medicaid between Jan 2018 and Jun 2023, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 36% of everything it billed.

33Billing provider infoSANFORD CLINIC
SIOUX FALLS, SD 57104

33aNPI1770518037assigned 07/12/2006

33bProvider typeInternal Medicine Physician

28Total paid$163K

24GClaims3,863

24DCodes billed6

24AFirst – last monthJan 2018 – Jun 2023

Compared with peers

Next to other Internal Medicine Physician providers in South Dakota

Rank by total paid#6 of 20

Median peer was paid$6K

This provider vs. median26×

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	742	$29K
2019	786	$30K
2020	342	$14K
2021	1,102	$51K
2022	871	$38K
2023	20	$893.29

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	36%	1,446	1,237	$58K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	24%	667	458	$39K
99223	Prolong inpt eval add15 m	19%	612	501	$31K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	14%	624	248	$23K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	5.9%	422	393	$10K
99356		1.7%	92	39	$3K

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)

Same official

Other billing entities under MORRISON, TONY

Full 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.