Sanford Health of Northern Minnesota
Sanford Health of Northern Minnesota was paid $27.11M by Medicaid between Jan 2018 and Dec 2024, across 232 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 20% of everything it billed.
BEMIDJI, MN 56601
Next to other Orthopaedic Surgery Physician providers in Minnesota
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 112,990 | $1.67M | |
| 2019 | 117,677 | $4.60M | |
| 2020 | 93,272 | $3.54M | |
| 2021 | 114,962 | $4.91M | |
| 2022 | 112,749 | $4.98M | |
| 2023 | 104,319 | $4.16M | |
| 2024incomplete | 71,356 | $3.25M |
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 | 20% | 161,219 | 141,328 | $5.33M |
| 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 | 17% | 95,145 | 84,757 | $4.52M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 7.8% | 33,261 | 30,106 | $2.12M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 7.8% | 23,859 | 21,794 | $2.12M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 4.5% | 13,616 | 8,040 | $1.22M |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 3.6% | 19,382 | 19,065 | $988K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.8% | 26,841 | 7,451 | $772K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 2.5% | 10,231 | 9,903 | $682K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.0% | 8,864 | 8,382 | $553K |
| 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 | 1.8% | 7,469 | 7,122 | $494K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.8% | 11,430 | 10,875 | $477K |
| H0040 | Assertive community treatment program, per diem | 1.6% | 5,399 | 421 | $428K |
220 more codes
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.5% | 13,591 | $416K |
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | 1.5% | 406 | $412K |
| 99283 | Emergency room visit (moderate) | 1.4% | 11,202 | $386K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.4% | 9,636 | $374K |
| 92015 | Determination of refractive state | 1.3% | 31,642 | $365K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.3% | 7,657 | $358K |
| 99223 | Prolong inpt eval add15 m | 1.1% | 3,838 | $297K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 3,529 | $214K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 3,458 | $200K |
| X5622 | <1% | 2,252 | $197K | |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 4,081 | $189K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 4,245 | $189K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 4,675 | $177K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 3,690 | $174K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 2,879 | $153K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 3,135 | $120K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 741 | $118K |
| H2017 | Psychosocial rehabilitation, billed per 15 minutes | <1% | 1,596 | $118K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 3,710 | $117K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 6,627 | $102K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 840 | $99K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 26,709 | $98K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | <1% | 8,198 | $95K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 1,041 | $94K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,663 | $92K |
| H2011 | Crisis intervention service, per 15 minutes | <1% | 631 | $90K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 3,076 | $80K |
| 99460 | <1% | 1,384 | $76K | |
| 67028 | Intravitreal injection of a pharmacologic agent | <1% | 1,572 | $74K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,161 | $64K |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 3,289 | $61K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 4,019 | $61K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 518 | $60K |
| 71045 | Radiologic examination, chest; single view | <1% | 14,838 | $59K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 962 | $59K |
| 88307 | <1% | 851 | $58K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 3,025 | $55K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 2,118 | $54K |
| H2014 | Skills training and development, per 15 minutes | <1% | 1,083 | $53K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 1,136 | $50K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 1,035 | $48K |
| 99205 | Prolong outpt/office vis | <1% | 536 | $47K |
| 92551 | <1% | 6,025 | $44K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 1,353 | $44K |
| 99221 | <1% | 1,049 | $43K | |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 2,816 | $41K |
| 20611 | <1% | 1,133 | $38K | |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 931 | $36K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 1,303 | $32K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 5,993 | $31K |
| 99217 | <1% | 900 | $30K | |
| 92134 | <1% | 2,761 | $30K | |
| 76801 | <1% | 999 | $28K | |
| 99220 | <1% | 323 | $28K | |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | <1% | 576 | $27K |
| 17110 | <1% | 920 | $27K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 1,020 | $26K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 1,684 | $26K |
| 71275 | Computed tomographic angiography, chest, with contrast material | <1% | 554 | $24K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 1,103 | $24K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 1,271 | $24K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 1,032 | $22K |
| 76830 | Ultrasound, transvaginal | <1% | 1,187 | $22K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 715 | $21K |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | <1% | 585 | $21K |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | <1% | 333 | $17K |
| 99225 | <1% | 456 | $17K | |
| 99480 | Subsequent intensive care, per day, low birth weight infant | <1% | 210 | $16K |
| 20610 | <1% | 881 | $15K | |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 768 | $15K |
| 99219 | <1% | 213 | $14K | |
| 99188 | <1% | 2,294 | $14K | |
| 59025 | Fetal non-stress test | <1% | 841 | $14K |
| 73630 | <1% | 3,267 | $14K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,938 | $14K |
| 73610 | <1% | 2,671 | $12K | |
| 96161 | <1% | 1,394 | $12K | |
| 99462 | <1% | 463 | $12K | |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | <1% | 361 | $11K |
| 73110 | <1% | 2,291 | $10K | |
| H0046 | Mental health services, not otherwise specified | <1% | 1,087 | $10K |
| 73130 | <1% | 2,032 | $10K | |
| 92060 | <1% | 511 | $9K | |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | <1% | 40 | $9K |
| 59410 | <1% | 14 | $9K | |
| 73562 | <1% | 1,873 | $9K | |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 385 | $8K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 186 | $8K |
| 99495 | <1% | 134 | $8K | |
| 99417 | Prolong home eval add 15m | <1% | 141 | $8K |
| V2020 | Frames, purchases | <1% | 230 | $8K |
| 73030 | <1% | 1,637 | $7K | |
| 71250 | <1% | 342 | $7K | |
| 93298 | <1% | 270 | $7K | |
| 99254 | <1% | 72 | $7K | |
| 99310 | Prolong nursin fac eval 15m | <1% | 176 | $7K |
| V5266 | Battery for use in hearing device | <1% | 305 | $7K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 111 | $6K |
| 90785 | <1% | 702 | $6K | |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | <1% | 186 | $5K |
| 93294 | <1% | 343 | $5K | |
| 92587 | <1% | 473 | $5K | |
| 92341 | <1% | 200 | $5K | |
| 88304 | <1% | 503 | $5K | |
| 93971 | <1% | 490 | $5K | |
| 72125 | Computed tomography, cervical spine; without contrast material | <1% | 211 | $5K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 86 | $5K |
| 73502 | <1% | 942 | $5K | |
| 11102 | <1% | 264 | $5K | |
| 01967 | Neuraxial labor analgesia/anesthesia for planned vaginal delivery | <1% | 30 | $4K |
| 00731 | <1% | 37 | $4K | |
| 73140 | <1% | 980 | $4K | |
| 98940 | <1% | 309 | $4K | |
| 93016 | <1% | 482 | $4K | |
| 90961 | <1% | 28 | $3K | |
| 93975 | <1% | 77 | $3K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 44 | $3K |
| 73080 | <1% | 543 | $3K | |
| 99442 | <1% | 88 | $3K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 346 | $3K |
| 93018 | <1% | 487 | $2K | |
| 99443 | <1% | 38 | $2K | |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 51 | $2K |
| 92083 | <1% | 177 | $2K | |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 12 | $2K |
| 99152 | <1% | 513 | $2K | |
| 76770 | <1% | 108 | $2K | |
| 93970 | <1% | 112 | $2K | |
| 92133 | <1% | 226 | $2K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 28 | $2K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 85 | $2K |
| 99381 | <1% | 43 | $2K | |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 12 | $2K |
| 73221 | <1% | 46 | $2K | |
| 73560 | <1% | 404 | $2K | |
| 93308 | <1% | 121 | $2K | |
| 99496 | <1% | 28 | $2K | |
| 99173 | <1% | 1,598 | $2K | |
| 93244 | <1% | 109 | $2K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 45 | $2K |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | <1% | 86 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 92 | $1K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 92 | $1K |
| 74018 | <1% | 404 | $1K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 40 | $1K |
| 12001 | <1% | 51 | $1K | |
| 77080 | <1% | 257 | $1K | |
| 70551 | Magnetic resonance imaging, brain; without contrast material | <1% | 38 | $1K |
| 99383 | <1% | 29 | $1K | |
| 43235 | <1% | 14 | $1K | |
| 76642 | <1% | 53 | $996.71 | |
| 99441 | <1% | 56 | $978.69 | |
| 93321 | <1% | 243 | $971.29 | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 12 | $892.71 |
| 73590 | <1% | 231 | $874.71 | |
| 27096 | <1% | 12 | $807.71 | |
| 11900 | <1% | 46 | $777.78 | |
| 90671 | <1% | 1,116 | $757.41 | |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 12 | $731.39 |
| 90686 | <1% | 2,337 | $720.65 | |
| 92136 | <1% | 55 | $674.07 | |
| V5020 | Conformity evaluation | <1% | 51 | $672.04 |
| 92558 | <1% | 102 | $605.08 | |
| 93325 | <1% | 310 | $587.61 | |
| 99406 | <1% | 92 | $543.91 | |
| 73090 | <1% | 91 | $504.05 | |
| 0124A | <1% | 26 | $460.56 | |
| 0298T | <1% | 42 | $452.88 | |
| 90461 | <1% | 5,008 | $443.29 | |
| 88342 | <1% | 18 | $399.38 | |
| 58300 | <1% | 24 | $387.04 | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 17 | $369.37 |
| 70486 | <1% | 25 | $320.87 | |
| 92002 | <1% | 15 | $311.74 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 87 | $310.48 |
| 17000 | <1% | 13 | $307.33 | |
| 92593 | <1% | 13 | $306.36 | |
| 95251 | <1% | 15 | $304.68 | |
| 90651 | <1% | 292 | $292.22 | |
| 72100 | <1% | 52 | $273.57 | |
| 76942 | <1% | 13 | $246.17 | |
| 90670 | <1% | 3,806 | $237.04 | |
| 93922 | <1% | 44 | $232.54 | |
| 88300 | <1% | 58 | $212.88 | |
| 93248 | <1% | 12 | $198.08 | |
| 88302 | <1% | 25 | $166.49 | |
| 93925 | <1% | 12 | $162.41 | |
| 96127 | <1% | 36 | $126.97 | |
| 93280 | <1% | 12 | $117.23 | |
| 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% | 25 | $81.00 |
| 90715 | <1% | 121 | $78.03 | |
| 11100 | <1% | 89 | $77.39 | |
| 90680 | <1% | 2,970 | $71.63 | |
| 90723 | <1% | 2,790 | $69.60 | |
| 54150 | <1% | 53 | $67.76 | |
| 72170 | <1% | 12 | $57.18 | |
| 0054A | <1% | 17 | $39.20 | |
| 0064A | <1% | 17 | $37.64 | |
| 90647 | <1% | 2,709 | $28.40 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 35 | $28.08 |
| 90656 | <1% | 85 | $22.03 | |
| 90633 | 0% | 1,598 | $0.00 | |
| 90734 | 0% | 230 | $0.00 | |
| 90710 | 0% | 903 | $0.00 | |
| 90700 | 0% | 574 | $0.00 | |
| G1004 | Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program | 0% | 3,339 | $0.00 |
| 90707 | 0% | 178 | $0.00 | |
| 90685 | 0% | 361 | $0.00 | |
| 92557 | 0% | 46 | $0.00 | |
| 90473 | 0% | 13 | $0.00 | |
| 98968 | 0% | 61 | $0.00 | |
| 99201 | 0% | 14 | $0.00 | |
| 10060 | 0% | 13 | $0.00 | |
| 90696 | 0% | 252 | $0.00 | |
| 90716 | 0% | 193 | $0.00 | |
| 90697 | 0% | 172 | $0.00 | |
| 92567 | 0% | 65 | $0.00 | |
| 92310 | 0% | 14 | $0.00 | |
| 90619 | 0% | 19 | $0.00 | |
| 93458 | 0% | 12 | $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.
Who's on the registration
| 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 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 |
| Sanford Medical Center Fargo | Mahnomen, MN | $994K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.